Surgical experience is predictive for bladder tumour resection quality
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Surgical experience is predictive for bladder tumour resection quality. / Bube, Sarah H.; Brix, Rasmus; Christensen, Maya B.; Thostrup, Mathias; Grimstrup, Søren; Hansen, Rikke B.; Dahl, Claus; Konge, Lars; Azawi, Nessn.
I: Scandinavian Journal of Urology, Bind 56, 2022, s. 391-396.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Surgical experience is predictive for bladder tumour resection quality
AU - Bube, Sarah H.
AU - Brix, Rasmus
AU - Christensen, Maya B.
AU - Thostrup, Mathias
AU - Grimstrup, Søren
AU - Hansen, Rikke B.
AU - Dahl, Claus
AU - Konge, Lars
AU - Azawi, Nessn
N1 - Publisher Copyright: © 2022 Acta Chirurgica Scandinavica Society.
PY - 2022
Y1 - 2022
N2 - Objectives: To assess the resection quality of transurethral bladder tumour resection (TURBT) and the association to surgeon experience depending on the presence of detrusor muscle. Methods: A retrospective study on 640 TURBT procedures performed at Zealand University Hospital, Denmark, from 1 January 2015 − 31 December 2016. Data included patient characteristics, procedure type, surgeon category, supervisor presence, surgical report data, pathological data, complications data and recurrence data. Analysis was performed using simple and multiple logistic regression on the association between surgeon experience and the presence of detrusor muscle in resected tissue from TURBT. Results: Supervised junior residents had significant lower detrusor muscle presence (73%) compared with consultants (83%) (OR = 0.4, 95% CI = 0.21–0.83). Limitations were the retrospective design and the diversity of included TURBT. Conclusions: It was found that surgical experience predicts detrusor muscle presence and supervised junior residents performing TURBT on patients resulted in less detrusor muscle than consultants.
AB - Objectives: To assess the resection quality of transurethral bladder tumour resection (TURBT) and the association to surgeon experience depending on the presence of detrusor muscle. Methods: A retrospective study on 640 TURBT procedures performed at Zealand University Hospital, Denmark, from 1 January 2015 − 31 December 2016. Data included patient characteristics, procedure type, surgeon category, supervisor presence, surgical report data, pathological data, complications data and recurrence data. Analysis was performed using simple and multiple logistic regression on the association between surgeon experience and the presence of detrusor muscle in resected tissue from TURBT. Results: Supervised junior residents had significant lower detrusor muscle presence (73%) compared with consultants (83%) (OR = 0.4, 95% CI = 0.21–0.83). Limitations were the retrospective design and the diversity of included TURBT. Conclusions: It was found that surgical experience predicts detrusor muscle presence and supervised junior residents performing TURBT on patients resulted in less detrusor muscle than consultants.
KW - classical apprenticeship
KW - Detrusor muscle
KW - transurethral resection of bladder tumours
U2 - 10.1080/21681805.2022.2119271
DO - 10.1080/21681805.2022.2119271
M3 - Journal article
C2 - 36065477
AN - SCOPUS:85137792236
VL - 56
SP - 391
EP - 396
JO - Scandinavian Journal of Urology
JF - Scandinavian Journal of Urology
SN - 2168-1805
ER -
ID: 329289158