Are urologic surgeons performing robot-assisted radical prostatectomy at the University of Alberta meeting surgical quality performance benchmarks? The PROCURE-02 quality assurance study
Robot-assisted radical prostatectomy (RARP) is a standard of care primary treatment for men with clinically localized prostate cancer (CLPC). The 2010 Canadian Urological Association (CUA) consensus guideline examining surgical quality performance for radical prostatectomy suggested benchmarks for s...
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| Veröffentlicht in: | Canadian Urological Association journal 2020-08, Vol.14 (8), p.E369-E372 |
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| creator | Beech, Ben Follett, Graeme Ghosh, Sunita Rudzinski, Jan K McLarty, Ryan Haines, Trevor Dean, Nick Tong, Steve Fairey, Adrian S |
| description | Robot-assisted radical prostatectomy (RARP) is a standard of care primary treatment for men with clinically localized prostate cancer (CLPC). The 2010 Canadian Urological Association (CUA) consensus guideline examining surgical quality performance for radical prostatectomy suggested benchmarks for surgical performance. To date, no study has examined whether Canadian surgeons are achieving these benchmarks. We determined the proportion of University of Alberta (UA) urologic surgeons achieving the CUA surgical quality performance outcome (SQPO) benchmarks.
A retrospective quality assurance analysis of prospectively collected data from the PROstate Cancer Urosurgery Repository of Edmonton (PROCURE) was performed. Men who underwent RARP for CLPC between September 2007 and May 2018 by one of seven surgeons were analyzed. SQPO were an unadjusted pT2-R1 resection rate |
| doi_str_mv | 10.5489/CUAJ.6292 |
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A retrospective quality assurance analysis of prospectively collected data from the PROstate Cancer Urosurgery Repository of Edmonton (PROCURE) was performed. Men who underwent RARP for CLPC between September 2007 and May 2018 by one of seven surgeons were analyzed. SQPO were an unadjusted pT2-R1 resection rate <25%, blood transfusion rate <10%, rectal injury rate <1%, and 90-day mortality rate <1%. Descriptive statistics were used to determine the proportion of surgeons achieving the benchmarks.
Data were evaluable for 2821 men. Seven of 7 (100%) surgeons achieved a blood transfusion rate <10%, rectal injury rate <1%, and 90-day mortality rate <1%. However, only six of seven surgeons achieved an unadjusted pT2-R1 resection rate <25%; one surgeon had an unadjusted pT2-R1 resection rate of 27.9%. Limitations include the lack of centralized pathology review for surgical margin status by a dedicated genitourinary pathologist.
UA surgeons are achieving the CUA SQPO benchmarks for blood transfusion, rectal injury, and perioperative mortality. However, not all UA urologists are achieving a pT2-R1 resection rate <25%. Surgical quality performance initiatives designed to improve cancer control may be warranted.]]></description><identifier>ISSN: 1911-6470</identifier><identifier>EISSN: 1920-1214</identifier><identifier>DOI: 10.5489/CUAJ.6292</identifier><identifier>PMID: 32209214</identifier><language>eng</language><publisher>Canada: Canadian Urological Association</publisher><subject>Alberta ; Analysis ; Benchmarking ; Blood transfusion ; Canada ; Care and treatment ; Health aspects ; Mortality ; Original Research ; Prostate cancer ; Quality control ; Robotic surgery ; Robots ; Surgeons</subject><ispartof>Canadian Urological Association journal, 2020-08, Vol.14 (8), p.E369-E372</ispartof><rights>COPYRIGHT 2020 Canadian Urological Association</rights><rights>Copyright: © 2020 Canadian Urological Association or its licensors 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7402697/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7402697/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32209214$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Beech, Ben</creatorcontrib><creatorcontrib>Follett, Graeme</creatorcontrib><creatorcontrib>Ghosh, Sunita</creatorcontrib><creatorcontrib>Rudzinski, Jan K</creatorcontrib><creatorcontrib>McLarty, Ryan</creatorcontrib><creatorcontrib>Haines, Trevor</creatorcontrib><creatorcontrib>Dean, Nick</creatorcontrib><creatorcontrib>Tong, Steve</creatorcontrib><creatorcontrib>Fairey, Adrian S</creatorcontrib><title>Are urologic surgeons performing robot-assisted radical prostatectomy at the University of Alberta meeting surgical quality performance benchmarks? The PROCURE-02 quality assurance study</title><title>Canadian Urological Association journal</title><addtitle>Can Urol Assoc J</addtitle><description><![CDATA[Robot-assisted radical prostatectomy (RARP) is a standard of care primary treatment for men with clinically localized prostate cancer (CLPC). The 2010 Canadian Urological Association (CUA) consensus guideline examining surgical quality performance for radical prostatectomy suggested benchmarks for surgical performance. To date, no study has examined whether Canadian surgeons are achieving these benchmarks. We determined the proportion of University of Alberta (UA) urologic surgeons achieving the CUA surgical quality performance outcome (SQPO) benchmarks.
A retrospective quality assurance analysis of prospectively collected data from the PROstate Cancer Urosurgery Repository of Edmonton (PROCURE) was performed. Men who underwent RARP for CLPC between September 2007 and May 2018 by one of seven surgeons were analyzed. SQPO were an unadjusted pT2-R1 resection rate <25%, blood transfusion rate <10%, rectal injury rate <1%, and 90-day mortality rate <1%. Descriptive statistics were used to determine the proportion of surgeons achieving the benchmarks.
Data were evaluable for 2821 men. Seven of 7 (100%) surgeons achieved a blood transfusion rate <10%, rectal injury rate <1%, and 90-day mortality rate <1%. However, only six of seven surgeons achieved an unadjusted pT2-R1 resection rate <25%; one surgeon had an unadjusted pT2-R1 resection rate of 27.9%. Limitations include the lack of centralized pathology review for surgical margin status by a dedicated genitourinary pathologist.
UA surgeons are achieving the CUA SQPO benchmarks for blood transfusion, rectal injury, and perioperative mortality. However, not all UA urologists are achieving a pT2-R1 resection rate <25%. Surgical quality performance initiatives designed to improve cancer control may be warranted.]]></description><subject>Alberta</subject><subject>Analysis</subject><subject>Benchmarking</subject><subject>Blood transfusion</subject><subject>Canada</subject><subject>Care and treatment</subject><subject>Health aspects</subject><subject>Mortality</subject><subject>Original Research</subject><subject>Prostate cancer</subject><subject>Quality control</subject><subject>Robotic surgery</subject><subject>Robots</subject><subject>Surgeons</subject><issn>1911-6470</issn><issn>1920-1214</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNptktFu0zAUhiMEYmNwwQsgCyQEFymOncTxzVBUDRiaGBrrteU4J6lHEre2M9FX4-lwtlK1UuULW8efPx8d_VH0OsGzLC34p_mi_D7LCSdPotOEExwnJEmfTuckifOU4ZPohXN3GOehwp5HJ5QQzANzGv0tLaDRms60WiE32hbM4NAKbGNsr4cWWVMZH0vntPNQIytrrWSHVtY4Lz0ob_oNkh75JaDFoO_BOu03yDSo7CqwXqIewE-myf7wdj3KbmK2v8hBAapgUMte2t_uM7oNqp831_PFzUWMyQ4PPYz2AXZ-rDcvo2eN7By82u5n0eLLxe38W3x1_fVyXl7FirLUx03BedUoCJPK8yovGkkYpzmvMasLVhS8gopXqklkneVVWrHAkDprMJOkJozSs-j80bsaqx5qBYO3shMrq0O7G2GkFoc3g16K1twLlmKScxYEH7YCa9YjOC967RR0nRzAjE4QWtAsoRnJAvruEW1lB0IPjQlGNeGizGlGC8YZCdTbI5Ra6bXYh2ZHoLBq6LUyAzQ61A-sHw8eBMbDH9_K0Tlx-evHIft-j12C7PzSmW70OqTnqFSFvDgLzW5uCRZTeIUa5Z2YwhvYN_uD3pH_00r_AYPm7IU</recordid><startdate>20200801</startdate><enddate>20200801</enddate><creator>Beech, Ben</creator><creator>Follett, Graeme</creator><creator>Ghosh, Sunita</creator><creator>Rudzinski, Jan K</creator><creator>McLarty, Ryan</creator><creator>Haines, Trevor</creator><creator>Dean, Nick</creator><creator>Tong, Steve</creator><creator>Fairey, Adrian S</creator><general>Canadian Urological Association</general><general>Canadian Medical Association</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ISN</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20200801</creationdate><title>Are urologic surgeons performing robot-assisted radical prostatectomy at the University of Alberta meeting surgical quality performance benchmarks? The PROCURE-02 quality assurance study</title><author>Beech, Ben ; Follett, Graeme ; Ghosh, Sunita ; Rudzinski, Jan K ; McLarty, Ryan ; Haines, Trevor ; Dean, Nick ; Tong, Steve ; Fairey, Adrian S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c374t-f899bfce54866b68fa279369d07d87889beb9bcf1ad56b4b7b682d5f07a2d2733</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Alberta</topic><topic>Analysis</topic><topic>Benchmarking</topic><topic>Blood transfusion</topic><topic>Canada</topic><topic>Care and treatment</topic><topic>Health aspects</topic><topic>Mortality</topic><topic>Original Research</topic><topic>Prostate cancer</topic><topic>Quality control</topic><topic>Robotic surgery</topic><topic>Robots</topic><topic>Surgeons</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Beech, Ben</creatorcontrib><creatorcontrib>Follett, Graeme</creatorcontrib><creatorcontrib>Ghosh, Sunita</creatorcontrib><creatorcontrib>Rudzinski, Jan K</creatorcontrib><creatorcontrib>McLarty, Ryan</creatorcontrib><creatorcontrib>Haines, Trevor</creatorcontrib><creatorcontrib>Dean, Nick</creatorcontrib><creatorcontrib>Tong, Steve</creatorcontrib><creatorcontrib>Fairey, Adrian S</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Canada</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Canadian Urological Association journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Beech, Ben</au><au>Follett, Graeme</au><au>Ghosh, Sunita</au><au>Rudzinski, Jan K</au><au>McLarty, Ryan</au><au>Haines, Trevor</au><au>Dean, Nick</au><au>Tong, Steve</au><au>Fairey, Adrian S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Are urologic surgeons performing robot-assisted radical prostatectomy at the University of Alberta meeting surgical quality performance benchmarks? The PROCURE-02 quality assurance study</atitle><jtitle>Canadian Urological Association journal</jtitle><addtitle>Can Urol Assoc J</addtitle><date>2020-08-01</date><risdate>2020</risdate><volume>14</volume><issue>8</issue><spage>E369</spage><epage>E372</epage><pages>E369-E372</pages><issn>1911-6470</issn><eissn>1920-1214</eissn><abstract><![CDATA[Robot-assisted radical prostatectomy (RARP) is a standard of care primary treatment for men with clinically localized prostate cancer (CLPC). The 2010 Canadian Urological Association (CUA) consensus guideline examining surgical quality performance for radical prostatectomy suggested benchmarks for surgical performance. To date, no study has examined whether Canadian surgeons are achieving these benchmarks. We determined the proportion of University of Alberta (UA) urologic surgeons achieving the CUA surgical quality performance outcome (SQPO) benchmarks.
A retrospective quality assurance analysis of prospectively collected data from the PROstate Cancer Urosurgery Repository of Edmonton (PROCURE) was performed. Men who underwent RARP for CLPC between September 2007 and May 2018 by one of seven surgeons were analyzed. SQPO were an unadjusted pT2-R1 resection rate <25%, blood transfusion rate <10%, rectal injury rate <1%, and 90-day mortality rate <1%. Descriptive statistics were used to determine the proportion of surgeons achieving the benchmarks.
Data were evaluable for 2821 men. Seven of 7 (100%) surgeons achieved a blood transfusion rate <10%, rectal injury rate <1%, and 90-day mortality rate <1%. However, only six of seven surgeons achieved an unadjusted pT2-R1 resection rate <25%; one surgeon had an unadjusted pT2-R1 resection rate of 27.9%. Limitations include the lack of centralized pathology review for surgical margin status by a dedicated genitourinary pathologist.
UA surgeons are achieving the CUA SQPO benchmarks for blood transfusion, rectal injury, and perioperative mortality. However, not all UA urologists are achieving a pT2-R1 resection rate <25%. Surgical quality performance initiatives designed to improve cancer control may be warranted.]]></abstract><cop>Canada</cop><pub>Canadian Urological Association</pub><pmid>32209214</pmid><doi>10.5489/CUAJ.6292</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Alberta Analysis Benchmarking Blood transfusion Canada Care and treatment Health aspects Mortality Original Research Prostate cancer Quality control Robotic surgery Robots Surgeons |
| title | Are urologic surgeons performing robot-assisted radical prostatectomy at the University of Alberta meeting surgical quality performance benchmarks? The PROCURE-02 quality assurance study |
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