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10.1016/j.urology.2014.11.034 http://scihub22266oqcxt.onion/10.1016/j.urology.2014.11.034 C4349385!4349385!25733265     free     free     free Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Urology 2015 ; 85 (3): 552-60 Nephropedia Template TP {{tp|p=25733265|t=2015. Morbidity of Urological Surgical Procedures: An Analysis of Rates, Risk Factors, and Outcomes |pdf=|usr=}}{{25733265}} gab.com Text Morbidity of Urological Surgical Procedures: An Analysis of Rates, Risk Factors, and Outcomes JO: Urology http://www.kidney.de/pget.php?&tw=1&pmid=25733265 #FOAvip Objectives: To quantify national complication rates, perioperative outcomes, and predictors for a broad range of urological procedures to demonstrate background rates and discuss benchmarking. Methods: Urologic procedures from NSQIP (2006?2011) were analyzed to identify 30-day rates of 21 complications, outcomes (length of stay (LOS), reoperation, death), and predictors including resident involvement for 18 specific procedures. Multivariable logistic regression models assessed predictors for any complication and for Clavien IV or V complication. Results: A total of 39,700 procedures were included with abdominopelvic operations more morbid than endoscopic, scrotal, incontinence, or prolapse procedures. Cystectomy had the highest morbidity (10.8 days LOS, 3.2% mortality) with 56% experiencing any complication followed by nephrectomy (21%), RPLND (20%), and RRP (19%). TURBT (11%) and TURP (10%) had highest rates for endoscopic procedures. Older age, ASA class, dependent functional status, AKI [OR2.70(1.89?3.87)], and ?5 units preoperative transfusion [OR4.44(3.40?5.80)] were strongest predictors of any complication. Higher ORs of similar predictors along with COPD [OR1.52(1.21?1.92)] and steroid use [OR1.51(1.07?2.14)] were associated with Clavien IV or V complication. Resident involvement increased odds of any complication [OR1.18(1.09?1.29)], mostly for abdominopelvic and urogynecologic procedures, but not Clavien IV or V complication (p=0.55). Conclusions: Complication rates of urological procedures based on the retrospective experience of few surgeons does not allow for appropriate benchmarking. Baseline rates and benchmarks derived from NSQIP may help hospitals better track deficient areas and improvements in quality of care. Many predictors were similar across procedures, although magnitudes differed, and resident trainees did not impact rates of serious complications (Clavien-Dindo grade IV or V). Twit Text FOAVip Morbidity of Urological Surgical Procedures: An Analysis of Rates, Risk Factors, and Outcomes ????Urology http://www.kidney.de/pget.php?&tw=1&pmid=25733265 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=25733265 #FOAvip English Wikipedia <ref>{{Cite pmid|25733265}}</ref> Morbidity of Urological Surgical Procedures: An Analysis of Rates, Risk Factors, and Outcomes #MMPMID25733265 Patel HD; Ball MW; Cohen JE; Kates M; Pierorazio PM; Allaf ME Urology 2015[Mar]; 85 (3): 552-60 PMID25733265show ga Objectives: To quantify national complication rates, perioperative outcomes, and predictors for a broad range of urological procedures to demonstrate background rates and discuss benchmarking. Methods: Urologic procedures from NSQIP (2006?2011) were analyzed to identify 30-day rates of 21 complications, outcomes (length of stay (LOS), reoperation, death), and predictors including resident involvement for 18 specific procedures. Multivariable logistic regression models assessed predictors for any complication and for Clavien IV or V complication. Results: A total of 39,700 procedures were included with abdominopelvic operations more morbid than endoscopic, scrotal, incontinence, or prolapse procedures. Cystectomy had the highest morbidity (10.8 days LOS, 3.2% mortality) with 56% experiencing any complication followed by nephrectomy (21%), RPLND (20%), and RRP (19%). TURBT (11%) and TURP (10%) had highest rates for endoscopic procedures. Older age, ASA class, dependent functional status, AKI [OR2.70(1.89?3.87)], and ?5 units preoperative transfusion [OR4.44(3.40?5.80)] were strongest predictors of any complication. Higher ORs of similar predictors along with COPD [OR1.52(1.21?1.92)] and steroid use [OR1.51(1.07?2.14)] were associated with Clavien IV or V complication. Resident involvement increased odds of any complication [OR1.18(1.09?1.29)], mostly for abdominopelvic and urogynecologic procedures, but not Clavien IV or V complication (p=0.55). Conclusions: Complication rates of urological procedures based on the retrospective experience of few surgeons does not allow for appropriate benchmarking. Baseline rates and benchmarks derived from NSQIP may help hospitals better track deficient areas and improvements in quality of care. Many predictors were similar across procedures, although magnitudes differed, and resident trainees did not impact rates of serious complications (Clavien-Dindo grade IV or V). äMorbidity of Urological Surgical Procedures: An Analysis of Rates, Ris(epmc).pdf DeepDyve Pubget Overpricing