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Time trends in prostate cancer surgery: data from an Internet-based multicentre database.

Martin Schostak1, Daniel Baumunk, Anita Jagota

  • 1Charité, Universitätsmedizin Berlin, Urologische Klinik und Hochschulambulanz, Berlin, Germany. martin.schostak@med.ovgu.de

BJU International
|September 3, 2011
PubMed
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This study shows that an Internet-based database improved prostate cancer surgery quality. Participating centers reduced complication rates, blood transfusions, and hospitalization times for prostate cancer patients.

Area of Science:

  • Urology
  • Oncology
  • Health Informatics

Background:

  • Prostate cancer surgery requires robust data collection for quality assessment.
  • Internet-based systems offer a platform for multicentre data sharing and analysis.
  • Standardized documentation is crucial for evaluating surgical outcomes and trends.

Purpose of the Study:

  • To evaluate an Internet-based database for prostate cancer tumor documentation and quality parameter collection.
  • To assess surgical quality and identify time-dependent trends in care for prostate cancer patients.
  • To analyze patient characteristics, intra-operative, and post-operative parameters.

Main Methods:

  • Utilized an Internet-based database for standardized collection of treatment data from 2005-2009.

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  • Collected patient data including age, tumor stage, and erectile function (International Index of Erectile Function-5 score).
  • Analyzed intra-operative (e.g., operating time, nerve-sparing rate) and post-operative parameters (e.g., hospitalization, re-operation rates).

    • Main Results:

    • Documented 914-1750 radical prostatectomies annually from 2005-2008.
    • Observed a decrease in pT2 tumors and a slight increase in lymph node metastases.
    • Noted significant reductions in blood transfusions (1.9% to 0.5%), postoperative bleeding (2.6% to 1.2%), re-operations (4.5% to 2.8%), and hospitalization time (10 to 8 days).

    Conclusions:

    • The Internet-based database effectively facilitates the collection and assessment of quality-of-care parameters in prostate cancer surgery.
    • Participating centers demonstrated improvements in surgical management quality.
    • A reduction in complication rates was a key outcome of the implemented system.