You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Evidence-based Medicine & Outcomes I1 Apr 2015MP5-04 PERIOPERATIVE OUTCOMES OF TRANSURETHRAL RESECTION OF BLADDER TUMORS USING THE NATIONAL SURGICAL QUALITY IMPROVEMENT PROGRAM (NSQIP) DATABASE David C. Brooks, Devin A. Haddad, Robert C. Kovell, and Ryan P. Terlecki David C. BrooksDavid C. Brooks More articles by this author , Devin A. HaddadDevin A. Haddad More articles by this author , Robert C. KovellRobert C. Kovell More articles by this author , and Ryan P. TerleckiRyan P. Terlecki More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.231AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Understanding risk factors for surgical complications associated with common urologic procedures is critical for developing strategies to improve patient care. In this report we analyze intraoperative parameters and perioperative outcomes of transurethral resections of bladder tumors (TURBTs) using the National Surgical Quality Improvement Program (NSQIP) database. METHODS Using the NSQIP dataset, we identified TURBTs performed from 2010 to 2012. We compared preoperative characteristics, surgical parameters, and 30-day perioperative outcomes. We stratified tumors as small, medium and large based on intraoperative surgeon assessment (CPT coding). To assess statistical significance we used chi square, t-test and ANOVA. RESULTS We identified 8116 TURBTs in the NSQIP database: 3533 small (43.3%), 2734 medium (33.5%) and 1849 large (22.6%). Significant differences in preoperative characteristics included higher rates of smoking, heart failure and renal failure in the large tumor group. Operations for large tumors were more likely to be done emergently (S=1.36%, M=1.39%, L=2.81%, p<0.01). Large tumors required longer operative times (S=25.8min, M=33.0min, L=49.0min, p <0.01) and longer hospitalizations (S=0.66days, M=1.1days, L=1.93days, p<0.01). Additionally, large tumors were associated with higher rates of blood transfusion (S=0.74%, M=1.54%, L=3.73%, p<0.01), sepsis (S=0.23%, M=0.44%, L=0.92%, p<0.01) and renal insufficiency (S= 0.17%, M=0.15%, L=0.59%, p<0.01), independent of pre-operative parameters. There was no difference in the rates of UTIs or thromboembolic events. Large tumors were associated with a higher rate of early post-operative readmissions (S=2.0%, M=2.7%, L=4.2%, p<0.01), overall morbidity (S=4.5%, M=6.5%, L=10.1%, p<0.01) and mortality (S=0.2%, M=1.1%, L=1.9%, p<0.01). CONCLUSIONS Overall complication rates for TURBTs were low. However, TURBT for large tumors is associated with increased operative times, length of hospitalization, overall morbidity, including increased rates of transfusion requirement, sepsis, renal insufficiency, and even mortality. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e46 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information David C. Brooks More articles by this author Devin A. Haddad More articles by this author Robert C. Kovell More articles by this author Ryan P. Terlecki More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...