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Association of surgeon and hospital volume with short-term outcomes after robot-assisted radical prostatectomy: Nationwide, population-based study

Godtman, Rebecka Arnsrud, 1981 (författare)
Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för urologi,Institute of Clinical Sciences, Department of Urology,Univ Göteborg, Sahlgrenska Univ Hosp, Inst Clin Sci, Sahlgrenska Acad,Dept Urol, Gothenburg, Sweden.,Sahlgrenska University Hospital
Persson, E. (författare)
Reg Canc Ctr Uppsala Örebro, Uppsala, Sweden.
Cazzaniga, Walter (författare)
Uppsala University,Uppsala universitet,Urologkirurgi,Univ Vita Salute San Raffaele, Unit Urol URI, IRCCS Osped San Raffaele, Div Expt Oncol, Milan, Italy.,San Raffaele Hospital
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Sandin, F. (författare)
Reg Canc Ctr Uppsala Örebro, Uppsala, Sweden.
Carlsson, S. (författare)
Karolinska Institutet,Karolinska Institute,Karolinska University Hospital
Ahlgren, Göran (författare)
Lund University,Lunds universitet,Urologisk cancerforskning, Malmö,Forskargrupper vid Lunds universitet,LUCC: Lunds universitets cancercentrum,Övriga starka forskningsmiljöer,Urological cancer, Malmö,Lund University Research Groups,LUCC: Lund University Cancer Centre,Other Strong Research Environments,Skåne University Hospital
Johansson, Eva (författare)
Uppsala University,Uppsala universitet,Urologkirurgi
Robinsson, D. (författare)
Hogland Hosp, Dept Urol, Eksjo, Sweden.,Högland hospital
Hugosson, Jonas, 1955 (författare)
Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för urologi,Institute of Clinical Sciences, Department of Urology,Univ Göteborg, Sahlgrenska Univ Hosp, Inst Clin Sci, Sahlgrenska Acad,Dept Urol, Gothenburg, Sweden.,Sahlgrenska University Hospital
Stattin, Pär (författare)
Uppsala University,Uppsala universitet,Urologkirurgi
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 (creator_code:org_t)
2021-06-17
2021
Engelska.
Ingår i: Plos One. - : Public Library of Science (PLoS). - 1932-6203. ; 16:6
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  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • Background and objective Few studies have investigated the association between surgical volume and outcome of robot-assisted radical prostatectomy (RARP) in an unselected cohort. We sought to investigate the association between surgical volume with peri-operative and short-term outcomes in a nation-wide, population-based study group. Methods 9,810 RARP's registered in the National Prostate Cancer Register of Sweden (2015-2018) were included. Associations between outcome and volume were analyzed with multivariable logistic regression including age, PSA-density, number of positive biopsy cores, cT stage, Gleason score, and extent of lymph node dissection. Results Surgeons and hospitals in the highest volume group compared to lowest group had shorter operative time; surgeon (OR 9.20, 95% CI 7.11-11.91), hospital (OR 2.16, 95% CI 1.53-3.06), less blood loss; surgeon (OR 2.58. 95% CI 2.07-3.21) hospital (no difference), more often nerve sparing intention; surgeon (OR 2.89, 95% CI 2.34-3.57), hospital (OR 2.02, 95% CI 1.66-2.44), negative margins; surgeon (OR 1.90, 95% CI 1.54-2.35), hospital (OR 1.28, 95% CI 1.07-1.53). There was wide range in outcome between hospitals and surgeons with similar volume that remained after adjustment. Conclusions High surgeon and hospital volume were associated with better outcomes. The range in outcome was wide in all volume groups, which indicates that factors besides volume are of importance. Registration of surgical performance is essential for quality control and improvement.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Urologi och njurmedicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Urology and Nephrology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kirurgi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Surgery (hsv//eng)

Nyckelord

positive surgical margins
cancer register
cohort profile
morbidity
quality
sweden
Science & Technology - Other Topics

Publikations- och innehållstyp

ref (ämneskategori)
art (ämneskategori)

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