Impact of Surgeon and Hospital Volume on the Safety of Robot-Assisted Radical Prostatectomy: A Multi-Institutional Study Based on a National Database

Yosuke Hirasawa, Kunihiko Yoshioka, Yasutomo Nasu, Masumi Yamamoto, Shiro Hinotsu, Atsushi Takenaka, Masato Fujisawa, Ryoichi Shiroki, Keiichi Tozawa, Satoshi Fukasawa, Akira Kashiwagi, Katsunori Tatsugami, Masaaki Tachibana, Toshiro Terachi, Momokazu Gotoh

研究成果: ジャーナルへの寄稿記事

5 引用 (Scopus)

抄録

Introduction: We aimed to perform a multi-institutional study using a national database led by the Japanese Society of Endourology to investigate the effect of surgeon or hospital volume on the safety of robot-assisted radical prostatectomy (RARP). Materials and Methods: Clinical data of 3,214 patients who underwent RARP for the treatment of clinically localized prostate cancer between April 2012 and March 2013 in Japan were evaluated. Surgical outcomes and all intra-A nd perioperative complications were collected. Results: The intraoperative complication rate was 0.56%. In a total number of 241 patients, 261 perioperative complications were observed. The following percentages of patients presented the Clavien-graded complications: 7.2%, grades 1-2; 0.84%, grade 3; and 0.093%, grade 4a. No cases of multiple organ dysfunction or death (grades 4b and 5) were found. Multivariable logistic regression analysis showed that the hospital volume (OR 3.6; p = 0.010) for intraoperative complications and surgeon volume (OR 0.19; p < 0.0001) and extended lymph node discectomy (OR 3.9; p < 0.0001) for perioperative complications were significant independent risk factors. Conclusions: Hospital volume for intraoperative complications and surgeon volume and extended lymph node dissection for perioperative complications were significantly associated with increased risk of each complication in RARP.

元の言語英語
ページ(範囲)334-342
ページ数9
ジャーナルUrologia Internationalis
98
発行部数3
DOI
出版物ステータス出版済み - 4 1 2017

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Intraoperative Complications
Prostatectomy
Databases
Safety
Diskectomy
Lymph Node Excision
Prostatic Neoplasms
Japan
Logistic Models
Lymph Nodes
Regression Analysis
Surgeons
Therapeutics

All Science Journal Classification (ASJC) codes

  • Urology

これを引用

Impact of Surgeon and Hospital Volume on the Safety of Robot-Assisted Radical Prostatectomy : A Multi-Institutional Study Based on a National Database. / Hirasawa, Yosuke; Yoshioka, Kunihiko; Nasu, Yasutomo; Yamamoto, Masumi; Hinotsu, Shiro; Takenaka, Atsushi; Fujisawa, Masato; Shiroki, Ryoichi; Tozawa, Keiichi; Fukasawa, Satoshi; Kashiwagi, Akira; Tatsugami, Katsunori; Tachibana, Masaaki; Terachi, Toshiro; Gotoh, Momokazu.

:: Urologia Internationalis, 巻 98, 番号 3, 01.04.2017, p. 334-342.

研究成果: ジャーナルへの寄稿記事

Hirasawa, Y, Yoshioka, K, Nasu, Y, Yamamoto, M, Hinotsu, S, Takenaka, A, Fujisawa, M, Shiroki, R, Tozawa, K, Fukasawa, S, Kashiwagi, A, Tatsugami, K, Tachibana, M, Terachi, T & Gotoh, M 2017, 'Impact of Surgeon and Hospital Volume on the Safety of Robot-Assisted Radical Prostatectomy: A Multi-Institutional Study Based on a National Database', Urologia Internationalis, 巻. 98, 番号 3, pp. 334-342. https://doi.org/10.1159/000460304
Hirasawa, Yosuke ; Yoshioka, Kunihiko ; Nasu, Yasutomo ; Yamamoto, Masumi ; Hinotsu, Shiro ; Takenaka, Atsushi ; Fujisawa, Masato ; Shiroki, Ryoichi ; Tozawa, Keiichi ; Fukasawa, Satoshi ; Kashiwagi, Akira ; Tatsugami, Katsunori ; Tachibana, Masaaki ; Terachi, Toshiro ; Gotoh, Momokazu. / Impact of Surgeon and Hospital Volume on the Safety of Robot-Assisted Radical Prostatectomy : A Multi-Institutional Study Based on a National Database. :: Urologia Internationalis. 2017 ; 巻 98, 番号 3. pp. 334-342.
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abstract = "Introduction: We aimed to perform a multi-institutional study using a national database led by the Japanese Society of Endourology to investigate the effect of surgeon or hospital volume on the safety of robot-assisted radical prostatectomy (RARP). Materials and Methods: Clinical data of 3,214 patients who underwent RARP for the treatment of clinically localized prostate cancer between April 2012 and March 2013 in Japan were evaluated. Surgical outcomes and all intra-A nd perioperative complications were collected. Results: The intraoperative complication rate was 0.56{\%}. In a total number of 241 patients, 261 perioperative complications were observed. The following percentages of patients presented the Clavien-graded complications: 7.2{\%}, grades 1-2; 0.84{\%}, grade 3; and 0.093{\%}, grade 4a. No cases of multiple organ dysfunction or death (grades 4b and 5) were found. Multivariable logistic regression analysis showed that the hospital volume (OR 3.6; p = 0.010) for intraoperative complications and surgeon volume (OR 0.19; p < 0.0001) and extended lymph node discectomy (OR 3.9; p < 0.0001) for perioperative complications were significant independent risk factors. Conclusions: Hospital volume for intraoperative complications and surgeon volume and extended lymph node dissection for perioperative complications were significantly associated with increased risk of each complication in RARP.",
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AU - Nasu, Yasutomo

AU - Yamamoto, Masumi

AU - Hinotsu, Shiro

AU - Takenaka, Atsushi

AU - Fujisawa, Masato

AU - Shiroki, Ryoichi

AU - Tozawa, Keiichi

AU - Fukasawa, Satoshi

AU - Kashiwagi, Akira

AU - Tatsugami, Katsunori

AU - Tachibana, Masaaki

AU - Terachi, Toshiro

AU - Gotoh, Momokazu

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N2 - Introduction: We aimed to perform a multi-institutional study using a national database led by the Japanese Society of Endourology to investigate the effect of surgeon or hospital volume on the safety of robot-assisted radical prostatectomy (RARP). Materials and Methods: Clinical data of 3,214 patients who underwent RARP for the treatment of clinically localized prostate cancer between April 2012 and March 2013 in Japan were evaluated. Surgical outcomes and all intra-A nd perioperative complications were collected. Results: The intraoperative complication rate was 0.56%. In a total number of 241 patients, 261 perioperative complications were observed. The following percentages of patients presented the Clavien-graded complications: 7.2%, grades 1-2; 0.84%, grade 3; and 0.093%, grade 4a. No cases of multiple organ dysfunction or death (grades 4b and 5) were found. Multivariable logistic regression analysis showed that the hospital volume (OR 3.6; p = 0.010) for intraoperative complications and surgeon volume (OR 0.19; p < 0.0001) and extended lymph node discectomy (OR 3.9; p < 0.0001) for perioperative complications were significant independent risk factors. Conclusions: Hospital volume for intraoperative complications and surgeon volume and extended lymph node dissection for perioperative complications were significantly associated with increased risk of each complication in RARP.

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