Variations in the quality of care at radical prostatectomy
| Autor: | Quoc-Dien Trinh, Jesse Sammon, Jay Jhaveri, Maxine Sun, Khurshid R. Ghani, Jan Schmitges, Wooju Jeong, James O. Peabody, Pierre I. Karakiewicz, Mani Menon |
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| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: | |
| Zdroj: | Therapeutic Advances in Urology, Vol 4 (2012) |
| Druh dokumentu: | article |
| ISSN: | 1756-2872 1756-2880 17562872 |
| DOI: | 10.1177/1756287211433187 |
| Popis: | 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. |
| Databáze: | Directory of Open Access Journals |
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