Long‐term third‐party assessment of results after continent cutaneous diversion with Lundiana pouch

Guðjónsson, Sigurður; Xu, Aiming; Bendahl, Pär Ola; Davidsson, Thomas; Månsson, Wiking

doi:10.1111/bju.13863

Cited by 10 publications

(6 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Bazargani et al found a 64% complication rate with 14% of patients requiring a repeat procedure for those receiving right colon pouches. Comparatively, Liedberg et al found a 23% 90‐day complication rate, but the rate of reoperation (54%) was much higher, likely due to their longer length of follow up. In addition, Liedberg et al found that patients receiving their diversion for benign reasons were more likely to have a complication than those undergoing treatment for oncologic reasons.…”

Section: Discussionmentioning

confidence: 95%

“…While Holmes et al should be praised in their efforts to characterize such an important aspect of patients’ lives, catheterization difficulties are complex issues and their measurement system was neither validated nor made available with their manuscript . Two recent studies by Bazargani et al and Liedberg et al have been undertaken with more standard reporting methods. Both of these studies focused on 90‐day complication rates and risk of the repeated procedure.…”

Section: Discussionmentioning

confidence: 99%

“…Overall the published series on right colon pouch urinary diversion have shown highly discrepant complication rates . Some of this variability is because of lack of any standard interstudy objective outcome measurements.…”

Section: Introductionmentioning

confidence: 99%

“…4 Overall the published series on right colon pouch urinary diversion have shown highly discrepant complication rates. 3,[5][6][7] Some of this variability is because of lack of any standard interstudy objective outcome measurements. For instance, some studies have reported longterm clinical outcomes, such as rates of urinary tract infections, urinary leakage, or difficulty catheterizing, however, these complications have low interstudy reproducibility due to heterogenous definitions.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Outcomes of right colon continent urinary pouch using standardized reporting methods

Myers

Martin

Cheng

et al. 2019

Neurourology and Urodynamics

View full text Add to dashboard Cite

Aims Studies of right colon pouch urinary diversion estimate risk of perioperative complications, 1%‐50%, and reoperation, 1%‐69%. This wide range is due to variable outcome measurements and reporting methods; it is also unclear which factors increase the risk of complications and reoperation. We sought to characterize the impact of patient‐specific factors on risk of complications, readmission, and reoperation after right colon pouch urinary diversion. Methods Patients undergoing right colon pouch urinary diversion from January 2010 to April 2017 were analyzed. Outcomes included: high‐grade complications within 90 days (Clavien‐Dindo grade ≥3), readmission within 90 days, and reoperation at any time during follow‐up. Patient‐specific factors were analyzed to establish any associations with these outcomes. Results During the study period, 53 patients underwent the procedure and the average follow‐up was 30 (standard deviation [SD] 21.5) months; 90‐day high‐grade complications were 22% and readmission was 45%. The cumulative rate of any reoperation was 53% and major reoperation was 32%. Diabetes was associated with an increased risk of both postoperative complications and reoperation. Larger body mass index and prior abdominal surgery were associated with increased risk of readmission. Conclusions Overall the rate of postoperative complications, readmissions, and reoperation was high, but in agreement with other contemporary series. This study helps to further characterize surgical outcomes after right colon pouch urinary diversion, however, similar to other studies in the literature, the rarity of the procedure limits the power to establish a link between preoperative patient factors and outcomes.

show abstract

Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Outcomes of right colon continent urinary pouch using standardized reporting methods

Myers

Martin

Cheng

et al. 2019

Neurourology and Urodynamics

View full text Add to dashboard Cite

show abstract

“…The demand from patient organisations, politicians, health care authorities and the public to get data to compare different care providers will be a strong incentive to take part of the national quality control system. "Third party assessment", i.e., independent staff assessing the outcome (not the operating surgeon) is essential to get unbiased data reported by the patients [21]. It is likely that the patients will be more truthful in their feedback if they do not directly hand over the evaluation to the person who performed the procedure.…”

Section: Discussionmentioning

confidence: 99%

Single institution followed by national implementation of systematic surgical quality control and feedback for radical prostatectomy: a 20-year journey

et al. 2019

View full text Add to dashboard Cite

Purpose The demand for objective and outcome-based facts about surgical results after radical prostatectomy (RP) is increasing. Systematic feedback is also essential for each surgeon to improve his/her performance. Methods RP outcome data (e.g., pT-stage and margin status) have been registered at Sahlgrenska University Hospital (SUH) since 1988 and patient-related outcome measures (PROM) have been registered since 2001. The National Prostate Cancer Registry (NPCR) has covered all Regions in Sweden since 1998 and includes PROM-data from 2008. Initially PROM was on-paper questionnaires but due since 2018 all PROMs are collected electronically. In 2014 an on-line "dashboard" panel was introduced, showing the results for ten quality-control variables in real-time. Since 2017 all RP data on hospital, regional, and national levels are publicly accessible on-line on "www.npcr.se/RATTE N". Results The early PROM-data from SUH have been used for internal quality control. As national clinical and PROM-data from the NPCR have been made accessible on-line and in real-time we have incorporated this into our pre-existing protocol. Our data are now internally available as real-time NPCR reports on the individual surgeons' results, as well as ePROM data. We can compare the results of each surgeon internally and to other departments' aggregated data. The public can access data and compare hospital level data on "RATTEN". Conclusions The process of quality control of RP locally at SUH, and nationally through the NPCR, has been long but fruitful. The online design, with direct real-time feedback to the institutions that report the data, is essential.

show abstract

Outcomes Following Exenteration for Gynecological Neoplasms

Kannisto

Lydrup

2021

Surgical Management of Advanced Pelvic Cancer

View full text Add to dashboard Cite

Long‐term third‐party assessment of results after continent cutaneous diversion with Lundiana pouch

Abstract: The Lundiana pouch is associated with a high risk of re-operation, although the functional results are good. Independent review by a third party increased the validity of the outcome data.

Cited by 10 publications

References 26 publications

Outcomes of right colon continent urinary pouch using standardized reporting methods

Outcomes of right colon continent urinary pouch using standardized reporting methods

Single institution followed by national implementation of systematic surgical quality control and feedback for radical prostatectomy: a 20-year journey

Outcomes Following Exenteration for Gynecological Neoplasms

Contact Info

Product

Resources

About