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Časopis Clinical urology – Článok Conventional and robot assisted approach to radical prostatectomy – reality of medicine based on evidence. is it justifiable to pay higher price?

Clinical urology

Postgraduate scientific medical journal. Magazine Slovak Association of Urology.
Period 3x per year
1336-7579
The journal is indexed in the Slovak National Bibliography, Bibliographiia Medica Slovaca (BMS) and listed to citation database CiBaMed. All articles are reviewed. The publisher does not bear any responsibility for data and opinions of particular authors of the articles or advertisements. The articles on grey pages are company promotions or non reviewed information, an author is responsible for the content. Any reproduction of the content is allowed only with direct consent of the editorial office.
Predplatné
Clinical urology
Clinical urology
Postgraduate scientific medical journal. Magazine Slovak Association of Urology.
Period 3x per year
Predplatné
Téma: Overview works

Conventional and robot assisted approach to radical prostatectomy – reality of medicine based on evidence. is it justifiable to pay higher price?

Dalibor Pacík

The author in his review presents a rational overview of the so often proclaimed benefits of robot assisted radical prostatectomy over classical surgery and stresses the fact that these benefits are not supported by any evidence-based data. In fact they represent marketing strategy more than reality. He also emphasizes that the European Association of Urology Guidelines for Prostate Cancer do not consider robotic approach as a superior in the surgical treatment of this disease. Even the EAU general secretary professor Per-Anders Abrahamson in his recent lecture on this topic treated both approaches as equivalent and stressed the absence of any data demonstrating the superiority of any of these approaches. The author presents a large body of literature (both Czech and foreign literature) informing about equivalent results of both approaches (when performed by experts in specialized centres) and even worse outcomes based on healthcare insurance companies data without stratification according to the individual centres of excellence. The author also focuses on the economic burden of both approaches, in the time of financial crisis and the demand for savings, which is significantly higher in robot assisted approach and questions the justification of paying significantly higher costs in the absence of proven medical benefits.

radical prostatectomy, robotic assisted radical prostatectomy, benefit
Klin. urol. 2012; 8 (1): 14-20

Ročník 2012  Témy časopisu Clinical urology 1 / 2012

Overview works

Martina Ondrušová1,2, Dalibor Ondruš3
Dalibor Pacík
Roman Tomaškin, Boris Eliáš, Ján Kliment
Silvia Mahmood1, Monika Kmeťová-Sivoňová1, Dušan Dobrota1, Marta Pisková1, Róbert Dušenka1,2, Svetlana Grobarčíková2 a Ján Kliment2

Vladimír Bartoš1, Oľga Zacharová1, Dušan Pokorný1, Roman Mráz2, Juraj Mikuláš2, Peter Laurinc2

Ján Švihra1, Ivana Zigová2, Milan Švec3, Eva Šulcová4

Monika Kmeťová Sivoňova1, Marta Pisková1, Dušan Dobrota1, Róbert Dušenka1,2, Svetlana Grobarčíková2, Silvia Mahmood1, Ján Kliment2
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Nie sú dostupné žiadne voľne dostupné články
CHAIRMAN OF THE EDITORIAL BOARD
prof. MUDr. Ján Kliment, CSc.

MEMBERS OF THE EDITORIAL BOARD
prof. Andrzej Borówka, M.D., PhD.
prof. MUDr. Ján Breza, DrSc.
prof. MUDr. Peter Bujdák, PhD.
prof. MUDr. Tomáš Hanuš, DrSc.
doc. MUDr. Ladislav Jarolím, CSc.
doc. MUDr. Ján Ľupták, PhD.
doc. MUDr. Jozef Marenčák, PhD.
doc. MUDr. Ivan Minčík, PhD.
prof. MUDr. Dalibor Ondruš, DrSc.
prof. Imre Romics, M.D., PhD.
doc. MUDr. Vladimír Študent, PhD.
prof. MUDr. Ján Švihra, PhD.
prof. MUDr. Ladislav Valanský, PhD.
doc. MUDr. František Záťura, PhD.
MUDr. Peter Zvara, PhD.

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Examples of citations:
1. Shaheen NJ, Crosby NA, Bozymski EM, et al. Is there publication bias in the reporting cancer risk in Barrett´ esophagus? Gastroenterology 2000; 119: 333-338.
2. Stenestrand U, Wallentin L. Swedish Register of Cardiac Intensive Care (RIKS-HIA): Early statin treatment following acute myocardial infarction and 1-year survival. JAMA 2001; 285: 430-436.
3. LIPID Study Group. Prevention of cardiovascular events and death with pravastatin in patients with coronary heart disease and a broad range of initial cholesterol levels. N Engl J Med 1998; 339: 1349-1357.
4. Jurkovičová O, Spitzerová H, Cagáň S. Komorové arytmie a náhla srdcová smrť pri akútnom infarkte myokardu. Bratisl Lek Listy 1997; 98: 379-389.
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Which of following factors is not related to rosacea?
a. genetic predisposition
b. Scandinavian origin
c. propionibacterium acnes
d. endothelial growth factor

The editorial board reserves the right to make small stylistic changes in the paper. If it is necessary to shorten the paper, the consent of the author will be required. All articles are reviewed.

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Send contributions in the e-mail to the address: paulenova@amedi.sk
Period 3x per year
1336-7579
The journal is indexed in the Slovak National Bibliography, Bibliographiia Medica Slovaca (BMS) and listed to citation database CiBaMed. All articles are reviewed. The publisher does not bear any responsibility for data and opinions of particular authors of the articles or advertisements. The articles on grey pages are company promotions or non reviewed information, an author is responsible for the content. Any reproduction of the content is allowed only with direct consent of the editorial office.
Predplatné
Clinical urology
Clinical urology
Postgraduate scientific medical journal. Magazine Slovak Association of Urology.
Period 3x per year
Predplatné