ArticleArab journal of urology2020
An evaluation of the timing of surgical complications following radical prostatectomy: Data from the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP).
Article in Arab journal of urology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Timing of symptomatic venous thromboembolism after surgery: meta-analysis.The British journal of surgery · 2023Pooled it
- DEEP-URO RA/LP: DE-Escalation of antibiotic Prophylaxis in UROlogical procedures in Robot-Assisted or Laparoscopic Prostatectomy: International Multicenter Prospective Service Evaluation Protocol.European urology open science · 2026Article
- Development of DEEP-URO, a Generic Research Tool for Enhancing Antimicrobial Stewardship in a Surgical Specialty.Antibiotics (Basel, Switzerland) · 2026Article
- Improving outcomes in robot-assisted urologic oncology surgery using a perioperative electronic health program.Translational andrology and urology · 2025Article
- A systematic review and meta-analysis of unplanned hospital visits and re-admissions following radical prostatectomy for prostate cancer.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2021Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo perform a time-to-complication analysis for radical prostatectomy (RP) and computing risk factors for these complications, as RP is established as a first-line treatment for localised prostate cancer with excellent oncological outcomes but is not without its complications. PATIENTS AND
methodsWe used the National Surgical Quality Improvement Program (NSQIP) database to analyse data of patients who underwent RP, between 2008 and 2015, with the primary endpoint of time-to-complications. Categorical variables were analysed using descriptive statistics and continuous variables were recorded as medians and interquartile ranges (IQRs) such as timing of complications. Multivariable regression analyses were used to analyse time-to-complication and its effect on other outcomes. A
resultsThe overall 30-day complication rate was 7.54% and was equally distributed before and after discharge. Bleeding/transfusion (3.37%), urinary tract infection (1.58%), deep venous thrombosis (DVT; 0.74%), and wound infection (1.08%) were the five most common complications after RP. The median (IQR) time-to-complication unique for each complication was: bleeding/transfusion occurred on the same operative day (1), renal complications occurred at 4 (2-6) days, sepsis at 12 (6.5-17.5) days, DVT at 11 (5.5-16.5) days, pneumonia at 4 (0.5-7.5) days, and cardiac arrest occurred at 5 (1.75-8.25) days. After discharge complications were associated with greater odds of re-admission (odds ratio [OR] 16.40,
conclusionSeveral risk factors predict pre- and post-discharge complication rates. Knowledge regarding the timing of complications and their respective risk factors should improve patient-physician communication and prediction, and thus patient care. ABBREVIATIONS: ACS: American College of Surgeons; BMI: body mass index; DM: diabetes mellitus; DVT: deep venous thrombosis; Hct: haematocrit; IQR: interquartile range; LOS: length of stay; NSQIP: National Surgical Quality Improvement Program; OR: odds ratio; RP: radical prostatectomy.
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