Single institution followed by national implementation of systematic surgical quality control and feedback for radical prostatectomy: a 20-year journey.

World Journal of Urology
J StranneOla Bratt

Abstract

The demand for objective and outcome-based facts about surgical results after radical prostatectomy (RP) is increasing. Systematic feedback is also essential for each surgeon to improve his/her performance. RP outcome data (e.g., pT-stage and margin status) have been registered at Sahlgrenska University Hospital (SUH) since 1988 and patient-related outcome measures (PROM) have been registered since 2001. The National Prostate Cancer Registry (NPCR) has covered all Regions in Sweden since 1998 and includes PROM-data from 2008. Initially PROM was on-paper questionnaires but due since 2018 all PROMs are collected electronically. In 2014 an on-line "dashboard" panel was introduced, showing the results for ten quality-control variables in real-time. Since 2017 all RP data on hospital, regional, and national levels are publicly accessible on-line on "www.npcr.se/RATTEN". The early PROM-data from SUH have been used for internal quality control. As national clinical and PROM-data from the NPCR have been made accessible on-line and in real-time we have incorporated this into our pre-existing protocol. Our data are now internally available as real-time NPCR reports on the individual surgeons' results, as well as ePROM data. We can compar...Continue Reading

References

May 9, 2012·International Journal of Epidemiology·Mieke Van HemelrijckUNKNOWN NPCR and PCBaSe Sweden
Jul 2, 2015·European Urology·Alicia K MorgansUNKNOWN Advanced Prostate Cancer Working Group of the International Consortium for Health Outcomes Measurement
Jul 15, 2015·Scandinavian Journal of Urology·Pär StattinMats Lambe
Sep 15, 2016·The New England Journal of Medicine·Freddie C HamdyUNKNOWN ProtecT Study Group
Oct 7, 2016·European Urology·David P Jenkins, Graham Cooper
Jul 13, 2017·The New England Journal of Medicine·Timothy J WiltMichael K Brawer
Dec 24, 2018·The New England Journal of Medicine·Anna Bill-AxelsonJan-Erik Johansson

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Citations

Apr 10, 2020·World Journal of Urology·H Van PuyveldeS Van Bruwaene
May 18, 2020·World Journal of Urology·Siska Van Bruwaene

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Methods Mentioned

BETA
biopsies

Software Mentioned

RATTEN
ICHOM

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