Jul 24, 2026 · 40 min · 7 segments
Open vs partial nephrectomy, and open vs robotic prostatectomy - two large randomised trials that did not change surgical practice! Just as important to examine these in GU Cast Journal Club as to…
Declan MurphyHost
Renu EapenHost
Carlos DelgadoGuest
Elena BergGuest
Today we're gonna focus on surgical randomized trials, uh, big randomized trials that have done nothing to change practice.
And, you know, big, large randomized trials in surgery are not common, are they? And so, um-
But, you know, [laughs] we do have these big ones that really have, have made no difference to practice guidelines, anything.
And, you know, in most of these Journal Club episodes and regular episodes of GUCast, we're looking at randomized trials that are, you know, prospective randomized trials, often multi-center, but-
... today is, you know, how come these trials, uh, have not changed practice? So yeah.
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Today we're gonna focus on surgical randomized trials, uh, big randomized trials that have done nothing to change practice.
And, you know, big, large randomized trials in surgery are not common, are they? And so, um-
But, you know, [laughs] we do have these big ones that really have, have made no difference to practice guidelines, anything.
And, you know, in most of these Journal Club episodes and regular episodes of GUCast, we're looking at randomized trials that are, you know, prospective randomized trials, often multi-center, but-
... today is, you know, how come these trials, uh, have not changed practice? So yeah.