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Robotic prostatectomy took off, despite a lack of evidence and risks of inequity

Mark Frydenberg and Robert (Frank) A Gardiner
Med J Aust 2017; 207 (2): . || doi: 10.5694/mja16.01121
Published online: 17 July 2017

In reply:


  • 1 Monash Health, Melbourne, VIC
  • 2 University of Queensland, Brisbane, QLD


Correspondence: f.gardiner@uq.edu.au

Competing interests:

No relevant disclosures.

  • 1. Yaxley JW, Coughlin GD, Chambers SK, et al. Robot-assisted laparoscopic prostatectomy versus open radical retropubic prostatectomy: early outcomes from a randomised controlled phase 3 study. Lancet 2016; 388: 1057-1066.
  • 2. Vickers AJ, Bianco FJ, Serio AM, et al. The surgical learning curve for prostate cancer control after radical prostatectomy. J Natl Cancer Inst 2007; 99: 1171-1177.
  • 3. Patel V, Samavedi S. Prostate cancer: superior outcomes after a long learning curve with RARP. Nat Rev Urol 2014; 11: 140-141.
  • 4. Oberlin DT, Flum AS, Lai JD, Meeks JJ. The effect of minimally invasive prostatectomy on practice patterns of American urologists. Urol Oncol 2016; 34: 255.e1-e5.
  • 5. Ellison LM, Heaney JA, Birkmeyer JD. The effect of hospital volume on mortality and resource use after radical prostatectomy. J Urol 2000; 163: 867-869.

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