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Population-based, nationwide registration of prostatectomies in Sweden
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Urology. Univ Vita Salute San Raffaele, Osped San Raffaele, Unit Urol URI, IRCCS,Div Expt Oncol, Milan, Italy.
Univ Goteborg, Sahlgrenska Acad, Inst Clin Sci, Dept Urol,Sahlgrenska Univ Hosp, Gothenburg, Sweden.
Karolinska Univ Hosp, Div Urol, Stockholm, Sweden;Karolinska Inst, Dept Mol Med & Surg MMK, Stockholm, Sweden.
Lund Univ, Dept Urol, Skane Univ Hosp, Skane, Sweden.
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2019 (English)In: Journal of Surgical Oncology, ISSN 0022-4790, E-ISSN 1096-9098, Vol. 120, no 4, p. 803-812Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
WILEY , 2019. Vol. 120, no 4, p. 803-812
Keywords [en]
NPCR, prostate cancer, radical prostatectomy, registry
National Category
Urology and Nephrology
Identifiers
URN: urn:nbn:se:uu:diva-396126DOI: 10.1002/jso.25643ISI: 000478404300001PubMedID: 31355454OAI: oai:DiVA.org:uu-396126DiVA, id: diva2:1366766
Funder
Swedish Research Council, 2017-00847Swedish Cancer Society, 160700Available from: 2019-10-30 Created: 2019-10-30 Last updated: 2019-10-30Bibliographically approved

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