1754 PERIOPERATIVE OUTCOMES AFTER RADICAL CYSTECTOMY: THE IMPACT OF RESIDENCY AND FELLOWSHIP TRAINING

Abstract

You have accessJournal of UrologyBladder Cancer: Invasive (III)1 Apr 20131754 PERIOPERATIVE OUTCOMES AFTER RADICAL CYSTECTOMY: THE IMPACT OF RESIDENCY AND FELLOWSHIP TRAINING Florian Roghmann, Vincent QH Trinh, Andreas Becker, Hugo Lavigueur-Blouin, Malek Meskawi, Al'a Abdo, Joachim Noldus, Pierre I Karakiewicz, Maxine Sun, and Quoc-Dien Trinh Florian RoghmannFlorian Roghmann Herne, Germany More articles by this author , Vincent QH TrinhVincent QH Trinh Montreal, Canada More articles by this author , Andreas BeckerAndreas Becker Hamburg, Germany More articles by this author , Hugo Lavigueur-BlouinHugo Lavigueur-Blouin Montreal, Canada More articles by this author , Malek MeskawiMalek Meskawi Montreal, Canada More articles by this author , Al'a AbdoAl'a Abdo Montreal, Canada More articles by this author , Joachim NoldusJoachim Noldus Herne, Germany More articles by this author , Pierre I KarakiewiczPierre I Karakiewicz Montreal, Canada More articles by this author , Maxine SunMaxine Sun Montreal, Canada More articles by this author , and Quoc-Dien TrinhQuoc-Dien Trinh Montreal, Canada More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.2883AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Founded in 1984, the Society of Urologic Oncology (SUO) initiated a standardized fellowship curriculum to offer superior urologic and scientific education following residency. Participating centers undergo a comprehensive approval process necessitating reaccreditation every five years. In this study, we examine the effect of residency/fellowship teaching status and hospital volume (HV) on perioperative RC outcomes. METHODS Within the Nationwide Inpatient Sample (NIS), we focused on RC performed between 2007 and 2010. We tested the rates of in-hospital mortality, as well as intraoperative and postoperative complications, stratified according to teaching status. Multivariable logistic regression analyses further adjusted for confounding factors. Hospitals were considered residency teaching institutions if they had an American Medical Association (AMA)-approved residency program, are a member of the Council of Teaching Hospitals or had a ratio of full-time equivalent interns and residents to beds of 0.25 or higher. Hospitals with a SUO fellowship were recognized as fellowship teaching institutions. RESULTS Overall, 19462 patients after RC were identified. Of these, 4546 cases were performed at non-teaching institutions, 9462 at residency teaching institutions and 5454 at fellowship teaching institutions. Patients treated at residency/fellowship teaching institutions were more likely to hold private insurance and healthier relative to those treated at non-teaching institutions. In multivariable analyses, patients treated at residency (OR=0.74, p<0.001) and fellowship (OR=0.66, p<0.001) teaching institutions were less likely to experience a postoperative complication relative to patients treated at non-teaching institutions. CONCLUSIONS On average, patients treated at residency and fellowship teaching institutions are less likely to experience a postoperative complication. Moreover, postoperative complication rates were lower at fellowship teaching institutions, relative to residency teaching institutions, despite adjustment for potential confounders. Our findings acknowledge the quality of RC care at accredited fellowship institutions. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e721 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Florian Roghmann Herne, Germany More articles by this author Vincent QH Trinh Montreal, Canada More articles by this author Andreas Becker Hamburg, Germany More articles by this author Hugo Lavigueur-Blouin Montreal, Canada More articles by this author Malek Meskawi Montreal, Canada More articles by this author Al'a Abdo Montreal, Canada More articles by this author Joachim Noldus Herne, Germany More articles by this author Pierre I Karakiewicz Montreal, Canada More articles by this author Maxine Sun Montreal, Canada More articles by this author Quoc-Dien Trinh Montreal, Canada More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...