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FältnamnIndikatorerMetadata
00005066naa a2200553 4500
001oai:gup.ub.gu.se/322102
003SwePub
008240528s2022 | |||||||||||000 ||eng|
009oai:DiVA.org:uu-497002
009oai:prod.swepub.kib.ki.se:150626521
0247 a https://gup.ub.gu.se/publication/3221022 URI
0247 a https://doi.org/10.1080/21681805.2022.21192702 DOI
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-4970022 URI
0247 a http://kipublications.ki.se/Default.aspx?queryparsed=id:1506265212 URI
040 a (SwePub)gud (SwePub)uud (SwePub)ki
041 a eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Godtman, Rebecka Arnsrud,d 1981u 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, Dept Urol,Sahlgrenska Acad, Gothenburg, Sweden.4 aut0 (Swepub:gu)xgodre
2451 0a Surgeon volume and patient-reported urinary incontinence after radical prostatectomy. Population-based register study in Sweden
264 c 2022-09-06
264 1b Medical Journals Sweden AB,c 2022
520 a Objective: To investigate the association between surgeon volume and urinary incontinence after radical prostatectomy. Methods: A total of 8326 men in The National Prostate Cancer Register of Sweden (NPCR) underwent robot-assisted radical prostatectomy (RARP) between 2017 and 2019 of whom 56% (4668/8 326) had responded to a questionnaire one year after RARP. The questionnaire included the question: ‘How much urine leakage do you experience?’ with the response alternatives ‘Not at all’, ‘A little’, defined as continence and ‘Moderately’, ‘Much/Very much’ as incontinence. Association between incontinence and mean number of RARPs/year/surgeon was analysed with multivariable logistic regression including age, Charlson Comorbidity Index (CCI), PSA, prostate volume, number of biopsy cores with cancer, cT stage, Gleason score, lymph node dissection, nerve sparing intent and response rate to the questionnaire. Results: 14% (659/4 668) of the men were incontinent one year after RARP. There was no statistically significant association between surgeon volume and incontinence. Older age (>75 years vs. < 65 years, OR 2.29 [95% CI 1.48–3.53]), higher CCI (CCI 2+ vs. CCI 0, OR 1.37 [95% CI 1.04–1.80]) and no nerve sparing intent (no vs. yes OR 1.53 [95% CI 1.26–1.85]) increased risk of incontinence. There were large differences in the proportion of incontinent men between surgeons with similar annual volumes, which remained after adjustment. Conclusions: The lack of association between surgeon volume and incontinence and the wide range in outcome between surgeons with similar volumes underline the importance of individual feedback to surgeons on functional results. © 2022 The Author(s). Published by Informa UK Limited trading as Taylor & Francis Group.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Urologi och njurmedicin0 (SwePub)302142 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Urology and Nephrology0 (SwePub)302142 hsv//eng
653 a Electronic PROM
653 a incontinence
653 a patient-reported outcome measures
653 a prostate cancer
653 a radical prostatectomy
653 a robotic-assisted radical prostatectomy
653 a volume
653 a Electronic PROM
7001 a Persson, E.u Reg Canc Ctr Mid Sweden, Uppsala, Sweden.4 aut
7001 a Bergengren, Oskaru Uppsala universitet,Urologkirurgi4 aut0 (Swepub:uu)oskka588
7001 a Carlsson, S.u Karolinska Institutet4 aut
7001 a Johansson, Evau Uppsala universitet,Urologkirurgi4 aut0 (Swepub:uu)evajo131
7001 a Robinsson, D.u Hogland Hosp, Dept Urol, Eksjo, Sweden.4 aut
7001 a Hugosson, Jonas,d 1955u 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, Dept Urol,Sahlgrenska Acad, Gothenburg, Sweden.4 aut0 (Swepub:gu)xhugjo
7001 a Stattin, Päru Uppsala universitet,Urologkirurgi4 aut0 (Swepub:uu)parst892
7102 a Göteborgs universitetb Institutionen för kliniska vetenskaper, Avdelningen för urologi4 org
7730 t Scandinavian Journal of Urologyd : Medical Journals Sweden ABx 2168-1805x 2168-1813
8564 u https://doi.org/10.1080/21681805.2022.2119270y Fulltext
8564 u https://uu.diva-portal.org/smash/get/diva2:1739314/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 8u https://gup.ub.gu.se/publication/322102
8564 8u https://doi.org/10.1080/21681805.2022.2119270
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-497002
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:150626521

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