Incidence of incontinence after radical prostatectomy using claims-based data

To determine the effect of radical prostatectomy (RP) hospital volume on the probability of post-RP incontinence. Retrospective research based on claims-based data of health insurers. For every patient with RP the probability of incontinence was determined, based on the definition of claims of one o...

Full description

Saved in:
Bibliographic Details
Published inNederlands tijdschrift voor geneeskunde Vol. 162; p. D2294
Main Authors Schepens, M H J, Ziedses des Plantes, C M P, Somford, D M, van Erkelens, J A, Cremers, R G, de Vries, S, Aben, K K H, Hoekstra, R, Stienen, J J C, Wijsman, B P, Busstra, M B, van Limbeek, J
Format Journal Article
LanguageDutch
Published Netherlands 2018
Subjects
Aged
Humans
Incidence
Incontinence Pads - economics
Incontinence Pads - statistics & numerical data
Insurance Claim Review - statistics & numerical data
Male
Middle Aged
Netherlands - epidemiology
Prostatectomy - adverse effects
Prostatectomy - methods
Prostatic Neoplasms - surgery
Retrospective Studies
Urinary Incontinence - economics
Urinary Incontinence - epidemiology
Urinary Incontinence - etiology
Online AccessGet more information

Cover

More Information
Summary:To determine the effect of radical prostatectomy (RP) hospital volume on the probability of post-RP incontinence. Retrospective research based on claims-based data of health insurers. For every patient with RP the probability of incontinence was determined, based on the definition of claims of one or more incontinence pads per day. Casemix corrections were made based on indicators available in claims-data: age, lymph node dissection, and radiotherapy. No casemix corrections could be made for tumour stage and surgical technique. A total of 1590 patients were included in this study; for 26.0% of these patients, an average of one or more incontinence pads per day were claimed for. A significant relation between the volume of RP per hospital and the claims of incontinence material was observed. The probability of incontinence was significantly lower in hospitals with a volume of more than 100 RP patients per year when compared to hospitals with less than 100 RP patients per year. The probability of post-RP incontinence decreases as hospitals conduct more RP procedures. The casemix factors included in the analysis only had a limited impact on this observation.
ISSN:0028-2162
1876-8784