{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T12:31:25Z","timestamp":1786710685939,"version":"build-2736575974"},"reference-count":18,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T00:00:00Z","timestamp":1786406400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Evidence for completely off-clamp robot-assisted partial nephrectomy (RAPN) in older patients is limited. We compared age-stratified short-term outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We reviewed 146 consecutive patients who underwent off-clamp RAPN between June 2022 and March 2026: 99 were aged &lt;65 years and 47 were aged \u226565 years. Outcomes included perioperative measures, 90-day major complications, postoperative day 1 (POD1) hemoglobin (Hb) decline, estimated glomerular filtration rate (eGFR) change, and surgical margin status. Parsimonious linear models adjusted for age group, baseline Hb or eGFR, tumor size, and RENAL score; expanded models were sensitivity analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Older patients had more hypertension, diabetes mellitus, and cardiovascular disease and lower baseline Hb and eGFR (all\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .05). Console time, estimated blood loss, and length of stay did not differ significantly, and no major complication occurred. Positive margins occurred in 5\/85 younger and 1\/44 older patients with evaluable data (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .663); margin status was unassigned in 17 nonmalignant cases. The median POD1 Hb decline was 1.0 versus 1.2 g\/dL (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .779), and the median 1-month eGFR change was 1.0 mL\/min\/1.73 m\n                      <jats:sup>2<\/jats:sup>\n                      in both groups (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .746). In parsimonious models, neither age-group coefficient reached statistical significance: Hb decline, \u03b2 = \u22120.01 (95% confidence interval [CI], \u22120.30 to 0.28;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .937); 1-month eGFR change, \u03b2 = \u22123.21 (95% CI, \u22126.80 to 0.38;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .080).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>No statistically significant age-group differences were detected in the evaluated short-term perioperative and functional outcomes. However, the confidence intervals, particularly for 1-month eGFR, did not exclude clinically relevant disadvantage in older patients and do not establish equivalence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10926429261479471","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T03:00:41Z","timestamp":1786503641000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Age-Stratified Outcomes of Off-Clamp Robot-Assisted Partial Nephrectomy: A Comparison of Patients Younger Than 65 Years and Those Aged 65 Years or Older"],"prefix":"10.1177","author":[{"given":"Oh Jun","family":"Yun","sequence":"first","affiliation":[{"name":"Department of Urology, School of Medicine, Kyungpook National University, Daegu, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun-Koo","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Urology, School of Medicine, Kyungpook National University, Daegu, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sang Hyub","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Urology, Kyung Hee University School of Medicine, Seoul, Republic of Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yun-Sok","family":"Ha","sequence":"additional","affiliation":[{"name":"Department of Urology, School of Medicine, Kyungpook National University, Daegu, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seock Hwan","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Urology, School of Medicine, Kyungpook National University, Daegu, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bum Soo","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Urology, School of Medicine, Kyungpook National University, Daegu, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyun Tae","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Urology, School of Medicine, Kyungpook National University, Daegu, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tae-Hwan","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Urology, School of Medicine, Kyungpook National University, Daegu, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eun Sang","family":"Yoo","sequence":"additional","affiliation":[{"name":"Department of Urology, School of Medicine, Kyungpook National University, Daegu, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tae Gyun","family":"Kwon","sequence":"additional","affiliation":[{"name":"Department of Urology, School of Medicine, Kyungpook National University, Daegu, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jae-Wook","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Urology, School of Medicine, Kyungpook National University, Daegu, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,11]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2023.0107"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2025.02.020"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12894-025-01803-w"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-023-04366-3"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.15848"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2024.0857"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics14151579"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.5173\/ceju.2023.261"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41585-023-00848-6"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/mnh.0000000000000955"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ackd.2015.08.004"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.2147\/ijnrd.S170203"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-022-04171-4"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-025-05712-3"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41440-024-01916-z"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-024-01997-5"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers16081449"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-022-04016-0"}],"container-title":["Journal of Laparoendoscopic &amp; 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