| Self-reported volume of radical prostatectomies among urologists in the USA. | |
| | |
MedLine Citation:
|
PMID: 17155974 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To evaluate the variability in the volume of radical retropubic prostatectomy (RP) performed by urologists in the USA, and the physician characteristics that predict RP volume, as previous studies showed that individual surgeon volume for RP is associated with clinical outcomes. METHODS: In a nationwide, representative survey of 2000 urologists who treat prostate carcinoma in the USA, we asked respondents to indicate a numerical range of RPs they perform each year (none, 1-10, 11-30, and >30, the last which we defined as 'high volume'). We then identified characteristics of the provider and practice associated with a high volume of RPs. Supplementing survey results with other national data, we estimated the proportion of all RPs in the USA performed by 'high-volume' urologists. RESULTS: The survey response rate was 66.1% (1313 urologists) with no differences between the respondents and non-respondents for the measured demographic variables. Among urologists who performed RPs (89.1% of the sample), 37.3% did < or = 10, 46.9% 11-30 and 15.8% >30 RPs/year. Academic and urological oncology fellowship-trained urologists were, respectively, 41% and 27% more likely than private-practice and non-fellowship-trained urologists to have a high volume of RPs. Of all RPs performed yearly in the USA, only an estimated 46.1% were by high-volume urologists. CONCLUSION: A significant proportion of urologists report a RP volume that might be associated with higher rates of cardiac, respiratory, vascular, wound-healing, and genitourinary complications. Further study is needed to characterize the possible relationships between RP volume and tumour recurrence, survival, and long-term erectile dysfunction and incontinence. |
| | |
Authors:
|
Thomas D Denberg; Robert C Flanigan; Fernando J Kim; Richard M Hoffman; John F Steiner |
Related Documents
:
|
2606834 - Effects of altitude acclimatization on pulmonary gas exchange during exercise. 16286804 - Multifocal electroretinography changes in the macula at high altitude: a report of thre... 23246464 - Exercise-induced hypertension among healthy firefighters-a comparison between two diffe... 17072074 - Chronic mountain sickness: the reaction of physical disorders to chronic hypoxia. 7094274 - Effect of exercise on erythrocyte count and blood activity concentration after techneti... 11591564 - Effects of dobutamine on critical capillary po(2) and lactic acidosis threshold in pati... |
Publication Detail:
|
Type: Evaluation Studies; Journal Article; Multicenter Study; Research Support, U.S. Gov't, Non-P.H.S. Date: 2006-11-28 |
Journal Detail:
|
Title: BJU international Volume: 99 ISSN: 1464-4096 ISO Abbreviation: BJU Int. Publication Date: 2007 Feb |
Date Detail:
|
Created Date: 2007-02-22 Completed Date: 2007-03-22 Revised Date: 2007-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 100886721 Medline TA: BJU Int Country: England |
Other Details:
|
Languages: eng Pagination: 339-43 Citation Subset: IM |
Affiliation:
|
General Internal Medicine, Denver Health Center, University of Colorado Health Sciences Center, Denver, CO 80262, USA. tom.denberg@uchsc.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Erectile Dysfunction
/
etiology Health Surveys Humans Male Middle Aged Neoplasm Recurrence, Local / etiology Physician's Practice Patterns* Postoperative Complications / etiology* Prostatectomy / adverse effects, statistics & numerical data* Prostatic Neoplasms / mortality, surgery* Survival Analysis United States Urinary Incontinence / etiology Urology / statistics & numerical data* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Prognostic impact of lymphovascular invasion in radical prostatectomy specimens.
Next Document: Surgically managed lymph node-positive prostate cancer: does delaying hormonal therapy worsen the ou...