Key result
A review of the structures, processes, and outcomes determining the quality of care for radical prostatectomy highlights the importance of hospital/surgeon volume and quality of life measurement tools.
This review outlines the structural, process, and outcome determinants that affect the quality of care for patients undergoing radical prostatectomy.
May guide referrals to high-volume centers; leaves open prospective validation of QoL tools in quality metrics.
Postoperative morbidity and mortality is low following radical prostatectomy (RP), though not inconsequential. Due to the natural history of the disease process, the implications of treatment on long-term oncologic control and functional outcomes are of increased significance. Structures, processes and outcomes are the three main determinants of quality of RP care and provide the framework for this review. Structures affecting quality of care include hospital and surgeon volume, hospital teaching status and patient insurance type. Process determinants of RP care have been poorly studied, by and large, but there is a developing trend toward the performance of randomized trials to assess the merits of evolving RP techniques. Finally, the direct study of RP outcomes has been particularly controversial and includes the development of quality of life measurement tools, combined outcomes measures, and the use of utilities to measure operative success based on individual patient priority.
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Trinh et al. (2012) conducted a review in Prostate cancer requiring radical prostatectomy. Radical prostatectomy was evaluated. A review of the structures, processes, and outcomes determining the quality of care for radical prostatectomy highlights the importance of hospital/surgeon volume and quality of life measurement tools.
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