Full Text Journal Articles by
Author Rodney H Breau

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The delicate balance of patient autonomy and compassionate care.

Rodney H Breau,

Can Urol Assoc J (Canadian Urological Association journal = Journal de l'Association des urologues du Canada)
[2021, 15(4):114]

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Returning to the emergency room: An analysis of emergency encounters following urologic outpatient surgery.

Luke Witherspoon, Rodney H Breau, Christopher Langley, Ranjeeta Mallick, Ilias Cagiannos, Christopher Morash, J Stuart Oake, Luke T Lavallée,

<h4>Introduction</h4>Previous reports indicate urologic surgeries are associated with high rates of hospital re-admission. This study aims to identify factors associated with emergency room (ER) encounters following urologic outpatient surgery.<h4>Methods</h4>All outpatient surgeries performed at The Ottawa Hospital between April 1, 2008, and March 31, 2018 by urology, general surgery, gynecology, and ... Read more >>

Can Urol Assoc J (Canadian Urological Association journal = Journal de l'Association des urologues du Canada)
[2021, :]

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Performance Feedback May Not Improve Radical Prostatectomy Outcomes: The Surgical Report Card (SuRep) Study.

Ravi M Kumar, Dean A Fergusson, Luke T Lavallée, Ilias Cagiannos, Christopher Morash, Michael Horrigan, Ranjeeta Mallick, Dawn Stacey, Michael Fung-Kee Fung, David Sands, Rodney H Breau,

<h4>Introduction</h4>Oncologic, urinary, and sexual outcomes are important to patients receiving prostate cancer surgery. The objective of this study was to determine if providing surgical report cards (SuRep) to surgeons resulted in improved patient outcomes.<h4>Methods</h4>A prospective before-and-after study was conducted at The Ottawa Hospital. 422 consecutive patients undergoing radical prostatectomy were ... Read more >>

J Urol (The Journal of urology)
[2021, :101097JU0000000000001764]

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Prognostic impact of paraneoplastic syndromes on patients with non-metastatic renal cell carcinoma undergoing surgery: Results from Canadian Kidney Cancer information system.

Ryan Sun, Rodney H Breau, Ranjeeta Mallick, Simon Tanguay, Frederic Pouliot, Anil Kapoor, Luke T Lavallée, Antonio Finelli, Alan I So, Ricardo A Rendon, Adrian S Fairey, Jean-Baptiste Lattouf, Jun Kawakami, Bimal Bhindi, Naveen S Basappa, Lori A Wood, Georg A Bjarnason, Daniel Y C Heng, Rahul K Bansal,

<h4>Introduction</h4>The impact of paraneoplastic syndromes (PNS) on survival in patients with renal cell carcinoma (RCC) is uncertain. This study was conducted to analyze the association of PNS with recurrence and survival of patients with non-metastatic RCC undergoing nephrectomy.<h4>Methods</h4>The Canadian Kidney Cancer information system is a multi-institutional cohort of patients started ... Read more >>

Can Urol Assoc J (Canadian Urological Association journal = Journal de l'Association des urologues du Canada)
[2021, 15(4):132-137]

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Editorial Comment.

Rodney H Breau, Avril Lusty,

J Urol (The Journal of urology)
[2021, :101097JU000000000000164501]

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Lymph node dissection during radical nephrectomy: A Canadian multi-institutional analysis.

Andrea Kokorovic, Rodney H Breau, Anil Kapoor, Antonio Finelli, Alan I So, Luke T Lavallee, Simon Tanguay, Frederic Pouliot, Darrel E Drachenberg, Adrian Fairey, Jean-Baptiste Lattouf, Jun Kawakami, Lori Wood, Ranjeeta Mallick, Ricardo A Rendon,

<h4>Objectives</h4>To determine the association between lymph node dissection (LND) at the time of radical nephrectomy and survival in a large, multi-institutional cohort using a propensity score matching design.<h4>Subjects and methods</h4>The Canadian Kidney Cancer information system was used to identify patients undergoing radical nephrectomy for nonmetastatic renal cell carcinoma. Associations between ... Read more >>

Urol Oncol (Urologic oncology)
[2021, :]

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Variation in prophylactic tranexamic acid administration among anesthesiologists and surgeons in orthopedic surgery: a retrospective cohort study.

Brett L Houston, Dean A Fergusson, Jamie Falk, Robert Ariano, Donald S Houston, Emily Krupka, Anna Blankstein, Iris Perelman, Rodney H Breau, Daniel I McIsaac, Emily Rimmer, Allan Garland, Alan Tinmouth, Robert Balshaw, Alexis F Turgeon, Eric Jacobsohn, Eric Bohm, Ryan Zarychanski,

<h4>Purpose</h4>Tranexamic acid (TXA) reduces red blood cell transfusion in various orthopedic surgeries, yet the degree of practice variation in its use among anesthesiologists and surgeons has not been described. To target future knowledge transfer and implementation strategies, and to better understand determinants of variability in prophylactic TXA use, our primary ... Read more >>

Can J Anaesth (Canadian journal of anaesthesia = Journal canadien d'anesthesie)
[2021, :]

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Refusal of surgery: A case-based review of ethical and legal principles behind informed consent in Canada.

Shady N Garas, Luke Witherspoon, Nikolija Lukich, Hamidreza Abdi, Rodney H Breau,

Can Urol Assoc J (Canadian Urological Association journal = Journal de l'Association des urologues du Canada)
[2021, 15(2):67-69]

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Hypothermia During Partial Nephrectomy for Patients with Renal Tumors: A Randomized Controlled Trial.

Rodney H Breau, Dean A Fergusson, Greg Knoll, Kristen McAlpine, Christopher Morash, Sonya Cnossen, Luke T Lavallée, Ranjeeta Mallick, Antonio Finelli, Michael A S Jewett, Bradley C Leibovich, Jonathan A Cook, Anil Kapoor, Frederic Pouliot, Jonathan Izawa, Ricardo Rendon, Ilias Cagiannos,

<h4>Purpose</h4>Surgeons induce renal hypothermia during partial nephrectomy to preserve kidney function, without strong evidence of benefit. This trial examined the effectiveness and safety of renal hypothermia during partial nephrectomy.<h4>Materials and methods</h4>We conducted a parallel randomized controlled trial of hypothermia versus no hypothermia (control group) during partial nephrectomy at 6 academic ... Read more >>

J Urol (The Journal of urology)
[2020, :101097JU0000000000001517]

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Do androgen-directed therapies improve outcomes in prostate cancer patients undergoing radical prostatectomy? A systematic review and meta-analysis.

Ameeta L Nayak, Anathea S Flaman, Ranjeeta Mallick, Luke T Lavallée, Dean A Fergusson, Ilias Cagiannos, Chris Morash, Rodney H Breau,

<h4>Introduction</h4>Approximately 50% of patients with non-metastatic prostate cancer are treated with radical prostatectomy. While some men will be cured with surgery alone, a substantial proportion will experience cancer recurrence. Androgen-directed therapy (ADT) is an effective adjuvant therapy for patients treated with prostate radiation. Comparatively, the efficacy of ADT in surgical ... Read more >>

Can Urol Assoc J (Canadian Urological Association journal = Journal de l'Association des urologues du Canada)
[2021, :]

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Shared decision-making for the management of small renal masses: Development and acceptability testing of a novel patient decision aid.

Kristen McAlpine, Rodney H Breau, Dawn Stacey, Christopher Knee, Michael A S Jewett, Philippe D Violette, Patrick O Richard, Ilias Cagiannos, Christopher Morash, Luke T Lavallée,

<h4>Introduction</h4>Shared decision-making incorporates patients' values and preferences to achieve high-quality decisions. The objective of this study was to develop an acceptable patient decision aid to facilitate shared decision-making for the management of small renal masses (SRMs).<h4>Methods</h4>The International Patient Decision Aids Standards were used to guide an evidence-based development process. Management ... Read more >>

Can Urol Assoc J (Canadian Urological Association journal = Journal de l'Association des urologues du Canada)
[2020, 14(12):385-391]

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Reply By Authors.

Benjamin Shiff, Rodney H Breau, Premal Patel, Ranjeeta Mallick, Simon Tanguay, Alan So, Luke Lavallée, Ron Moore, Ricardo Rendon, Anil Kapoor, Frédéric Pouliot, Antonio Finelli, Bimal Bhindi, Jean-Baptiste Lattouf, Naveen Basappa, Lori Wood, Daniel Heng, Georg Bjarnason, Darrel Drachenberg,

J Urol (The Journal of urology)
[2021, 205(1):84-85]

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Advanced Prostate Cancer: AUA/ASTRO/SUO Guideline PART II.

William T Lowrance, Rodney H Breau, Roger Chou, Brian F Chapin, Tony Crispino, Robert Dreicer, David F Jarrard, Adam S Kibel, Todd M Morgan, Alicia K Morgans, William K Oh, Matthew J Resnick, Anthony L Zietman, Michael S Cookson,

<h4>Purpose</h4>The summary presented herein represents Part II of the two-part series dedicated to Advanced Prostate Cancer: AUA/ASTRO/SUO Guideline discussing prognostic and treatment recommendations for patients with castration-resistant disease. Please refer to Part I for discussion of the management of patients with biochemical recurrence without metastatic disease after exhaustion of local ... Read more >>

J Urol (The Journal of urology)
[2021, 205(1):22-29]

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Advanced Prostate Cancer: AUA/ASTRO/SUO Guideline PART I.

William T Lowrance, Rodney H Breau, Roger Chou, Brian F Chapin, Tony Crispino, Robert Dreicer, David F Jarrard, Adam S Kibel, Todd M Morgan, Alicia K Morgans, William K Oh, Matthew J Resnick, Anthony L Zietman, Michael S Cookson,

<h4>Purpose</h4>The summary presented herein represents Part I of the two-part series dedicated to Advanced Prostate Cancer: AUA/ASTRO/SUO Guideline discussing prognostic and treatment recommendations for patients with biochemical recurrence without metastatic disease after exhaustion of local treatment options as well as those with metastatic hormone-sensitive prostate cancer. Please refer to Part ... Read more >>

J Urol (The Journal of urology)
[2021, 205(1):14-21]

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The Top 20 Surgical Procedures Associated with the Highest Risk for Blood Transfusion.

Joshua Montroy, Luke T Lavallée, Ryan Zarychanski, Dean Fergusson, Brett Houston, Ilias Cagiannos, Chris Morash, Alan Tinmouth, Brian Hutton, Ranjeeta Mallick, Anathea Flaman, Rodney H Breau,

Br J Surg (The British journal of surgery)
[2020, 107(13):e642-e643]

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Partial vs. radical nephrectomy and the risk of all-cause mortality, cardiovascular, and nephrological outcomes.

Rodney H Breau, Anil Kapoor, Danielle M Nash, Neal Rowe, Octav Cristea, Garson Chan, Stephanie N Dixon, Eric McArthur, Camilla Tajzler, Ravi Kumar, Christopher Vinden, Jonathan Izawa, Amit X Garg, Patrick P Luke,

<b>Introduction: </b>The study's objective was to examine the effects of renal-preservation surgery on long-term mortality, cardiovascular outcomes, and renal-related outcomes.<br><br><b>Methods: </b>We performed a retrospective cohort study of all partial (n=575) and radical nephrectomies (n=882) for tumors ≤7 cm in diameter between 2002 and 2010 across three academic centers in Ontario, ... Read more >>

Can Urol Assoc J (Canadian Urological Association journal = Journal de l'Association des urologues du Canada)
[2020, 14(10):337-345]

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Determining generalizability of the Canadian Kidney Cancer information system (CKCis) to the entire Canadian kidney cancer population.

Camilla Tajzler, Simon Tanguay, Ranjeeta Mallick, Beau Ahrens, Tina Luu Ly, Rodney H Breau, Naveen S Basappa, Anil Kapoor, Daniel Y C Heng, Frédéric Pouliot, Antonio Finelli, Luke T Lavallée, Alan I So, Darrel E Drachenberg, Denis Soulières, Georg A Bjarnason, Patrick O Richard, Ranjena Maloni, Nicholas E Power, Michael Haan, Lori A Wood,

<h4>Introduction</h4>The Canadian Kidney Cancer information system (CKCis) has prospectively collected data on patients with renal tumors since January 1, 2011 from 16 sites within 14 academic centers in six provinces. Canadian kidney cancer experts have used CKCis data to address several research questions. The goal of this study was to ... Read more >>

Can Urol Assoc J (Canadian Urological Association journal = Journal de l'Association des urologues du Canada)
[2020, 14(10):E499-E506]

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Evaluation of Transfusion Practices in Noncardiac Surgeries at High Risk for Red Blood Cell Transfusion: A Retrospective Cohort Study.

Brett L Houston, Dean A Fergusson, Jamie Falk, Emily Krupka, Iris Perelman, Rodney H Breau, Daniel I McIsaac, Emily Rimmer, Donald S Houston, Allan Garland, Robert E Ariano, Alan Tinmouth, Robert Balshaw, Alexis F Turgeon, Eric Jacobsohn, Jason Park, Gordon Buduhan, Michael Johnson, Joshua Koulack, Ryan Zarychanski,

Perioperative bleeding is a major indication for red blood cell (RBC) transfusion, yet transfusion data in many major noncardiac surgeries are lacking and do not reflect recent blood conservation efforts. We aim to describe transfusion practices in noncardiac surgeries at high risk for RBC transfusion. We completed a retrospective cohort ... Read more >>

Transfus Med Rev (Transfusion medicine reviews)
[2021, 35(1):16-21]

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Does renal tumor biopsies for small renal carcinoma increase the risk of upstaging on final surgery pathology report and the risk of recurrence?

Charles Asselin, Antonio Finelli, Rodney H Breau, Ranjeeta Mallick, Anil Kapoor, Ricardo A Rendon, Simon Tanguay, Frédéric Pouliot, Adrian Fairey, Luke T Lavallée, Franck Bladou, Jun Kawakami, Alan I So, Patrick O Richard,

<h4>Background</h4>Renal tumor biopsies (RTB) have been proposed as a means to diminish overtreatment of small renal masses. A potential concern of RTB is tumor seeding along the biopsy tract leading to worse clinical outcomes.<h4>Objectives</h4>To evaluate whether RTB was associated with greater upstaging to pT3a compared to patients without a biopsy ... Read more >>

Urol Oncol (Urologic oncology)
[2020, 38(10):798.e9-798.e16]

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Impact of Time to Surgery and Surgical Delay on Oncologic Outcomes for Renal Cell Carcinoma.

Benjamin Shiff, Rodney H Breau, Premal Patel, Ranjeeta Mallick, Simon Tanguay, Alan So, Luke Lavallée, Ron Moore, Ricardo Rendon, Anil Kapoor, Frédéric Pouliot, Antonio Finelli, Bimal Bhindi, Jean-Baptiste Lattouf, Naveen Basappa, Lori Wood, Daniel Heng, Georg Bjarnason, Darrel Drachenberg,

<h4>Purpose</h4>The time between radiographic identification of a renal tumor and surgery can be concerning for patients and clinicians due to fears of tumor progression while awaiting treatment. This study aimed to evaluate the association between surgical wait time and oncologic outcomes for patients with renal cell carcinoma.<h4>Materials and methods</h4>The Canadian ... Read more >>

J Urol (The Journal of urology)
[2021, 205(1):78-85]

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Achieving the "trifecta" with open versus minimally invasive partial nephrectomy.

Samrad Ghavimi, Olli Saarela, Frederic Pouliot, Ricardo A Rendon, Antonio Finelli, Anil Kapoor, Ronald B Moore, Rodney H Breau, Luke Lavallee, Louis Lacombe, Adrian Fairey, Michael Jewett, Zhihui Liu, Simon Tanguay, Peter C Black,

<h4>Introduction</h4>The "trifecta" is a summary measure of outcome after partial nephrectomy (PN) that encompasses three parameters: negative surgical margin, ≤ 10% decrease in post-operative estimated glomerular filtration rate (eGFR) and absence of urological complications. We assessed trifecta rates in patients undergoing open (OPN), laparoscopic (LPN), and robotic PN (RPN) for a ... Read more >>

World J Urol (World journal of urology)
[2020, :]

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An International Survey on the Use of Thromboprophylaxis in Urological Surgery.

Philippe D Violette, Robin W M Vernooij, Yoshitaka Aoki, Arnav Agarwal, Rufus Cartwright, Yoichi Arai, Thomas Tailly, Giacomo Novara, Tejan Baldeh, Samantha Craigie, Rodney H Breau, Gordon H Guyatt, Kari A O Tikkinen,

<h4>Background</h4>The use of perioperative thromboprophylaxis in urological surgery is common but not standardized.<h4>Objective</h4>To characterize international practice variation in thromboprophylaxis use in urological surgery.<h4>Design, setting, and participants</h4>We conducted a scenario-based survey addressing the use of mechanical and pharmacological thromboprophylaxis in urological cancer procedures (radical cystectomy [RC], radical prostatectomy [RP], and radical ... Read more >>

Eur Urol Focus (European urology focus)
[2020, :]

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A novel prevention bundle to reduce incisional infections after radical cystectomy.

James Ross, Rodney H Breau, Kristen McAlpine, Neal Rowe, Lara Williams, Christopher Knee, Ilias Cagiannos, Christopher Morash, Ranjeeta Mallick, Carl van Walraven, Luke T Lavallée,

<h4>Purpose</h4>Our institution implemented a novel intervention bundle to reduce incisional surgical site infections (SSIs) for patients undergoing radical cystectomy. The primary objective of this study was to evaluate the efficacy of the bundle in reducing incisional SSIs post-cystectomy.<h4>Material and methods</h4>A before-after cohort study was performed on all patients who underwent ... Read more >>

Urol Oncol (Urologic oncology)
[2020, 38(7):638.e1-638.e6]

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Management of complex renal cysts in Canada: results of a survey study.

Félix Couture, Antonio Finelli, Amélie Tétu, Bimal Bhindi, Rodney H Breau, Anil Kapoor, Wassim Kassouf, Luke Lavallée, Simon Tanguay, Philippe D Violette, Patrick O Richard,

<h4>Background</h4>Bosniak III and IV cysts have a high risk of malignancy and have traditionally been managed surgically. However, growing evidence suggests that many can be managed by active surveillance. The main objective of this study was to characterize the use of surveillance in the management of complex renal cysts.<h4>Methods</h4>A web-based ... Read more >>

BMC Urol (BMC urology)
[2020, 20(1):47]

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Continuing towards optimization of bladder cancer care in Canada: Summary of the third Bladder Cancer Canada-Canadian Urological Association-Canadian Urologic Oncology Group (BCC-CUA-CUOG) bladder cancer quality of care consensus meeting.

Wassim Kassouf, Armen Aprikian, Fred Saad, Neil Fleshner, Nimira Alimohamed, Rodney H Breau, Fadi Brimo, Joe Chin, Peter Chung, Tony Cornacchia, Ferg Devins, Libni Eapen, Bernie Eigl, Adrian Fairey, David Guttman, Jason P Izard, Niels Jacobsen, Claudio Jeldres, Girish Kulkarni, Aly-Khan Lalani, Michele Lodde, Himu Lukka, Ron Moore, Chris Morash, Scott North, Tammy Northam, Michael Ong, Nick Power, Ricardo Rendon, Robert Purves, Bobby Shayegan, Randy Smith, Alan So, Srikala S Sridhar, Alex Zlotta, D Robert Siemens, Peter C Black,

Can Urol Assoc J (Canadian Urological Association journal = Journal de l'Association des urologues du Canada)
[2020, 14(3):E115-E125]

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