Does Centralization of Radical Prostatectomy Reduce the Incidence of Postoperative Urinary Incontinence?

ABSTRACT:

Background

On the basis of previous analyses of the incidence of urinary incontinence (UI) after radical prostatectomy (RP), the hospital RP volume threshold in the Netherlands was gradually increased from 20 per year in 2017, to 50 in 2018 and 100 from 2019 onwards.

Objective

To evaluate the impact of hospital RP volumes on the incidence and risk of UI after RP (RP-UI).

Design setting and participants

Patients who underwent RP during 2016-2020 were identified in the claims database of the largest health insurance company in the Netherlands. Incontinence was defined as an insurance claim for ≥1 pads/d.

Outcome measurements and statistical analysis

The relationship between hospital RP volume (HV) and RP-UI was assessed via multivariable analysis adjusted for age

SUBMITTER: Schepens MHJ 

PROVIDER: S-EPMC10751543 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature