MP15-03 A SURGEON FEEDBACK SYSTEM (AMPLIO) ASSESSING FUNCTIONAL AND ONCOLOGICAL OUTCOMES FOR RADICAL PROSTATECTOMY

Abstract

You have accessJournal of UrologyProstate Cancer: Localized: Surgical Therapy I (MP15)1 Sep 2021MP15-03 A SURGEON FEEDBACK SYSTEM (AMPLIO) ASSESSING FUNCTIONAL AND ONCOLOGICAL OUTCOMES FOR RADICAL PROSTATECTOMY Ines Rivero Belenchon, Nicole Benfante, Claudia Mercader Barrull, Natalia Picola Brau, Rafael Antonio Medina Lopez, Sarah Apatov, Pocharapong Jenjitranant, Andrew Vickers, and Karim Touijer Ines Rivero BelenchonInes Rivero Belenchon More articles by this author , Nicole BenfanteNicole Benfante More articles by this author , Claudia Mercader BarrullClaudia Mercader Barrull More articles by this author , Natalia Picola BrauNatalia Picola Brau More articles by this author , Rafael Antonio Medina LopezRafael Antonio Medina Lopez More articles by this author , Sarah ApatovSarah Apatov More articles by this author , Pocharapong JenjitranantPocharapong Jenjitranant More articles by this author , Andrew VickersAndrew Vickers More articles by this author , and Karim TouijerKarim Touijer More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000001996.03AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The outcomes of radical prostatectomy (RP) are intimately influenced by subtle changes in surgical technique. Achieving an optimal outcome implies a complete cancer excision with preservation of urinary and sexual function, which sometimes comes into confrontation. This is associated with a steep learning curve and therefore great variation amongst surgeons.We hypothesize that providing the surgeons with continuous feedback on their outcomes and that of their peers could help reduce variation and improve performance. METHODS: We present a feedback platform (AMPLIO) that shows surgeons their functional and oncological outcomes compared to that of peers after RP.We prospectively collect demographic, clinical, pathological and quality of life data on the approximately 5400 radical prostatectomies performed at our center from 2013 to 2019. The AMPLIO platform captures and analyzes this data providing surgeons with an individual feedback on their outcomes. RESULTS: Feedback is provided through graphs in an anonymous way with comparison to that of peers. Surgeons can voluntarily review their personal surgical performance, assess their patients’ outcomes and compare their outcomes to the group’s median and to each participating surgeon. The AMPLIO platform uses statistical modeling to adjust for patient and disease characteristics and displays outcomes after risk adjustment. Performance can be tabulated to show the rate of biochemical vs rates potency and full continence. This allows surgeon to gauge their decision making and provides them with insights regarding how well their surgical decision making balances oncological outcomes and quality of life preservation both individually and as group. The AMPLIO platform display showed variation between surgeons. CONCLUSIONS: We have developed a surgeon performance feedback system. This concept is widely used as a quality improvement tool in other fields. We hope to find that, once surgeons are aware of their outcomes, they will find ways to improve them. Source of Funding: No © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e264-e264 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Ines Rivero Belenchon More articles by this author Nicole Benfante More articles by this author Claudia Mercader Barrull More articles by this author Natalia Picola Brau More articles by this author Rafael Antonio Medina Lopez More articles by this author Sarah Apatov More articles by this author Pocharapong Jenjitranant More articles by this author Andrew Vickers More articles by this author Karim Touijer More articles by this author Expand All Advertisement Loading ...