Key result
Higher radical prostatectomy volume is linked to ~88% lower 30-day mortality.
Why the study?
Does surgical volume, age, and comorbidity affect 30-day mortality after radical prostatectomy?
Population
9,208 consecutive patients treated with radical prostatectomy between 1989 and 2000
Design
Cohort
Follow-up
30 days
Authors
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Higher SV (>27 cases), younger age and low comorbidity were associated with lower 30-day mortality; leaves open optimal thresholds for referral or selection.
Observational (n=9,208)
Does surgical volume, age, and comorbidity affect 30-day mortality after radical prostatectomy?
Absolute Event Rate: 0.07% vs 0.6%
p-value: p=0.049
Higher surgical volume, younger age, and fewer comorbidities independently predict lower 30-day mortality after radical prostatectomy.
Walz et al. (2008) conducted an observational in Prostate cancer undergoing radical prostatectomy (n=9,208). Higher surgical volume (>27 RPs) vs. Lower surgical volume was evaluated on 30-day mortality (p=0.049). Higher surgical volume (>27 radical prostatectomies) was associated with significantly lower 30-day mortality compared to lower volume (0.07% vs 0.6%; P=0.049).
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