Radical prostatectomy at academic versus nonacademic institutions: a population based analysis.

作者: Quoc-Dien Trinh , Jan Schmitges , Maxine Sun , Shahrokh F. Shariat , Shyam Sukumar

DOI: 10.1016/J.JURO.2011.06.068

关键词: ProstatectomyHealth careAcademic institutionPopulation basedPrivate insuranceFamily medicineConfoundingLogistic regressionCharlson comorbidity indexSurgeryMedicine

摘要: Purpose: Radical prostatectomy outcomes may be better at academic institutions than nonacademic centers. We examined the effect of status on 5 short-term radical outcomes.Materials and Methods: In Health Care Utilization Project Nationwide Inpatient Sample we focused performed within 7 most contemporary years (2001 to 2007). tested rates homologous blood transfusions extended length stay, as well intraoperative postoperative complications stratified according institutional status. Multivariable logistic regression analyses further adjusted for confounding variables.Results: Overall 89,965 prostatectomies were identified, yielding a weighted national estimate 442,811. Of those procedures 58.2% recorded institutions. Patients had lower Charlson comorbidity index more frequently private insurance (p <0.001). institution...

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