{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T16:43:56Z","timestamp":1791650636860,"version":"4.3.4"},"reference-count":27,"publisher":"Wiley","issue":"1-2","license":[{"start":{"date-parts":[[2024,10,16]],"date-time":"2024-10-16T00:00:00Z","timestamp":1729036800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>This study determined, implemented, and assessed a nurse\u2010led radical cystectomy follow\u2010up protocol.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In 2021, an evidence\u2010based risk\u2010stratified protocol (non\u2010urological cancers and benign [N\u2010UC&amp;B], low, or high risk) was developed from current guidelines, local and national expert opinion, and after formal discussion with the Urological Society of Australia and New Zealand (USANZ) Western Australia (WA) and Australia and New Zealand Urogenital and Prostate (ANZUP) Cancer Trials Group. Retrospective and prospective assessment of cystectomy follow\u2010up occurred between 2015 and 2023. Patients received \u2018surgeon\u2010led\u2019 follow\u2010up March 2015 to August 2021, and \u2018nurse\u2010led\u2019 follow\u2010up August 2021 to April 2023. Adherence to follow\u2010up, cost\u2010analysis, and healthcare efficiency calculations were performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 176 cystectomy patients, 159 (90.3%) were eligible for inclusion. Overall adherence to nurse\u2010led follow\u2010up was 78.6% compared to 43.4% in surgeon\u2010led (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). Adherence to nurse\u2010led follow\u2010up was higher in all risk categories (high\u2010risk 79.1% vs. 43%, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001; low risk 75% vs. 52.3%, <jats:italic>P<\/jats:italic>\u2009=\u20090.110; N\u2010UC&amp;B 71% vs. 30%, <jats:italic>P<\/jats:italic>\u2009=\u20090.153). Nurse\u2010led consultation saved $59.50 per consultation with overall cost savings of $179.50, $416.50, and $595 for the entire follow\u2010up period for N\u2010UC&amp;B, low, and high\u2010risk groups based on consultation alone. A total of 1072 appointments (536\u2009h, $62\u2009390.40) would have been saved if the surgeon\u2010led cohort of patients were seen in nurse\u2010led clinics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Protocol driven nurse\u2010led cystectomy follow\u2010up demonstrates excellent adherence and may be more cost\u2010effective than surgeon\u2010led follow\u2010up.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.19272","type":"journal-article","created":{"date-parts":[[2024,10,16]],"date-time":"2024-10-16T09:58:42Z","timestamp":1729072722000},"page":"128-135","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Development of a new radical cystectomy surveillance protocol and nurse\u2010led cystectomy follow\u2010up clinic in Australia"],"prefix":"10.1111","volume":"95","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5620-3822","authenticated-orcid":false,"given":"Ashley","family":"Lee","sequence":"first","affiliation":[{"name":"Urology Department South Metropolitan Health Service  Murdoch Western Australia Australia"},{"name":"Australian and New Zealand Urogenital and Prostate (ANZUP) Cancer Trials Group  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Ong","sequence":"additional","affiliation":[{"name":"Urology Department South Metropolitan Health Service  Murdoch Western Australia Australia"},{"name":"Australian and New Zealand Urogenital and Prostate (ANZUP) Cancer Trials Group  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Al\u2010Zubaidi","sequence":"additional","affiliation":[{"name":"Urology Department South Metropolitan Health Service  Murdoch Western Australia Australia"},{"name":"Australian and New Zealand Urogenital and Prostate (ANZUP) Cancer Trials Group  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracey","family":"Goodall","sequence":"additional","affiliation":[{"name":"Urology Department South Metropolitan Health Service  Murdoch Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7848-9537","authenticated-orcid":false,"given":"Cynthia","family":"Hawks","sequence":"additional","affiliation":[{"name":"Urology Department South Metropolitan Health Service  Murdoch Western Australia Australia"},{"name":"Australian and New Zealand Urogenital and Prostate (ANZUP) Cancer Trials Group  Camperdown New South Wales Australia"},{"name":"UWA Medical School University of Western Australia  Crawley Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steve P.","family":"McCombie","sequence":"additional","affiliation":[{"name":"Urology Department South Metropolitan Health Service  Murdoch Western Australia Australia"},{"name":"Australian and New Zealand Urogenital and Prostate (ANZUP) Cancer Trials Group  Camperdown New South Wales Australia"},{"name":"UWA Medical School University of Western Australia  Crawley Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4094-401X","authenticated-orcid":false,"given":"Dickon","family":"Hayne","sequence":"additional","affiliation":[{"name":"Urology Department South Metropolitan Health Service  Murdoch Western Australia Australia"},{"name":"Australian and New Zealand Urogenital and Prostate (ANZUP) Cancer Trials Group  Camperdown New South Wales Australia"},{"name":"UWA Medical School University of Western Australia  Crawley Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,10,16]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Australian Institute of Health and Welfare.Cancer data in Australia.2023. 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