Improving access to surgical innovation in the community: Implementation of shared access model in Canadian healthcare

  • Mitchell G. Goldenberg Division of UrologyDepartment of SurgeryUniversity of Toronto
  • Brent Kerbel Division of Urology Department of Surgery University of Toronto
  • Rajiv K. Singal Division of UrologyDepartment of SurgeryUniversity of Toronto
Keywords: Robotic Surgery, Prostatectomy, Community Health, Access to Care, Surgical Outcomes, Financial Analysis



Author Biography

Mitchell G. Goldenberg, Division of UrologyDepartment of SurgeryUniversity of Toronto

PGY-3 Resident

Division of Urology

Department of Surgery

University of Toronto


Binder J, Kramer W. Robotically-assisted laparoscopic radical prostatectomy. BJU Int. 2001;87(4):408-410.

Leow JJ, Chang SL, Meyer CP, et al. Robot-assisted Versus Open Radical Prostatectomy: A Contemporary Analysis of an All-payer Discharge Database. European Urology. February 2016:1-9. doi:10.1016/j.eururo.2016.01.044.

Yuh BE, Ruel NH, Mejia R, Novara G, Wilson TG. Standardized comparison of robot-assisted limited and extended pelvic lymphadenectomy for prostate cancer. BJU Int. 2013;112(1):81-88. doi:10.1111/j.1464-410X.2012.11788.x.

Tewari A, Sooriakumaran P, Bloch DA, Seshadri-Kreaden U, Hebert AE, Wiklund P. Positive Surgical Margin and Perioperative Complication Rates of Primary Surgical Treatments for Prostate Cancer: A Systematic Review and Meta-Analysis Comparing Retropubic, Laparoscopic, and Robotic Prostatectomy. European Urology. 2012;62(1):1-15. doi:10.1016/j.eururo.2012.02.029.

Ontario CC. Prostate Cancer Surgery QBP Working Group Webinar. 2016.

Bolenz C, Gupta A, Hotze T, et al. Cost Comparison of Robotic, Laparoscopic, and Open Radical Prostatectomy for Prostate Cancer. European Urology. 2010;57(3):453-458. doi:10.1016/j.eururo.2009.11.008.

Close A, Robertson C, Rushton S, et al. Comparative Cost-effectiveness of Robot-assisted and Standard Laparoscopic Prostatectomy as Alternatives to Open Radical Prostatectomy for Treatment of Men with Localised Prostate Cancer: A Health Technology Assessment from the Perspective of the UK National Health Service. European Urology. 2013;64(3):361-369. doi:10.1016/j.eururo.2013.02.040.

Hughes D, Camp C, O'Hara J, Adshead J. Health resource use after robot-assisted surgery vs open and conventional laparoscopic techniques in oncology: analysis of English secondary care data for radical prostatectomy and partial nephrectomy. BJU Int. 2016;117(6):940-947. doi:10.1111/bju.13401.

Health Quality Ontario. Robotic Surgical System for Radical Prostatectomy: A Health Technology Assessment. Ont Health Technol Assess Ser. 2017;17(11):1-172.

Pearce SM, Pariser JJ, Karrison T, Patel SG, Eggener SE. Comparison of Perioperative and Early Oncologic Outcomes between Open and Robotic Assisted Laparoscopic Prostatectomy in a Contemporary Population Based Cohort. The Journal of Urology. 2016;196(1):76-81. doi:10.1016/j.juro.2016.01.105.

Liu J-J, Maxwell BG, Panousis P, Chung BI. Health Outcomes ResearchPerioperative Outcomes for Laparoscopic and Robotic Compared With Open Prostatectomy Using the National Surgical Quality Improvement Program (NSQIP) Database. URL. 2013;82(3):579-583. doi:10.1016/j.urology.2013.03.080.

Alemozaffar M, Sanda M, Yecies D, Mucci LA, Stampfer MJ, Kenfield SA. Benchmarks for operative outcomes of robotic and open radical prostatectomy: results from the Health Professionals Follow-up Study. European Urology. 2015;67(3):432-438. doi:10.1016/j.eururo.2014.01.039.

Trinh Q-D, Sammon J, Sun M, et al. Perioperative Outcomes of Robot-Assisted Radical Prostatectomy Compared With Open Radical Prostatectomy: Results From the Nationwide Inpatient Sample. European Urology. 2012;61(4):679-685. doi:10.1016/j.eururo.2011.12.027.

Silberstein JL, Su D, Glickman L, et al. A case-mix-adjusted comparison of early oncological outcomes of open and robotic prostatectomy performed by experienced high volume surgeons. BJU Int. 2013;111(2):206-212. doi:10.1111/j.1464-410X.2012.11638.x.

Zorn KC, Gofrit ON, Orvieto MA, et al. Da Vinci Robot Error and Failure Rates: Single Institution Experience on a Single Three-Arm Robot Unit of More than 700 Consecutive Robot-Assisted Laparoscopic Radical Prostatectomies. Journal of Endourology. 2007;21(11):1341-1344. doi:10.1089/end.2006.0455.

How to Cite
Goldenberg, M. G., Kerbel, B., & Singal, R. K. (2018). Improving access to surgical innovation in the community: Implementation of shared access model in Canadian healthcare. Canadian Urological Association Journal, 13(9). Retrieved from
Research Letter