Evaluating the Quality of Primary Transurethral Resection of Bladder Tumor: A Nine-Year Review at a Tertiary Healthcare Center
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, an...
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Published in | Curēus (Palo Alto, CA) Vol. 16; no. 8; p. e68143 |
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Main Authors | , , , , , , , , |
Format | Journal Article |
Language | English |
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Cureus Inc
29.08.2024
Cureus |
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Abstract | 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.
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.
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.
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. |
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AbstractList | 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.
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.
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.
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. 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. 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. 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.OBJECTIVEThis 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.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.MATERIALS AND METHODSA 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 27.0.300 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.RESULTS300 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.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.CONCLUSIONThe 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. |
Author | Bangash, Muhibullah Khattak, Muhammad Ali Aziz, Wajahat Khan, Asad Ali Abdulrasheed, Habeeb Ghaffar, Sara Khan, Awais Nawaz Asghar, Ayesha Iqbal, Yasir |
AuthorAffiliation | 7 Cardiology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, GBR 4 Family Medicine, Aga Khan University Hospital, Karachi, PAK 3 Emergency Medicine, Aga Khan University Hospital, Karachi, PAK 6 Internal Medicine, Ayub Medical College, Abbottabad, PAK 2 Urology, Aga Khan University Hospital, Karachi, PAK 5 Acute and General Medicine, Queen Elizabeth Hospital Birmingham, Birmingham, GBR 1 Urology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, GBR |
AuthorAffiliation_xml | – name: 4 Family Medicine, Aga Khan University Hospital, Karachi, PAK – name: 1 Urology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, GBR – name: 3 Emergency Medicine, Aga Khan University Hospital, Karachi, PAK – name: 5 Acute and General Medicine, Queen Elizabeth Hospital Birmingham, Birmingham, GBR – name: 6 Internal Medicine, Ayub Medical College, Abbottabad, PAK – name: 7 Cardiology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, GBR – name: 2 Urology, Aga Khan University Hospital, Karachi, PAK |
Author_xml | – sequence: 1 givenname: Muhammad Ali surname: Khattak fullname: Khattak, Muhammad Ali organization: Urology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, GBR – sequence: 2 givenname: Muhibullah surname: Bangash fullname: Bangash, Muhibullah organization: Urology, Aga Khan University Hospital, Karachi, PAK – sequence: 3 givenname: Wajahat surname: Aziz fullname: Aziz, Wajahat organization: Urology, Aga Khan University Hospital, Karachi, PAK – sequence: 4 givenname: Sara surname: Ghaffar fullname: Ghaffar, Sara organization: Emergency Medicine, Aga Khan University Hospital, Karachi, PAK – sequence: 5 givenname: Ayesha surname: Asghar fullname: Asghar, Ayesha organization: Family Medicine, Aga Khan University Hospital, Karachi, PAK – sequence: 6 givenname: Yasir surname: Iqbal fullname: Iqbal, Yasir organization: Acute and General Medicine, Queen Elizabeth Hospital Birmingham, Birmingham, GBR – sequence: 7 givenname: Habeeb surname: Abdulrasheed fullname: Abdulrasheed, Habeeb organization: Urology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, GBR – sequence: 8 givenname: Awais Nawaz surname: Khan fullname: Khan, Awais Nawaz organization: Internal Medicine, Ayub Medical College, Abbottabad, PAK – sequence: 9 givenname: Asad Ali surname: Khan fullname: Khan, Asad Ali organization: Cardiology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, GBR |
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Keywords | single instillation of chemotherapeutic agent transurethral resection of bladder tumor european association of urology detrusor muscle body mass index length of stay aga khan university hospital |
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SubjectTerms | Arthritis Asthma Biopsy Bladder cancer Body mass index Cardiovascular disease Chemotherapy Chronic obstructive pulmonary disease Demographics Diabetes Epilepsy Histopathology Hospitals Hypertension Hypothyroidism Ischemia Kidney diseases Length of stay Medical prognosis Metabolic disorders Morbidity Parkinson's disease Patients Schizophrenia Surgery Tumors Urology |
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Title | Evaluating the Quality of Primary Transurethral Resection of Bladder Tumor: A Nine-Year Review at a Tertiary Healthcare Center |
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