PD43-04 A POPULATION BASED ANALYSIS OF COMPLICATIONS AFTER RADICAL PROSTATECTOMY – RESULTS FROM A NATIONAL ADMINISTRATIVE DATABASE

Abstract

You have accessJournal of UrologyProstate Cancer: Localized: Surgical Therapy VI1 Apr 2016PD43-04 A POPULATION BASED ANALYSIS OF COMPLICATIONS AFTER RADICAL PROSTATECTOMY – RESULTS FROM A NATIONAL ADMINISTRATIVE DATABASE Jan Schmitges, Jana Rose, Johannes Pollmanns, Markus Graefen, Benno Neukirch, Martin Friedrich, Saskia Droesler, and Maria Weyermann Jan SchmitgesJan Schmitges More articles by this author , Jana RoseJana Rose More articles by this author , Johannes PollmannsJohannes Pollmanns More articles by this author , Markus GraefenMarkus Graefen More articles by this author , Benno NeukirchBenno Neukirch More articles by this author , Martin FriedrichMartin Friedrich More articles by this author , Saskia DroeslerSaskia Droesler More articles by this author , and Maria WeyermannMaria Weyermann More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.1782AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Radical prostatectomy (RP) is a common treatment option for prostate cancer. To date, no nationally representative data exist for Germany. METHODS Analysis based on nationwide administrative hospital data from the German diagnosis related groups (DRG) database administrated by the Federal Statistical Office for the year 2012. Patients with prostate cancer as principle diagnosis and procedure code for radical prostatectomy were included. Available patient characteristics consisted of age, Charlson Comorbidity Index, surgical approach (retropubic vs. robot-assisted vs. laparoscopic vs. perineal), status of lymph node dissection (LND) and nerve-sparing procedure, hospital district, hospital region and hospital volume. We examined the rate of blood transfusion, intra- and postoperative complications, in-hospital mortality, length of stay (LOS) and hospital charges using validated methodology. RESULTS Overall, 25,333 men underwent RP. Of these, 16,372 (64.6%) men were treated by retropubic, 5,657 (22.3%) by robot-assisted, 2,730 (10.8%) by laparoscopic and 574 (2.3%) by perineal RP. The rate of LND and nerve-sparing procedure was 84.1 and 52.8%, respectively. The rate of autologous and allogeneic blood transfusion was 0.3 and 8.8%, respectively. Intraoperative complications were recorded in 2.7%. Specifically, rectal laceration, ureteral injury and nerve- or vessel injury were recorded in 1.5, 0.7 and 1.1%, respectively. Postoperative complications were recorded in 26.7%. Specifically, 2.7% of patients suffered from cardial, 1.1% from respiratory, 4.0% from wound, 1.6% from vascular, 8.6% from genitourinary, 7.5% from miscellaneous medical and 13.2% from miscellanoeous surgical complications. In-hospital mortality was 0.2%. Mean LOS was 10.8 days. Mean hospital charges were 7,409 Euro. Results from multivariable logistic regression analyses will be presented at the congress. CONCLUSIONS Institutional results should ideally be compared to nationally representative data. In 2012, RP in Germany was performed in 33% in a minimally-invasive fashion, the most temporal overall postoperative complication rate was 27%. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e993-e994 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Jan Schmitges More articles by this author Jana Rose More articles by this author Johannes Pollmanns More articles by this author Markus Graefen More articles by this author Benno Neukirch More articles by this author Martin Friedrich More articles by this author Saskia Droesler More articles by this author Maria Weyermann More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...