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Population-based, nationwide registration of prostatectomies in Sweden

Journal article
Authors W. Cazzaniga
Rebecka Arnsrud Godtman
S. Carlsson
G. Ahlgren
E. Johansson
D. Robinson
Jonas Hugosson
P. Stattin
Published in Journal of Surgical Oncology
ISSN 0022-4790
Publication year 2019
Published at Institute of Clinical Sciences, Department of Urology
Language en
Links dx.doi.org/10.1002/jso.25643
Keywords NPCR, prostate cancer, radical prostatectomy, registry, cancer register, metaanalysis, quality, Oncology, Surgery, arlson me, 1987, journal of chronic diseases, v40, p373
Subject categories Cancer and Oncology, Urology and Nephrology

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.

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