Pd07-12 Impact of Implementation of Standardized Criteria in the Assessment of Complication Reporting After Robotic Partial Nephrectomy
Year: 2019
Type: article
Abstract: You have accessJournal of UrologyKidney Cancer: Epidemiology & Evaluation/Staging/Surveillance I (PD07)1 Apr 2019PD07-12 IMPACT OF IMPLEMENTATION OF STANDARDIZED CRITERIA IN THE ASSESSMENT OF COMPLICATION REPORTING AFTER ROBOTIC PARTIAL NEPHRECTOMY Giovanni E. Cacciamani*, Luis Medina, Tania Gill, Alessandro Tafuri, Willy Baccaglini, Felipe glina, Vanessa Blasic, Matthew Winter, Akbar Ashrafi, Andre De Castro Abreu, Rene Sotelo, Walter Artibani, and Inderbir Gill Giovanni E. Cacciamani*Giovanni E. Cacciamani* More articles by this author , Luis MedinaLuis Medina More articles by this author , Tania GillTania Gill More articles by this author , Alessandro TafuriAlessandro Tafuri More articles by this author , Willy BaccagliniWilly Baccaglini More articles by this author , Felipe glinaFelipe glina More articles by this author , Vanessa BlasicVanessa Blasic More articles by this author , Matthew WinterMatthew Winter More articles by this author , Akbar AshrafiAkbar Ashrafi More articles by this author , Andre De Castro AbreuAndre De Castro Abreu More articles by this author , Rene SoteloRene Sotelo More articles by this author , Walter ArtibaniWalter Artibani More articles by this author , and Inderbir GillInderbir Gill More articles by this author View All Author Informationhttps://doi.org/10.1097/01.JU.0000555245.50369.fbAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVES: The definition of a surgical complication still lacks standardization, hampering evaluation of surgical performance in this regard. In 2012, the European Urological Association of Urology (EAU) proposed a standardized reporting tool for urological complications. The aim of this study is to evaluate the impact of these recommendations on the complication reporting in patients undergoing robotic partial nephrectomy (RPN). METHODS: A comprehensive systematic review of all English language publications on RPN was performed. We followed the PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analyses) statement and AHRQ (Agency for Healthcare Research and Quality) guidelines to evaluate PubMed®, Scopus® and Web of Science databases (January 1, 2000 to October 31, 2016. updated June 2017). Quality of reporting and grading complications were assessed according to the EAU recommendations. RESULTS: Our electronic search identified 1,093 RPN publications for detailed review, which yielded 114 case series and 155 comparative studies: 61 (22.6%) published before 2012, while 208 (77.3%) afterwards. In aggregate, 231 (85.8%) of the papers report complications as outcomes of interest. A temporal comparison showed an improvement in outcome reporting in terms of mortality/causes of death rates (11% vs 24%: p=0.05), definitions of complications (33% vs 52%: p<0.001), severity complication grade (42% vs 92%: p<0.001), postoperative complications presented in a table (36% vs 69%: p<0.001) and risk factors included in analysis (23% vs 46%: p<0.001). CONCLUSIONS: Our results showed that the EAU recommendation on complication reporting may had a positive impact on the outcome measurement after RPN. However, more effort is required in order to improve the complication measurements, to guarantee more accurate and comprehensive information on patients undergoing RPN. Source of Funding: none Los Angeles, CA; Verona, Italy; Los Angeles, CA© 2019 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 201Issue Supplement 4April 2019Page: e147-e147 Advertisement Copyright & Permissions© 2019 by American Urological Association Education and Research, Inc.MetricsAuthor Information Giovanni E. Cacciamani* More articles by this author Luis Medina More articles by this author Tania Gill More articles by this author Alessandro Tafuri More articles by this author Willy Baccaglini More articles by this author Felipe glina More articles by this author Vanessa Blasic More articles by this author Matthew Winter More articles by this author Akbar Ashrafi More articles by this author Andre De Castro Abreu More articles by this author Rene Sotelo More articles by this author Walter Artibani More articles by this author Inderbir Gill More articles by this author Expand All Advertisement PDF downloadLoading ...
Source: The Journal of Urology
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2940841257