Navigation Links
Study confirms difference in radical prostatectomy outcomes between surgeons
Date:3/18/2013

Milan, 18 March 2013 - New evidence from Sweden confirms previous studies which suggest that functional outcomes after radical prostatectomy may vary between surgeons, especially in relation to continence. However, the group found no evidence of heterogeneity in potency-related outcomes.

The results of this investigation, to be presented at the 28th Annual EAU Congress, aimed of to examine between surgeon variation with regards to oncological and patient-reported functional outcomes in one European centre.

The study included 1280 men who underwent open radical prostatectomy performed by one of nine surgeons at an academic institution in Sweden between 2 January 2001 through 16 July 2008.

Biochemical recurrence was defined as a prostate-specific antigen (PSA) value > 0.2 ng/ml with at least one confirmatory rise. The scientists measured functional outcomes preoperatively and postoperatively 18 months after the procedure by patient-administered questionnaires. Multivariate random effect models were used to evaluate heterogeneity between surgeons, adjusting for case mix which included age, PSA, pathological stage and grade - year of surgery and surgical experience.

Of 635 men potent at baseline, 606 provided data at 18 months, of whom 100/606 (17%) were potent (nerve-sparing and non-nerve-sparing surgery), suggesting the absence of heterogeneity between surgeons (p=0.5).

The continence rate at 18 months was 85%, revealing statistically significant heterogeneity between surgeons (p=0.002). There was evidence of an unexpected negative correlation between the surgeons' adjusted probabilities of potency and continence at 18 months. At the same time, the researchers did not find any association between surgeons' adjusted probabilities of functional recovery and 5-year probability of freedom from biochemical recurrence.

"Surgeon heterogeneity suggests that at least some patients are receiving suboptimal care," write the authors. "Quality assurance measures should be considered to identify and correct suboptimal treatments to ensure patients receive optimal care."


'/>"/>

Contact: Ivanka Moerkerken
i.moerkerken@uroweb.org
31-026-389-0680
European Association of Urology
Source:Eurekalert

Related medicine news :

1. Consumers View Foods With Green Labeling as Healthier: Study
2. Study shows rising rate of propofol abuse by health care professionals
3. UK study: Epigenetic changes play a key role in development of chemo resistance in BCa
4. New study points to the aggressive potential of small kidney tumors, advocates treatment
5. New study: Incidence and mortality of PCa after termination of PSA-based screening
6. Study shows community approach effective in fight against diabetes
7. Study: Smoking Increases HPV Risks; polyDNA Recommends Gene-Eden-VIR Against HPV
8. Omega XL Reports New Independent Study: Omega-3s Can Boost Children’s IQ
9. Childhood Depression May Be Tied to Later Heart Risk: Study
10. Avoiding Scary Situations May Leave Kids More Anxious: Study
11. Metal-on-Metal Hip Implants: Bernstein Liebhard LLP Comments on New Study Finding Increased Metal Ion Levels May Predict Problems with Metal-on-Metal Hip Replacements
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:8/18/2017)... Missouri (PRWEB) , ... August 18, 2017 , ... “Emotions ... Suzanne Tucker, Founder of St. Louis-based positive education company Generation Mindful. To help change ... help children learn social and emotional skills, she created the Time-In Toolkit, which launched ...
(Date:8/18/2017)... ... August 18, 2017 , ... ... tracking and monitoring solutions, announced today the launch of a redesigned corporate website, ... navigation and aesthetic, fully responsive design, and an enhanced search directory for businesses ...
(Date:8/18/2017)... ... , ... “Depressed: Super Heroes of the Bible”: a gripping and potent ... the relevance these tales may have on the reader’s life. “Depressed: Super Heroes of ... teacher, Jessica spends much of her time enjoying nature and her family in West ...
(Date:8/18/2017)... ... August 18, 2017 , ... “Case #10-5411 Veterans ... Medical Center. “Case #10-5411 Veterans Administration” is the creation of published author, ... In June 1990, Carol Mulhem started work at the Coatesville VAMC as a ...
(Date:8/17/2017)... ... August 17, 2017 , ... Industry CEOs, ... 2017 for Anti-Infectives Rx. This off-the-record networking forum of the Boston Biotech Conference ... Medical School. , Industry leaders and decision makers will discuss issues facing the ...
Breaking Medicine News(10 mins):
(Date:8/17/2017)... Bio-Ess Laboratories, LLC Chief Science Officer, Dr. Adam Elhofy , will ... Cell-Ess® Universal Titer Boost at the 9 th annual ... 21-25.  The Bioprocessing Summit convenes more than 1,000 international bioprocess professionals to ... ... Cell-Ess is the ...
(Date:8/15/2017)... FLINT, Mich. , Aug. 15, 2017 ... antidote naloxone to Michigan residents. ... Diplomat,s Flint retail pharmacy, G-3320 ... Naloxone, approved by the Food and Drug Administration, is ... drugs—including extreme drowsiness, slowed breathing, and loss of consciousness. ...
(Date:8/15/2017)... , Aug. 15, 2017 AccuGenomics, Inc., ... , today announced that the company has provided ... University of North Carolina at Chapel Hill and to ... designed to characterize and quantify HIV reservoir and viral ... pharmacological intervention. The HIV Cure Center is a joint ...
Breaking Medicine Technology: