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Population-based, nationwide registration of prostatectomies in Sweden

Cazzaniga, Walter ; Godtman, Rebecka Arnsrud ; Carlsson, Stefan ; Ahlgren, Göran LU ; Johansson, Eva ; Robinson, David ; Hugosson, Jonas and Stattin, Pär (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
organization
publishing date
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
2019-11-28 03:00:25
@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 &lt;.001) but was associated with smaller bleeding (median intraoperative blood loss: RARP 100 mL [IQR 50-200], RRP 700 mL [IQR 500-1100]; P &lt;.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},
  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},
}