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Post-prostatectomy urinary outcomes vary widely by patient and surgeon

Journal
JAMA Surgery
Reuters Health - 27/01/2021 - Patient-reported urinary outcomes three months after radical prostatectomy vary by patient and by surgeon, and a new study suggests that outcomes may be better with top-performing surgeons. Researchers examined data from the Michigan Urological Surgery Improvement Collaborative on 4,582 men who underwent radical prostatectomy for localized prostate cancer between April 2014 and July 2018. The primary endpoint was patient-reported urinary function scores (0-100 range) with a score of 74 points or higher indicating good function. Overall, mean patient-reported urinary function scores were 88.5 at baseline, 53.6 at three months, 68.0 at six months, and 73.7 at 12 months. At three months, the proportion of a surgeon's patients who reported good urinary function scores varied from 0% to 54.5%, based on surgeon-specific outcomes for 48 different surgeons. Top-performing surgeons were defined as those above the 75th percentile ba...


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