15. The Influence of Surgical Volume on Outcomes in Radical Cystectomy: A Population-Based Analysis
Shahjehan1, Syed Ameroon Shah2, Maham Arooj Zaidi3, Khalid Islam2, Muhammad Zohair2 and Naseeb Dad2
ABSTRACT
Objective: The purpose of this research was to look at the effect of surgical volume on postoperative outcomes in patients receiving radical cystectomy for bladder cancer in a population-based cohort of 113 patients.
Study Design: A prospective analysis design study
Place and Duration of Study: This study was conducted at the Department of Urology IKD, Peshawar between August 2021 to August 2023.
Methods: Radical cystectomy was performed on 113 patients between August 2021 and August 2023. Data on demographics, comorbidities, surgery volume, and outcomes was collected. Based on operations conducted by each surgical practitioner, surgical volume was low, midrange, or high. Postoperative complications, hospital stay, and 30-day mortality were key outcomes.
Results: The study consisted 113 patients: 23 low volume, 34 middle volume, and 56 high volume. All participants had a mean age of 65.2±7.1 years. The majority of patients (52.17%) were female. 82.61% had radical cystectomy, 17.39% partial. The majority of procedures were open (100%). Most patients reported infection (5.31%), followed by hemorrhage (3.54%) and serious problems (7.08%). Surgical volume did not significantly affect complications or LOS >7 days (adjusted OR 0.75, 95% CI 0.53-1.06, p=0.105). These data imply that surgical volume may affect significant complications but not overall complications, LOS, or mortality.
Conclusion: Our study revealed a link between surgical treatment volume and significant side effects in cystectomy patients.
Key Words: Radical Cystectomy, Surgical Volume, Bladder Cancer, Population-Based Analysis, Postoperative