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Updated: Nov 10, 2025

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Performance Feedback May Not Improve Radical Prostatectomy Outcomes: The Surgical Report Card (SuRep) Study.

Ravi M Kumar1, Dean A Fergusson2, Luke T Lavallée1,2

  • 1Division of Urology, Department of Surgery, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada.

The Journal of Urology
|April 5, 2021
PubMed
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This summary is machine-generated.

Surgical report cards (SuReps) for prostate cancer surgery did not improve patient outcomes like erectile function or continence. While nerve-sparing surgery rates improved, overall functional and oncologic results remained unchanged.

Area of Science:

  • Urology
  • Surgical Oncology
  • Health Outcomes Research

Background:

  • Patient outcomes in prostate cancer surgery are crucial.
  • Surgical report cards (SuReps) were introduced to provide feedback to surgeons.
  • Radical prostatectomy outcomes include oncologic, urinary, and sexual function.

Purpose of the Study:

  • To determine if providing surgical report cards (SuReps) to surgeons improves patient outcomes after radical prostatectomy.
  • To assess the impact of SuReps on postoperative erectile function, urinary continence, and positive surgical margins.

Main Methods:

  • Prospective before-and-after study at The Ottawa Hospital.
  • 422 patients undergoing radical prostatectomy were enrolled.
  • Compared outcomes of patients treated before (pre-SuRep) and after (post-SuRep) report card implementation.
Keywords:
medical auditpatient reported outcome measuresprostatectomyprostatic neoplasmsquality improvement

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Main Results:

  • Nerve-sparing surgery rates increased significantly (70% to 82%, p=0.01).
  • No significant difference in positive surgical margins (31% vs 39%, p=0.08).
  • No improvement in erectile function (17% vs 18%, p=0.7); continence decreased (75% vs 65%, p=0.02) at 1 year.

Conclusions:

  • The SuRep platform accurately reports surgical outcomes for patient counseling.
  • Surgical report cards alone did not improve functional or oncologic outcomes in this study.
  • Longer feedback durations or modified interventions may be needed to enhance outcomes.