Benchmarking radical prostatectomy – analysis of the British Association of Urological Surgeons national database for radical prostatectomy
BAUS ePoster online library. John J. 11/10/20; 304109; P10-5 Disclosure(s): None
Mr. Joseph John
Mr. Joseph John
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Benchmarking radical prostatectomy – analysis of the British Association of Urological Surgeons national database for radical prostatectomy

John J1, Pascoe J1, Fowler S2, Walton T3, Johnson M4, Aning J5, Challacombe B6, Dickinson A2,7, McGrath J1,2
1Royal Devon And Exeter NHS Foundation Trust, United Kingdom, 2British Association of Urological Surgeons, , 3Nottingham University Hospitals, United Kingdom, 4The Newcastle Upon Tyne Hospitals NHS Foundation Trust, United Kingdom, 5North Bristol NHS Trust, United Kingdom, 6Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom, 7University Hospitals Plymouth, United Kingdom

Introduction:
The BAUS complex operations database for radical prostatectomy (RP) is a national repository of mandated RP data, made publicly available via the 'Clinical Outcomes Publication'. A near complete and detailed dataset exists for RP practice across England providing contemporary benchmarking data.

Objective:
To produce comprehensive and detailed benchmarking data, delivering transparency for patients and a reference resource for surgeons.
Materials and Methods: BAUS manage the RP complex operations database. Surgical departments upload data describing patient, disease, surgical, pathological and outcome factors. Surgeons can review and amend their data before lockdown and data cleansing. Analysis of 2016-18 data was performed for 21,973 patients undergoing RP in England to produce approach-specific benchmarking data.

Results:
Using Hospital episode statistics (HES), the BAUS RP dataset was deemed 91% complete. ASA 1-2 was reported in 81% of patients. Over 80% of patients had RP performed in a high-volume centre (> 100 RPs per annum) and 84% had Gleason score ≥7 disease. Table 1 summarises patient, disease, surgical and outcome descriptors. Operative time was <4 hours in 85% of cases. LND was performed more commonly in higher risk patients (cT3, PSA >20, Gleason score ≥8). Pathological upstaging occurred in 35%.

Conclusions:
Analysis of this comprehensive dataset offers the first set of UK national RP standards, allowing procedure, patient and disease-specific comparisons against national trends. Service centralisation, adoption of technology, and specific aspects of surgical practice including operative modality and LND can be observed. Public facing analysis of this dataset will enhance informed patient decision-making.
Benchmarking radical prostatectomy – analysis of the British Association of Urological Surgeons national database for radical prostatectomy

John J1, Pascoe J1, Fowler S2, Walton T3, Johnson M4, Aning J5, Challacombe B6, Dickinson A2,7, McGrath J1,2
1Royal Devon And Exeter NHS Foundation Trust, United Kingdom, 2British Association of Urological Surgeons, , 3Nottingham University Hospitals, United Kingdom, 4The Newcastle Upon Tyne Hospitals NHS Foundation Trust, United Kingdom, 5North Bristol NHS Trust, United Kingdom, 6Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom, 7University Hospitals Plymouth, United Kingdom

Introduction:
The BAUS complex operations database for radical prostatectomy (RP) is a national repository of mandated RP data, made publicly available via the 'Clinical Outcomes Publication'. A near complete and detailed dataset exists for RP practice across England providing contemporary benchmarking data.

Objective:
To produce comprehensive and detailed benchmarking data, delivering transparency for patients and a reference resource for surgeons.
Materials and Methods: BAUS manage the RP complex operations database. Surgical departments upload data describing patient, disease, surgical, pathological and outcome factors. Surgeons can review and amend their data before lockdown and data cleansing. Analysis of 2016-18 data was performed for 21,973 patients undergoing RP in England to produce approach-specific benchmarking data.

Results:
Using Hospital episode statistics (HES), the BAUS RP dataset was deemed 91% complete. ASA 1-2 was reported in 81% of patients. Over 80% of patients had RP performed in a high-volume centre (> 100 RPs per annum) and 84% had Gleason score ≥7 disease. Table 1 summarises patient, disease, surgical and outcome descriptors. Operative time was <4 hours in 85% of cases. LND was performed more commonly in higher risk patients (cT3, PSA >20, Gleason score ≥8). Pathological upstaging occurred in 35%.

Conclusions:
Analysis of this comprehensive dataset offers the first set of UK national RP standards, allowing procedure, patient and disease-specific comparisons against national trends. Service centralisation, adoption of technology, and specific aspects of surgical practice including operative modality and LND can be observed. Public facing analysis of this dataset will enhance informed patient decision-making.
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