Abstract：
PURPOSE:To explore whether patients undergoing radical prostatectomy at a German Cancer Society (DKG: Deutsche Krebsgesellschaft) certified center (CC) have superior functional and surgical outcomes compared to patients undergoing radical prostatectomy at a non-certified hospital (nCC). METHODS:A retrospective cohort of 22,649 patients treated between 2008 and 2017 and subsequently recovered at two rehabilitation clinics within 35 days of surgery were analyzed. Urine loss (24 h-pad-test), margin status, and nerve-sparing status at rehab admission were compared between CC and nCC patients, adjusting for age, histopathology (pT, pN, Gleason score), metastases (cM), Karnofsky performance status, time from surgery to rehabilitation, and insurance provider (statutory vs. private). RESULTS:Thirty-four percent of patients underwent surgery at a CC. Complete continence is more pronounced in patients treated in CC (16.6% vs. 24.4%, p < 0.001). In the adjusted models, incontinent patients from CC had less urine loss compared to patients from nCC (- 27.41% difference; 95% CI - 31.71% to - 22.84%, p < 0.001). CC patients were less likely to have positive resection margins (adjusted OR 0.71; 95% CI 0.66 to 0.76, p < 0.001) and more likely to have had a nerve-sparing procedure (adjusted OR 1.29; 95% CI 1.21 to 1.38, p < 0.001). CONCLUSION:Patients treated at certified centers presented to rehab with better urinary continence, higher nerve-sparing rates, and lower positive-margin rates. These results imply superior care at DKG certified centers.
journal_name
World J Uroljournal_title
World journal of urologyauthors
Butea-Bocu MC,Müller G,Pucheril D,Kröger E,Otto Udoi
10.1007/s00345-020-03411-9subject
Has Abstractpub_date
2020-08-26 00:00:00eissn
0724-4983issn
1433-8726pii
10.1007/s00345-020-03411-9pub_type
杂志文章abstract：PURPOSE:To evaluate the opinion of urologists and their audience regarding patient safety and educational value of live surgical demonstrations (LSD) and semi-live surgical demonstrations (semi-LSD). METHODS:Following the '2017 Challenges in Endourology' meeting, a survey addressing patient safety and the educational ...
journal_title：World journal of urology
pub_type： 杂志文章
doi：10.1007/s00345-018-2291-x
更新日期：2018-10-01 00:00:00
abstract：PURPOSE:To investigate the association between overactive bladder (OAB) and coronary artery disease (CAD) as demonstrated on coronary angiography in patients > 65 years. METHODS:The patients who were > 65 years completed an OAB-V8 form before undergoing coronary angiography at a tertiary care hospital. The presence of...
journal_title：World journal of urology
pub_type： 杂志文章
doi：10.1007/s00345-017-2098-1
更新日期：2018-01-01 00:00:00
abstract：OBJECTIVES:We reviewed our patients with pathologic T3b renal cell carcinoma (RCC) to determine which factors influenced survival in this high risk patient group. METHODS:From April 1988 to August 2006, 722 patients underwent nephrectomy for RCC at Vanderbilt University. 128 patients (17%) had T3b disease by 2002 AJCC...
journal_title：World journal of urology
pub_type： 杂志文章
doi：10.1007/s00345-008-0358-9
更新日期：2009-02-01 00:00:00
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journal_title：World journal of urology
pub_type： 杂志文章
doi：10.1007/s00345-015-1563-y
更新日期：2016-01-01 00:00:00
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journal_title：World journal of urology
pub_type： 杂志文章
doi：10.1007/s00345-019-02856-x
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journal_title：World journal of urology
pub_type： 杂志文章
doi：10.1007/s00345-018-2483-4
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journal_title：World journal of urology
pub_type： 杂志文章
doi：10.1007/s00345-019-02635-8
更新日期：2019-04-01 00:00:00
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journal_title：World journal of urology
pub_type： 杂志文章
doi：10.1007/s00345-009-0373-5
更新日期：2009-08-01 00:00:00
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journal_title：World journal of urology
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journal_title：World journal of urology
pub_type： 杂志文章,多中心研究
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更新日期：2011-08-01 00:00:00
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journal_title：World journal of urology
pub_type： 杂志文章
doi：10.1007/s00345-015-1653-x
更新日期：2016-05-01 00:00:00
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journal_title：World journal of urology
pub_type： 杂志文章,meta分析
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更新日期：2018-08-01 00:00:00
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journal_title：World journal of urology
pub_type： 杂志文章
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更新日期：2019-07-01 00:00:00
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journal_title：World journal of urology
pub_type： 杂志文章
doi：10.1007/s00345-019-02867-8
更新日期：2020-12-01 00:00:00
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journal_title：World journal of urology
pub_type： 杂志文章
doi：10.1007/s00345-012-0911-4
更新日期：2013-08-01 00:00:00
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journal_title：World journal of urology
pub_type： 杂志文章,meta分析
doi：10.1007/s00345-019-02738-2
更新日期：2020-01-01 00:00:00
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journal_title：World journal of urology
pub_type： 杂志文章
doi：10.1007/s00345-017-2079-4
更新日期：2017-12-01 00:00:00
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journal_title：World journal of urology
pub_type： 杂志文章
doi：10.1007/s00345-017-2032-6
更新日期：2017-10-01 00:00:00
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journal_title：World journal of urology
pub_type： 杂志文章
doi：10.1007/s00345-016-1807-5
更新日期：2016-11-01 00:00:00
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journal_title：World journal of urology
pub_type： 杂志文章
doi：10.1007/s00345-018-2303-x
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journal_title：World journal of urology
pub_type： 杂志文章,评审
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更新日期：2004-11-01 00:00:00
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journal_title：World journal of urology
pub_type： 杂志文章,评审
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更新日期：2000-02-01 00:00:00
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journal_title：World journal of urology
pub_type： 杂志文章
doi：10.1007/s00345-003-0390-8
更新日期：2004-06-01 00:00:00
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journal_title：World journal of urology
pub_type： 杂志文章
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journal_title：World journal of urology
pub_type： 杂志文章
doi：10.1007/s003459900100
更新日期：2000-06-01 00:00:00
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journal_title：World journal of urology
pub_type： 杂志文章,评审
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更新日期：2019-03-01 00:00:00
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journal_title：World journal of urology
pub_type： 杂志文章,meta分析
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更新日期：2015-07-01 00:00:00
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journal_title：World journal of urology
pub_type： 杂志文章
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更新日期：2018-03-01 00:00:00
abstract：:Renal cystic disease, ranging from simple cysts to autosomal dominant polycystic kidney disease (ADPKD), can lead to significant complications such as pain, hypertension, infection, upper urinary tract obstruction, and even renal failure. For patients with preserved renal function, laparoscopic ablation of renal cysts...
journal_title：World journal of urology
pub_type： 杂志文章,评审
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更新日期：2000-09-01 00:00:00
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journal_title：World journal of urology
pub_type： 杂志文章
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更新日期：2012-12-01 00:00:00
