Nossiter J, Morris M, Cowling TE, et al. - The study findings do not support further centralization of radical prostatectomy (RP) services beyond levels in England where four in five hospitals perform >60 RPs/year.

• In this study, 7,702 men (76.3%) responded. No statistically significant differences were found in urinary continence (p = 0.08) or sexual function scores with increasing volume group (p = 0.2).

• When modelled as a linear function, researchers reported a non-significant increase of 0.70 (95% CI −0.41 to 1.80; p = 0.22) in urinary continence and a significant increase of 1.54 (0.62–2.45; p = 0.001) in sexual function scores for a 100-procedure increase in hospital volume, which did not meet the threshold for a minimal clinically important difference (10–12 points).

• For robotic-assisted RP, the results were similar (5,529 men [71.8%]).