eprintid: 1504366
rev_number: 33
eprint_status: archive
userid: 608
dir: disk0/01/50/43/66
datestamp: 2016-07-24 00:41:53
lastmod: 2021-12-13 01:50:32
status_changed: 2017-01-30 15:54:52
type: article
metadata_visibility: show
creators_name: Damani, A
creators_name: Van Hemelrijck, M
creators_name: Wulaningsih, W
creators_name: Crawley, D
creators_name: Cahill, D
title: Are you now a good surgeon? T2 positive margin status as a quality outcome measure following radical prostatectomy
ispublished: pub
divisions: UCL
divisions: B02
divisions: D14
keywords: Laparoscopic surgery, Outcomes assessment, Positive margins, Prostate cancer, Radical prostatectomy
note: © The Author(s) 2016. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
abstract: OBJECTIVE: To assess potential biases, such as the reporting pathologist, that may affect objectivity of T2 positive margin rates as a quality outcome measure following radical prostatectomy. PATIENTS AND METHODS: Prospective data on 183 consecutive LRP patients with pT2 disease, operated on by a single surgeon (2003-2009), were studied. Outcomes were grouped as pre-, peri-, and post-operative and included: age, ethnicity, Gleason score, reporting pathologist, percentage of positive cores, operative time, blood loss, nerve-sparing status, hospital stay and prostate weight. Descriptive analysis and logistic regression analysis were carried out to compare these variables by positive margin status. RESULTS: A total of 30 (16.4 %) positive surgical margins (PSMs) were reported. Surgical stage, earlier date of surgery, and lower prostatic weight showed statistically significant associations with PSM status in both univariate and multivariate analysis. The reporting pathologist was not found to be predictive of PSMs (P = 0.855). CONCLUSION: We showed that the reporting pathologist does not influence T2 positive margin status, in contrast to tumour characteristics and surgeon experience. T2 positive margin assessment therefore appears to be an objective quality outcome measure.
date: 2017-01-01
date_type: published
official_url: http://doi.org/10.1007/s00345-016-1836-0
oa_status: green
full_text_type: pub
language: eng
primo: open
primo_central: open_green
article_type_text: JOURNAL ARTICLE
verified: verified_manual
elements_id: 1132934
doi: 10.1007/s00345-016-1836-0
pii: 10.1007/s00345-016-1836-0
lyricists_name: Wulaningsih, Wahyu
lyricists_id: WULAN33
full_text_status: public
publication: World Journal of Urology
volume: 35
number: 1
pagerange: 35-43
issn: 1433-8726
citation:        Damani, A;    Van Hemelrijck, M;    Wulaningsih, W;    Crawley, D;    Cahill, D;      (2017)    Are you now a good surgeon? T2 positive margin status as a quality outcome measure following radical prostatectomy.                   World Journal of Urology , 35  (1)   pp. 35-43.    10.1007/s00345-016-1836-0 <https://doi.org/10.1007/s00345-016-1836-0>.       Green open access   
 
document_url: https://discovery.ucl.ac.uk/id/eprint/1504366/1/Wulaningsih_Damani%20%255B2016%255D%20Are%20you%20now%20a%20good%20surgeon%20T2%20positive%20margin%20status%20as%20a%20quality%20outcome%20measure%20following%20radical%20prostatectomy.pdf