Population-based, nationwide registration of prostatectomies in Sweden
(2019) In Journal of Surgical Oncology 120(4). p.803-812- Abstract
Introduction: Radical prostatectomy (RP) is a common surgical procedure with a risk of postoperative erectile dysfunction and urinary incontinence. There is a need for data on RP as a basis for quality assurance and benchmarking. Methods: In 2015, prostatectomies in Sweden (PiS) form was implemented in the National Prostate Cancer Register (NPCR) of Sweden with data on pre-, peri- and post-operative variables. Results: Out of all radical prostatectomies performed in 2016 in Sweden, 3096/3881 (80%) were registered in PiS. A total of 2605 (84%) were robot-assisted radical prostatectomy (RARP) and 491 (16%) were RRP (retropubic radical prostatectomy). RARP was performed by 91 surgeons of whom 47% operated more than 25 RP/year; and RRP was... (More)
Introduction: Radical prostatectomy (RP) is a common surgical procedure with a risk of postoperative erectile dysfunction and urinary incontinence. There is a need for data on RP as a basis for quality assurance and benchmarking. Methods: In 2015, prostatectomies in Sweden (PiS) form was implemented in the National Prostate Cancer Register (NPCR) of Sweden with data on pre-, peri- and post-operative variables. Results: Out of all radical prostatectomies performed in 2016 in Sweden, 3096/3881 (80%) were registered in PiS. A total of 2605 (84%) were robot-assisted radical prostatectomy (RARP) and 491 (16%) were RRP (retropubic radical prostatectomy). RARP was performed by 91 surgeons of whom 47% operated more than 25 RP/year; and RRP was performed by 69 surgeons of whom 10% performed more than 25 RP/year. RARP had a longer operative time (median operating time: RARP 155 minutes [IQR 124-190]; RRP 129 minutes [IQR 105-171]; P <.001) but was associated with smaller bleeding (median intraoperative blood loss: RARP 100 mL [IQR 50-200], RRP 700 mL [IQR 500-1100]; P <.001). Conclusions: We report on a nationwide, population-based register with transparent reporting of data on the performance of radical prostatectomy. These data are needed as a basis for quality assurance with comparisons of results from individual surgeons and hospitals.
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- author
- Cazzaniga, Walter ; Godtman, Rebecka Arnsrud ; Carlsson, Stefan ; Ahlgren, Göran LU ; Johansson, Eva ; Robinson, David ; Hugosson, Jonas and Stattin, Pär
- organization
- publishing date
- 2019
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- NPCR, prostate cancer, radical prostatectomy, registry
- in
- Journal of Surgical Oncology
- volume
- 120
- issue
- 4
- pages
- 803 - 812
- publisher
- Wiley-Blackwell
- external identifiers
-
- scopus:85070271241
- pmid:31355454
- ISSN
- 0022-4790
- DOI
- 10.1002/jso.25643
- language
- English
- LU publication?
- yes
- id
- 2d2bbac1-db9d-4d82-b1f3-e859e44ba718
- date added to LUP
- 2019-08-28 14:02:20
- date last changed
- 2024-08-21 05:40:55
@article{2d2bbac1-db9d-4d82-b1f3-e859e44ba718, abstract = {{<p>Introduction: Radical prostatectomy (RP) is a common surgical procedure with a risk of postoperative erectile dysfunction and urinary incontinence. There is a need for data on RP as a basis for quality assurance and benchmarking. Methods: In 2015, prostatectomies in Sweden (PiS) form was implemented in the National Prostate Cancer Register (NPCR) of Sweden with data on pre-, peri- and post-operative variables. Results: Out of all radical prostatectomies performed in 2016 in Sweden, 3096/3881 (80%) were registered in PiS. A total of 2605 (84%) were robot-assisted radical prostatectomy (RARP) and 491 (16%) were RRP (retropubic radical prostatectomy). RARP was performed by 91 surgeons of whom 47% operated more than 25 RP/year; and RRP was performed by 69 surgeons of whom 10% performed more than 25 RP/year. RARP had a longer operative time (median operating time: RARP 155 minutes [IQR 124-190]; RRP 129 minutes [IQR 105-171]; P <.001) but was associated with smaller bleeding (median intraoperative blood loss: RARP 100 mL [IQR 50-200], RRP 700 mL [IQR 500-1100]; P <.001). Conclusions: We report on a nationwide, population-based register with transparent reporting of data on the performance of radical prostatectomy. These data are needed as a basis for quality assurance with comparisons of results from individual surgeons and hospitals.</p>}}, author = {{Cazzaniga, Walter and Godtman, Rebecka Arnsrud and Carlsson, Stefan and Ahlgren, Göran and Johansson, Eva and Robinson, David and Hugosson, Jonas and Stattin, Pär}}, issn = {{0022-4790}}, keywords = {{NPCR; prostate cancer; radical prostatectomy; registry}}, language = {{eng}}, number = {{4}}, pages = {{803--812}}, publisher = {{Wiley-Blackwell}}, series = {{Journal of Surgical Oncology}}, title = {{Population-based, nationwide registration of prostatectomies in Sweden}}, url = {{http://dx.doi.org/10.1002/jso.25643}}, doi = {{10.1002/jso.25643}}, volume = {{120}}, year = {{2019}}, }