International Variations in Surgical Quality of Care in Men With Prostate Cancer: Results From the TrueNTH Global Registry

被引：1

作者：

Sibert, Nora Tabea ^{[1
]}

Garin, Olatz ^{[2
,3
,4
]}

Ferrer, Montserrat ^{[2
,5
]}

Connor, Sarah E. ^{[6
]}

Graham, Ian D. ^{[7
,8
]}

Litwin, Mark S. ^{[9
,10
]}

Millar, Jeremy ^{[11
,12
]}

Moore, Caroline M. ^{[13
]}

Nguyen, Anissa V. ^{[9
,14
,15
]}

Paich, Kellie ^{[16
]}

Kowalski, Christoph ^{[1
]}

机构：

[1] German Canc Soc, Berlin, Germany

[2] Hosp del Mar Res Inst, Hlth Serv Res Grp, Barcelona, Spain

[3] CIBER Epidemiol & Salud Publ, Barcelona, Spain

[4] Univ Pompeu Fabra, Barcelona, Spain

[5] CIBER Epidemiol & Salud Publ CIBERESP, Barcelona, Spain

[6] Univ Calif Los Angeles, David Geffen Sch Med, Dept Urol, Los Angeles, CA USA

[7] Univ Ottawa, Sch Epidemiol & Publ Hlth, Ottawa, ON, Canada

[8] Ottawa Hosp, Ctr Implementat Res, Res Inst, Ottawa, ON, Canada

[9] Univ Calif Los Angeles, David Geffen Sch Med, Dept Urol, Los Angeles, CA USA

[10] Univ Calif Los Angeles, David Geffen Sch Med, Dept Hlth Policy & Management, Los Angeles, CA USA

[11] Monash Univ, Cent Clin Sch, Dept Surg, Melbourne, Australia

[12] Monash Univ, Dept Epidemiol & Prevent Med, Melbourne, Australia

[13] UCL, London, England

[14] Univ Calif Los Angeles, David Geffen Sch Med, Dept OBGYN, Los Angeles, CA USA

[15] Univ Calif Los Angeles, David Geffen Sch Med, Dept Surg, Los Angeles, CA USA

[16] Movember Fdn, East Melbourne, Australia

来源：

JCO GLOBAL ONCOLOGY | 2024年 / 10卷

关键词：

PATIENT-REPORTED OUTCOMES; RADICAL PROSTATECTOMY; VERSION; VALIDATION; RADIATION; LIFE; COMBINATION; RECOVERY; THERAPY; SURGERY;

D O I：

10.1200/GO.23.00420

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

PURPOSEFunctional problems such as incontinence and sexual dysfunction after radical prostatectomy (RP) are important outcomes to evaluate surgical quality in prostate cancer (PC) care. Differences in survival after RP between countries are known, but differences in functional outcomes after RP between providers from different countries are not well described.METHODSData from a multinational database of patients with PC (nonmetastatic, treated by RP) who answered the EPIC-26 questionnaire at baseline (before RP, T0) and 1 year after RP (T1) were used, linking survey data to clinical information. Casemix-adjusted incontinence and sexual function scores (T1) were calculated for each country and provider on the basis of regression models and then compared using minimally important differences (MIDs).RESULTSA total of 21,922 patients treated by 151 providers from 10 countries were included. For the EPIC-26 incontinence domain, the median adjusted T1 score of countries was 76, with one country performing more than one MID (for incontinence: 6) worse than the median. Eighteen percent of the variance (R2) of incontinence scores was explained by the country of the providers. The median adjusted T1 score of sexual function was 33 with no country performing perceivably worse than the median (more than one MID worse), and 34% (R2) of the variance of the providers' scores could be explained by country.CONCLUSIONTo our knowledge, this is the first comparison of functional outcomes 1 year after surgical treatment of patients with PC between different countries. Country is a relevant predictor for providers' incontinence and sexual function scores. Although the results are limited because of small samples from some countries, they should be used to enhance cross-country initiatives on quality improvement in PC care. Data from 14 countries show large differences in functional outcomes 1 year after radical prostatectomy.

引用

页数：12

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