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Nationwide population-based study on 30-day mortality after radical prostatectomy in Sweden

Carlsson, Sigrid; Adolfsson, Jan; Bratt, Ola LU ; Johansson, Jan-Erik; Ahlstrand, Christer; Holmberg, Erik; Stattin, Par and Hugosson, Jonas (2009) In Scandinavian Journal of Urology and Nephrology1967-01-01+01:002013-01-01+01:00 43(5). p.350-356
Abstract
Objective. The incidence of prostate cancer in Sweden is increasing rapidly, as is treatment with curative intent. Radical prostatectomy (RP) is currently commonly performed, either within or outside large high-volume centres. The aim of this study was to assess the 30-day mortality rate after RP in Sweden. Material and methods. In this nationwide population-based study, all men diagnosed with localized prostate cancer (<= 70 years, clinical stadium T1-2, prostate-specific antigen <20 ng/ml) who underwent RP in Sweden between 1997 and 2002 were identified through the National Prostate Cancer Register (NPCR). Mortality within 30 days of RP was analysed through linkage between the follow-up study of the NPCR and the Regional Population... (More)
Objective. The incidence of prostate cancer in Sweden is increasing rapidly, as is treatment with curative intent. Radical prostatectomy (RP) is currently commonly performed, either within or outside large high-volume centres. The aim of this study was to assess the 30-day mortality rate after RP in Sweden. Material and methods. In this nationwide population-based study, all men diagnosed with localized prostate cancer (<= 70 years, clinical stadium T1-2, prostate-specific antigen <20 ng/ml) who underwent RP in Sweden between 1997 and 2002 were identified through the National Prostate Cancer Register (NPCR). Mortality within 30 days of RP was analysed through linkage between the follow-up study of the NPCR and the Regional Population Registers. The cause of death in the death certificates were compared with data from the hospitals concerned. To validate the results, a record linkage between the Inpatient Register and the National Population Register was also performed. Results. The number of RPs performed increased over time. Among 3700 RPs performed, four deaths occurred during the first 30 days, yielding a 0.11% 30-day mortality rate. These deaths occurred at three different types of hospital and were all probably related to the RP. Conclusion. This study provides further evidence that RP is a procedure with very low perioperative mortality even when performed outside high-volume centres. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
prostatic neoplasms, 30-day mortality, prostatectomy
in
Scandinavian Journal of Urology and Nephrology1967-01-01+01:002013-01-01+01:00
volume
43
issue
5
pages
350 - 356
publisher
Taylor & Francis
external identifiers
  • wos:000272144300002
  • scopus:70450202559
ISSN
0036-5599
DOI
10.3109/00365590902916930
language
English
LU publication?
yes
id
841fd68c-1d38-47c0-95d2-99dbae72291d (old id 1517590)
date added to LUP
2010-01-04 11:56:29
date last changed
2017-02-22 11:44:15
@article{841fd68c-1d38-47c0-95d2-99dbae72291d,
  abstract     = {Objective. The incidence of prostate cancer in Sweden is increasing rapidly, as is treatment with curative intent. Radical prostatectomy (RP) is currently commonly performed, either within or outside large high-volume centres. The aim of this study was to assess the 30-day mortality rate after RP in Sweden. Material and methods. In this nationwide population-based study, all men diagnosed with localized prostate cancer (&lt;= 70 years, clinical stadium T1-2, prostate-specific antigen &lt;20 ng/ml) who underwent RP in Sweden between 1997 and 2002 were identified through the National Prostate Cancer Register (NPCR). Mortality within 30 days of RP was analysed through linkage between the follow-up study of the NPCR and the Regional Population Registers. The cause of death in the death certificates were compared with data from the hospitals concerned. To validate the results, a record linkage between the Inpatient Register and the National Population Register was also performed. Results. The number of RPs performed increased over time. Among 3700 RPs performed, four deaths occurred during the first 30 days, yielding a 0.11% 30-day mortality rate. These deaths occurred at three different types of hospital and were all probably related to the RP. Conclusion. This study provides further evidence that RP is a procedure with very low perioperative mortality even when performed outside high-volume centres.},
  author       = {Carlsson, Sigrid and Adolfsson, Jan and Bratt, Ola and Johansson, Jan-Erik and Ahlstrand, Christer and Holmberg, Erik and Stattin, Par and Hugosson, Jonas},
  issn         = {0036-5599},
  keyword      = {prostatic neoplasms,30-day mortality,prostatectomy},
  language     = {eng},
  number       = {5},
  pages        = {350--356},
  publisher    = {Taylor & Francis},
  series       = {Scandinavian Journal of Urology and Nephrology1967-01-01+01:002013-01-01+01:00},
  title        = {Nationwide population-based study on 30-day mortality after radical prostatectomy in Sweden},
  url          = {http://dx.doi.org/10.3109/00365590902916930},
  volume       = {43},
  year         = {2009},
}