Evaluating the Quality of Primary Transurethral Resection of Bladder Tumor: A Nine-Year Review at a Tertiary Healthcare Center.

Autor:	Khattak MA; Urology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, GBR., Bangash M; Urology, Aga Khan University Hospital, Karachi, PAK., Aziz W; Urology, Aga Khan University Hospital, Karachi, PAK., Ghaffar S; Emergency Medicine, Aga Khan University Hospital, Karachi, PAK., Asghar A; Family Medicine, Aga Khan University Hospital, Karachi, PAK., Iqbal Y; Acute and General Medicine, Queen Elizabeth Hospital Birmingham, Birmingham, GBR., Abdulrasheed H; Urology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, GBR., Khan AN; Internal Medicine, Ayub Medical College, Abbottabad, PAK., Khan AA; Cardiology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, GBR.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Aug 29; Vol. 16 (8), pp. e68143. Date of Electronic Publication: 2024 Aug 29 (Print Publication: 2024).
DOI:	10.7759/cureus.68143
Abstrakt:	Objective: This study aimed to assess the quality of primary transurethral resection of bladder tumor (TURBT) procedures performed at Aga Khan University Hospital (AKUH) over nine years, focusing on proper documentation, completeness of tumor resection, quality of histopathology reports, complication rates, and adherence to European Association of Urology (EAU) guidelines. Materials and Methods: A retrospective analysis of patients aged 25-75 who underwent primary TURBT at AKUH between 2010 and 2019 was done. Patients with incomplete records, concomitant procedures, or those who underwent emergency TURBT were excluded. Data was collected on patient demographics, clinical presentation, intraoperative details, and histopathology reports. Statistical analysis was performed using SPSS Version 27.0. Results: 300 patients were initially identified, with 265 meeting the inclusion criteria. The mean age was 61.5 years, with 83% being male. Complete tumor resection was achieved in 35% (n=92) of cases, while deep biopsy was taken in 85% (n=226). Detrusor muscle (DM), a marker of resection quality, was noted in 75% (n=200) of histopathology reports. However, documentation quality varied, with 54% (n=143) of cases lacking clear information on resection completeness. The administration of a single instillation of a chemotherapeutic agent (SICA) was recorded in 79% (n=210) of patients, and the 30-day postoperative complication rate was monitored. Conclusion: The study highlights areas for improvement in the quality of TURBT procedures at AKUH, particularly in the documentation of resection completeness and adherence to established guidelines. Ensuring thorough resection and proper documentation is critical to optimizing patient outcomes and future management plans. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Khattak et al.)
Databáze:	MEDLINE
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