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Contemporary rates of adherence to international guidelines for pelvic lymph node dissection in radical cystectomy: a population-based study

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Contemporary rates of adherence to international guidelines for pelvic lymph node dissection in radical cystectomy: a population-based study. / Zaffuto, Emanuele; Bandini, Marco; Gazdovich, Stéphanie; Valiquette, Anne-Sophie; Leyh-Bannurah, Sami-Ramzi; Tian, Zhe; Dell'Oglio, Paolo; Graefen, Markus; Moschini, Marco; Necchi, Andrea; Shariat, Shahrokh F; Briganti, Alberto; Montorsi, Francesco; Karakiewicz, Pierre I.

In: WORLD J UROL, Vol. 36, No. 9, 09.2018, p. 1417-1422.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Zaffuto, E, Bandini, M, Gazdovich, S, Valiquette, A-S, Leyh-Bannurah, S-R, Tian, Z, Dell'Oglio, P, Graefen, M, Moschini, M, Necchi, A, Shariat, SF, Briganti, A, Montorsi, F & Karakiewicz, PI 2018, 'Contemporary rates of adherence to international guidelines for pelvic lymph node dissection in radical cystectomy: a population-based study', WORLD J UROL, vol. 36, no. 9, pp. 1417-1422. https://doi.org/10.1007/s00345-018-2306-7

APA

Zaffuto, E., Bandini, M., Gazdovich, S., Valiquette, A-S., Leyh-Bannurah, S-R., Tian, Z., Dell'Oglio, P., Graefen, M., Moschini, M., Necchi, A., Shariat, S. F., Briganti, A., Montorsi, F., & Karakiewicz, P. I. (2018). Contemporary rates of adherence to international guidelines for pelvic lymph node dissection in radical cystectomy: a population-based study. WORLD J UROL, 36(9), 1417-1422. https://doi.org/10.1007/s00345-018-2306-7

Vancouver

Zaffuto E, Bandini M, Gazdovich S, Valiquette A-S, Leyh-Bannurah S-R, Tian Z et al. Contemporary rates of adherence to international guidelines for pelvic lymph node dissection in radical cystectomy: a population-based study. WORLD J UROL. 2018 Sep;36(9):1417-1422. https://doi.org/10.1007/s00345-018-2306-7

Bibtex

@article{acfa2b25c5764e2bada8bcf73c309e2e,
title = "Contemporary rates of adherence to international guidelines for pelvic lymph node dissection in radical cystectomy: a population-based study",
abstract = "OBJECTIVE: To examine the rates of adherence to guidelines for pelvic lymph node dissection (PLND) in patients treated with radical cystectomy (RC) and to identify predictors of omitting PLND.MATERIALS AND METHODS: We relied on 66,208 patients treated with RC between 2004 and 2013 within the National Inpatients Sample (NIS) database. We examined the rates of PLND according to year of surgery, patient and hospital characteristics. Univariate and multivariate logistic regression analyses assessed the probability of PLND use, after adjusting for year of surgery, age, gender, race, comorbidities, hospital location, teaching status and hospital surgical volume.RESULTS: Overall, PLND was performed on 54,223 (81.9%) RC patients. The rates PLND at RC significantly increased over the study period from 72.3% in 2004 to 85.9% in 2013, (p < 0.001). Barriers to PLND at RC consisted of female gender (OR: 1.31; 95% CI 1.25-1.38; p < 0.001), African American race (OR: 1.21; 95% CI 1.10-1.32; p < 0.001), intermediate (OR: 1.78; 95% CI 1.68-1.88; p < 0.001) or low surgical volume institutions (OR: 2.59; 95% CI 2.44-2.74; p < 0.001), non-teaching institution status (OR: 1.21; 95% CI 1.15-1.27; p < 0.001) and rural hospital location (OR: 1.13; 95% CI 1.01-1.25; p = 0.03).CONCLUSIONS: It is encouraging to note increasing rates of PLND at RC over time. Both patients and hospital characteristics influence PLND rates. More efforts should be aimed at reducing inequalities in PLND at RC due to these highly modifiable variables.",
keywords = "Journal Article",
author = "Emanuele Zaffuto and Marco Bandini and St{\'e}phanie Gazdovich and Anne-Sophie Valiquette and Sami-Ramzi Leyh-Bannurah and Zhe Tian and Paolo Dell'Oglio and Markus Graefen and Marco Moschini and Andrea Necchi and Shariat, {Shahrokh F} and Alberto Briganti and Francesco Montorsi and Karakiewicz, {Pierre I}",
year = "2018",
month = sep,
doi = "10.1007/s00345-018-2306-7",
language = "English",
volume = "36",
pages = "1417--1422",
journal = "WORLD J UROL",
issn = "0724-4983",
publisher = "Springer",
number = "9",

}

RIS

TY - JOUR

T1 - Contemporary rates of adherence to international guidelines for pelvic lymph node dissection in radical cystectomy: a population-based study

AU - Zaffuto, Emanuele

AU - Bandini, Marco

AU - Gazdovich, Stéphanie

AU - Valiquette, Anne-Sophie

AU - Leyh-Bannurah, Sami-Ramzi

AU - Tian, Zhe

AU - Dell'Oglio, Paolo

AU - Graefen, Markus

AU - Moschini, Marco

AU - Necchi, Andrea

AU - Shariat, Shahrokh F

AU - Briganti, Alberto

AU - Montorsi, Francesco

AU - Karakiewicz, Pierre I

PY - 2018/9

Y1 - 2018/9

N2 - OBJECTIVE: To examine the rates of adherence to guidelines for pelvic lymph node dissection (PLND) in patients treated with radical cystectomy (RC) and to identify predictors of omitting PLND.MATERIALS AND METHODS: We relied on 66,208 patients treated with RC between 2004 and 2013 within the National Inpatients Sample (NIS) database. We examined the rates of PLND according to year of surgery, patient and hospital characteristics. Univariate and multivariate logistic regression analyses assessed the probability of PLND use, after adjusting for year of surgery, age, gender, race, comorbidities, hospital location, teaching status and hospital surgical volume.RESULTS: Overall, PLND was performed on 54,223 (81.9%) RC patients. The rates PLND at RC significantly increased over the study period from 72.3% in 2004 to 85.9% in 2013, (p < 0.001). Barriers to PLND at RC consisted of female gender (OR: 1.31; 95% CI 1.25-1.38; p < 0.001), African American race (OR: 1.21; 95% CI 1.10-1.32; p < 0.001), intermediate (OR: 1.78; 95% CI 1.68-1.88; p < 0.001) or low surgical volume institutions (OR: 2.59; 95% CI 2.44-2.74; p < 0.001), non-teaching institution status (OR: 1.21; 95% CI 1.15-1.27; p < 0.001) and rural hospital location (OR: 1.13; 95% CI 1.01-1.25; p = 0.03).CONCLUSIONS: It is encouraging to note increasing rates of PLND at RC over time. Both patients and hospital characteristics influence PLND rates. More efforts should be aimed at reducing inequalities in PLND at RC due to these highly modifiable variables.

AB - OBJECTIVE: To examine the rates of adherence to guidelines for pelvic lymph node dissection (PLND) in patients treated with radical cystectomy (RC) and to identify predictors of omitting PLND.MATERIALS AND METHODS: We relied on 66,208 patients treated with RC between 2004 and 2013 within the National Inpatients Sample (NIS) database. We examined the rates of PLND according to year of surgery, patient and hospital characteristics. Univariate and multivariate logistic regression analyses assessed the probability of PLND use, after adjusting for year of surgery, age, gender, race, comorbidities, hospital location, teaching status and hospital surgical volume.RESULTS: Overall, PLND was performed on 54,223 (81.9%) RC patients. The rates PLND at RC significantly increased over the study period from 72.3% in 2004 to 85.9% in 2013, (p < 0.001). Barriers to PLND at RC consisted of female gender (OR: 1.31; 95% CI 1.25-1.38; p < 0.001), African American race (OR: 1.21; 95% CI 1.10-1.32; p < 0.001), intermediate (OR: 1.78; 95% CI 1.68-1.88; p < 0.001) or low surgical volume institutions (OR: 2.59; 95% CI 2.44-2.74; p < 0.001), non-teaching institution status (OR: 1.21; 95% CI 1.15-1.27; p < 0.001) and rural hospital location (OR: 1.13; 95% CI 1.01-1.25; p = 0.03).CONCLUSIONS: It is encouraging to note increasing rates of PLND at RC over time. Both patients and hospital characteristics influence PLND rates. More efforts should be aimed at reducing inequalities in PLND at RC due to these highly modifiable variables.

KW - Journal Article

U2 - 10.1007/s00345-018-2306-7

DO - 10.1007/s00345-018-2306-7

M3 - SCORING: Journal article

C2 - 29704059

VL - 36

SP - 1417

EP - 1422

JO - WORLD J UROL

JF - WORLD J UROL

SN - 0724-4983

IS - 9

ER -