Annual prostatectomy volume is related to rectal laceration rate after radical prostatectomy

Jan Schmitges, Quoc Dien Trinh, Maxine Sun, Firas Abdollah, Marco Bianchi, Lars Budäus, Jens Hansen, Christian Eichelberg, Paul Perrotte, Shahrokh F. Shariat, Mani Menon, Francesco Montorsi, Markus Graefen, Pierre I. Karakiewicz

Research output: Contribution to journalArticle

Abstract

Objective: To examine the effect of annual prostatectomy volume (APV) on contemporary intraoperative rectal laceration (RL) rates after radical prostatectomy. Methods: From 1999 to 2008, 36 699 radical prostatectomy procedures were performed in Florida. First, logistic regression models predicting the RL rate were fitted. Second, other logistic regression models were used to examine the association between RL and 2 other secondary outcomes: prolonged length of stay (>3 days) and increased hospital charges (>$37 621). The covariates included APV quintiles, surgical approach (minimally invasive vs open radical prostatectomy), lymph node dissection status, age, year of surgery, race, and baseline Charlson comorbidity index. Results: The overall RL rate was 0.7%. The RL rate was 0.3%, 0.6%, 0.7%, 0.9%, and 1.0% for the very high, high, intermediate, low, and very low APV quintiles, respectively (P

Original languageEnglish
Pages (from-to)796-802
Number of pages7
JournalUrology
Volume79
Issue number4
DOIs
Publication statusPublished - Apr 2012

ASJC Scopus subject areas

  • Urology

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    Schmitges, J., Trinh, Q. D., Sun, M., Abdollah, F., Bianchi, M., Budäus, L., Hansen, J., Eichelberg, C., Perrotte, P., Shariat, S. F., Menon, M., Montorsi, F., Graefen, M., & Karakiewicz, P. I. (2012). Annual prostatectomy volume is related to rectal laceration rate after radical prostatectomy. Urology, 79(4), 796-802. https://doi.org/10.1016/j.urology.2011.11.061