ArticleProstate cancer and prostatic diseases2023
Hospital volume and outcomes after radical prostatectomy: a national population-based study using patient-reported urinary continence and sexual function.
Article in Prostate cancer and prostatic diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.
- Association between hospital volume and outcomes in ovarian cancer: a systematic review.Frontiers in surgery · 2025Pooled it
- Variation across operating sites in urinary and sexual outcomes after radical prostatectomy in localized and locally advanced prostate cancer.World journal of urology · 2022Trial
- Patient satisfaction and decision regret in patients undergoing radical prostatectomy: a multicenter analysis.International urology and nephrology · 2025Article
- Urinary and Sexual Impact of Robotic Radical Prostatectomy: Reporting of Patient-reported Outcome Measures in the First Year after Radical Prostatectomy in a Contemporary Multicentre Cohort in the United Kingdom.European urology open science · 2024Article
- Individualized center-based analysis of urinary and sexual functional outcome after radical prostatectomy based on the prostate cancer outcome study: a post hoc pathway to patient outcome measurement analysis for quality improvement.World journal of urology · 2024Article
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- Does Centralization of Radical Prostatectomy Reduce the Incidence of Postoperative Urinary Incontinence?European urology open science · 2023Article
- Can PROMs improve racial equity in outcomes after prostatectomy?Nature reviews. Urology · 2023Article
- Predictors of trainees' proficiency during the learning curve of robot-assisted radical prostatectomy at high- -volume institutions: results from a multicentric series.Central European journal of urology · 2023Article
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Authors and funding
10 authors at 6 institutions in 1 country.
Funding
Abstract
backgroundImprovements in short-term outcomes have been reported for hospitals with higher radical prostatectomy (RP) volumes. However, the association with longer-term functional outcomes is unknown.
methodsAll patients diagnosed with non-metastatic prostate cancer in the English NHS between 2014 and 2016 who underwent RP (N = 10,089) were mailed a survey ≥18 months after diagnosis. Differences in patient-reported urinary continence and sexual function (EPIC-26 on scale from 0 to 100) by hospital volume group (≤60, 61-100, 101-140, >140 RPs/year) were estimated using multilevel linear regression.
resultsOverall, 7702 men (76.3%) responded. There were no statistically significant differences in urinary continence (p = 0.08) or sexual function scores with increasing volume group (p = 0.2). When modelled as a linear function, we found a non-significant increase of 0.70 (95% CI -0.41 to 1.80; p = 0.22) in urinary continence and a significant increase of 1.54 (0.62-2.45; p = 0.001) in sexual function scores for a 100-procedure increase in hospital volume, which did not meet the threshold for a minimal clinically important difference (10-12 points). The results were similar for robotic-assisted RP (5529 men [71.8%]).
conclusionsThese results do not support further centralisation of RP services beyond levels in England where four in five hospitals perform >60 RPs/year.
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