1. Population-based, nationwide registration of prostatectomies in Sweden.
- Author
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Cazzaniga W, Godtman RA, Carlsson S, Ahlgren G, Johansson E, Robinson D, Hugosson J, and Stattin P
- Subjects
- Aged, Follow-Up Studies, Humans, Male, Middle Aged, Prognosis, Prostatic Neoplasms epidemiology, Sweden epidemiology, Postoperative Complications, Prostatectomy statistics & numerical data, Prostatic Neoplasms surgery, Registries statistics & numerical data
- 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 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., (© 2019 The Authors. Journal of Surgical Oncology Published by Wiley Periodicals, Inc.)
- Published
- 2019
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