Trends and Safety of Same-day Discharge for Robot-assisted Laparoscopic Prostatectomy: A Comparison Between the Pre-pandemic and Pandemic Periods From the National Cancer Database

• Published in: Urology (Ridgewood, N.J.) N.J.), 2024-10
• Main Authors: Dagnino, Filippo, Labban, Muhieddine, Berk, Brittany, Qian, Zhiyu, Stelzl, Daniel, Zurl, Hanna, Korn, Stephan, Lughezzani, Giovanni, Buffi, Nicolò M., Cole, Alexander P., Kibel, Adam S., Trinh, Quoc-Dien, Niknejad, Kathy G.
• Format: Article
• Language: English
• ISSN: 0090-4295; 1527-9995; 1527-9995
• DOI: 10.1016/j.urology.2024.10.049

To assess and compare the use of same-day discharge (SDD) for robot-assisted laparoscopic prostatectomy (RALP) between the "Pre-pandemic" and "Pandemic" periods and investigate SDD impact on mortality and readmissions. We examined data from the National Cancer Database on men receiving RALP in the “Pre-pandemic” (2018-2019) and “Pandemic” (2020) periods. We analyzed the differences in patient and hospital characteristics between SDD and non-SDD patients. Multivariable logistic regression analysis was performed to evaluate the likelihood of SDD during "Pandemic" versus "Pre-pandemic" periods. Inverse probability treatment weighting (IPTW) was utilized to assess the impact of SDD on 30-day mortality, 90-day mortality, and 30-day readmissions, adjusting for patient and hospital characteristics. Out of 111,117 men, 8997 (8%) received SDD. Patients with more comorbidities, non-private insurance, and high-risk prostate cancer reported lower SDD rates (P