Reporting complications after open radical retropubic prostatectomy using the Martin criteria

The Journal of Urology
B LöppenbergRein Jüri Palisaar

Abstract

In 2002, 10 Martin criteria were proposed that should be met when reporting complications following surgery. To date, few studies have evaluated complication rates after radical prostatectomy using these criteria. Therefore, we assessed complications in a contemporary series of open retropubic radical prostatectomy using a standardized reporting methodology. Complications in 2,893 consecutive patients who underwent radical prostatectomy at a single center between 2003 and 2009 were recorded prospectively. All 10 Martin criteria for a high quality report of complications were fulfilled. Complications within a 30-day postoperative period were graded retrospectively according to the Clavien-Dindo classification. The overall complication rate was 27.7% (801 of 2,893), and 943 medical and surgical complications were recorded in 801 patients. Of these complications 596 were grade I (63.2%), 183 grade II (19.5%), 142 grade III (15.1%) and 15 grade IV (1.8%). The mortality rate (grade V) was 0.1% (4 of 2,893). Independent predictors of high grade complications (grade III or greater) on multivariate analysis were patient age (HR 1.051, p = 0.002), prostate volume (HR 1.013, p = 0.004) and lymphadenectomy (HR 2.023, p = 0.005). Complicat...Continue Reading

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Citations

Mar 7, 2012·Nihon Hinyōkika Gakkai zasshi. The japanese journal of urology·Kikuo OkamuraYoichi Arai
Jun 7, 2014·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Björn LöppenbergRein Jüri Palisaar
Apr 29, 2014·Journal of the Chinese Medical Association : JCMA·Wei-Ming ChengKuang-Kuo Chen
Aug 3, 2013·International Journal of Urology : Official Journal of the Japanese Urological Association·Florian RoghmannJüri Palisaar
Oct 17, 2018·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Rafael F CoelhoWilliam Carlos Nahas
Jun 7, 2017·Journal of Huazhong University of Science and Technology. Medical Sciences = Hua Zhong Ke Ji Da Xue Xue Bao. Yi Xue Ying De Wen Ban = Huazhong Keji Daxue Xuebao. Yixue Yingdewen Ban·Xiao-Jun LiuXu-Dong Yao

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