MP65-02 IMPACT OF A DEDICATED TEACHING PROGRAM ON QUALITY OUTCOMES OF WHITE LIGHT TURBT

Abstract

You have accessJournal of UrologyBladder Cancer: Staging1 Apr 2014MP65-02 IMPACT OF A DEDICATED TEACHING PROGRAM ON QUALITY OUTCOMES OF WHITE LIGHT TURBT Rodolfo Hurle, Silvia Zandegiacomo De Zorzi, Luigi Castaldo, Luisa Pasini, Gianluigi Taverna, Paolo Puppo, and Pierpaolo Graziotti Rodolfo HurleRodolfo Hurle More articles by this author , Silvia Zandegiacomo De ZorziSilvia Zandegiacomo De Zorzi More articles by this author , Luigi CastaldoLuigi Castaldo More articles by this author , Luisa PasiniLuisa Pasini More articles by this author , Gianluigi TavernaGianluigi Taverna More articles by this author , Paolo PuppoPaolo Puppo More articles by this author , and Pierpaolo GraziottiPierpaolo Graziotti More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.1899AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To assess the impact of a dedicated teaching program on the quality outcomes of TURBT. METHODS Patients with NMIBC, who had undergone complete first resection were registered in a prospectively maintained database from 1998-2010 at the department of Urology Humanitas Gavazzeni, Bergamo Italy. From 2005 surgeons, juniors and seniors, underwent a dedicated training program with the aim to improve the quality outcomes of TURBT, 1) presence of detrusor muscle in the specimen, 2) Cis detection rate, 3) complication rate (namely clinically significant bladder perforation or bleeding), 4) 3 months recurrence rate or persistence of disease after reTUR. A multivariate logist regression was performed for each outcome, the variables included in the analysis were experience of surgeon (senior or junior), lesion dimension (< or > 3 cm), single or multiple lesion, low or high grade disease, Ta or T1, surgeon submitted or not to the teaching program. RESULTS 427 patients were registered in the database, 199 from 1998 to 2004, before the introduction of the teaching program, and 228 from 2005 to 2010. In regard to the incidence of detrusor muscle, Cis detection, complications and recurrence, the rate before and after the teaching program were respectively 118/199 (59%) and 187/228 (82%), 12/199 (6%) and 35/228 (15%), 63/199 (32%) and 61/228 (27%), 38/199 (19%) and 15/228 (7%) Results of the multivariate analysis were summarized in table 1. CONCLUSIONS The teaching program had a favorable, independent, statistically significant impact for each of the outcome examined except for the recurrence/persistence of disease. © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e692 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Rodolfo Hurle More articles by this author Silvia Zandegiacomo De Zorzi More articles by this author Luigi Castaldo More articles by this author Luisa Pasini More articles by this author Gianluigi Taverna More articles by this author Paolo Puppo More articles by this author Pierpaolo Graziotti More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...