{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T16:08:20Z","timestamp":1783613300792,"version":"3.55.0"},"reference-count":11,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,2,26]],"date-time":"2018-02-26T00:00:00Z","timestamp":1519603200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2018,6]]},"abstract":"\n Objectives<\/jats:title>\n \n To describe contemporary radical prostatectomy (\n RP<\/jats:styled-content>\n ) practice using the British Association of Urological Surgeons (\n BAUS<\/jats:styled-content>\n ) data and audit project and to observe differences in practice in relation to surgeon or centre case\u2010volume.\n <\/jats:p>\n <\/jats:sec>\n \n Patients and Methods<\/jats:title>\n \n Data on 13 920\n RP<\/jats:styled-content>\n procedures performed by 179 surgeons across 86 centres were recorded on the\n BAUS<\/jats:styled-content>\n data and audit platform between 1 January 2014 and 31 December 2015. This equates to ~95% of total\n RP<\/jats:styled-content>\n s performed over this period when compared to Hospital Episode Statistics (\n HES<\/jats:styled-content>\n ) data. Centre case\u2010volumes were categorised as \u2018high\u2019 (>200), \u2018medium\u2019 (100\u2013200) and \u2018low\u2019 (<100); surgeon case\u2010volumes were categorised as \u2018high\u2019 (>100) and \u2018low\u2019 (<100). Differences in surgical practice and selected outcome measures were observed between groups. All data and volume categories were for the combined 2\u2010year period.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The median number of\n RP<\/jats:styled-content>\n s performed over the 2\u2010year period was 63.5 per surgeon and 164 per centre. Overall, surgical approach was robot\u2010assisted laparoscopic\n RP<\/jats:styled-content>\n (\n RALP<\/jats:styled-content>\n ) in 65%, laparoscopic\n RP<\/jats:styled-content>\n (\n LRP<\/jats:styled-content>\n ) in 23%, and open\n RP<\/jats:styled-content>\n (\n ORP<\/jats:styled-content>\n ) in 12%. The dominant approach in high\u2010case\u2010volume centres and by high\u2010case\u2010volume surgeons was\n RALP<\/jats:styled-content>\n (74.3% and 69.2%, respectively). There was a greater percentage of\n ORP<\/jats:styled-content>\n s reported by low\u2010volume surgeons and centres when compared to higher volume equivalents. In all, 51.6% of all patients in this series underwent\n RP<\/jats:styled-content>\n in high\u2010case\u2010volume centres using robot\u2010assisted surgery (\n RAS<\/jats:styled-content>\n ). High\u2010case\u2010volume surgeons performed nerve\u2010sparing (\n NS<\/jats:styled-content>\n ) procedures on 57.3% of their cases; low\u2010volume surgeons performing\n NS<\/jats:styled-content>\n on 48.2%. Overall, lymph node dissection (\n LND<\/jats:styled-content>\n ) rates were very similar across the groups. An \u2018extended\u2019\n LND<\/jats:styled-content>\n was more commonly performed in high\u2010volume centres (22.1%). The median length of stay (\n LOS<\/jats:styled-content>\n ) was lowest in patients undergoing\n RALP<\/jats:styled-content>\n at high\u2010volume centres (1 day) and highest in\n ORP<\/jats:styled-content>\n across all volume categories (3\u20134 days). Reported\n pT<\/jats:styled-content>\n 2 positive surgical margin (\n PSM<\/jats:styled-content>\n ) rate varied by technique, centre volume, and surgeon volume. In general, observed\n PSM<\/jats:styled-content>\n rates were lower when\n RALP<\/jats:styled-content>\n was the surgical approach (14.4%) and when high\u2010volume surgeons were compared to low\u2010volume surgeons (13.6% vs 17.7%). Transfusion rates were highest in\n ORP<\/jats:styled-content>\n across all centres and surgeons (2.96\u20134.49%) compared to techniques using a minimally\u2010invasive approach (0.25\u20132.41%). Training cases ranged from 0.5% in low\u2010volume centres to 6.0% in high\u2010volume centres.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n Compliance with data registration for centres and surgeons performing\n RP<\/jats:styled-content>\n is high in the present series. Most\n RP<\/jats:styled-content>\n s were performed in high\u2010case\u2010volume centres and by high\u2010case\u2010volume surgeons, with the most common approaches being minimally invasive and specifically\n RAS<\/jats:styled-content>\n . High\u2010case\u2010volume centres and surgeons reported higher rates of extended\n LND<\/jats:styled-content>\n and training cases. Higher\u2010case\u2010volume surgeons reported lower\n pT<\/jats:styled-content>\n 2\n PSM<\/jats:styled-content>\n rates, whilst the most marked differences in transfusion rates and\n LOS<\/jats:styled-content>\n were seen when\n ORP<\/jats:styled-content>\n was compared to minimally invasive approaches. Caution must be applied when interpreting these differences on the basis of this being registry data \u2013 causality cannot be assumed.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/bju.14156","type":"journal-article","created":{"date-parts":[[2018,2,1]],"date-time":"2018-02-01T00:26:40Z","timestamp":1517444800000},"page":"886-892","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":34,"title":["The British Association of Urological Surgeons (\n BAUS<\/scp>\n ) radical prostatectomy audit 2014\/2015 \u2013 an update on current practice and outcomes by centre and surgeon case\u2010volume"],"prefix":"10.1111","volume":"121","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1836-8992","authenticated-orcid":false,"given":"Sinan","family":"Khadhouri","sequence":"first","affiliation":[{"name":"Exeter Surgical Health Services Research Unit Royal Devon and Exeter NHS Foundation Trust Exeter UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Miller","sequence":"additional","affiliation":[{"name":"Exeter Surgical Health Services Research Unit Royal Devon and Exeter NHS Foundation Trust Exeter UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Fowler","sequence":"additional","affiliation":[{"name":"British Association of Urological Surgeons Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luke","family":"Hounsome","sequence":"additional","affiliation":[{"name":"Public Health England London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan","family":"McNeill","sequence":"additional","affiliation":[{"name":"Western General Hospital NHS Lothian Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jim","family":"Adshead","sequence":"additional","affiliation":[{"name":"Lister Hospital Stevenage Hertfordshire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John S.","family":"McGrath","sequence":"additional","affiliation":[{"name":"University of Exeter Medical School Exeter Devon UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the BAUS Section of Oncology","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,2,26]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Healthcare Quality Improvement Partnership Ltd.Consultant Outcomes Publication [Online]. Available at:http:\/\/www.hqip.org.uk\/national-programmes\/clinical-outcomes-publication\/. Accessed July 2016"},{"key":"e_1_2_6_3_1","unstructured":"NHS England.My NHS [Online]. Available at:https:\/\/www.nhs.uk\/Service-Search\/performance\/search. Accessed July 2016"},{"key":"e_1_2_6_4_1","unstructured":"British Association of Urological Surgeons.Radical prostatectomy outcomes data 2014[Online]. Available at:http:\/\/www.baus.org.uk\/patients\/surgical_outcomes\/radical_prostatectomy\/. Accessed July 2016"},{"key":"e_1_2_6_5_1","unstructured":"The National Institute for Health and Care Excellence (NICE).Prostate cancer: diagnosis and management. NICE guidelines [CG175] 2014. [Online]. Available at:https:\/\/www.nice.org.uk\/guidance\/cg175. Accessed July 2016"},{"key":"e_1_2_6_6_1","unstructured":"National Institute for Clinical Excellence (NICE).Improving Outcomes in Urological Cancers. Cancer service guideline [CSG2] September 2002. [Online]. Available at:https:\/\/www.nice.org.uk\/guidance\/csg2. Accessed July 2016"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2012.02.029"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.12070"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2009.01.036"},{"key":"e_1_2_6_10_1","first-page":"191","article-title":"Learning curve for robotic assisted laparoscopic prostatectomy: a multi\u2010institutional study of 3794 patients","volume":"63","author":"Sooriakumaran P","year":"2011","journal-title":"Minerva Urol Nefrol"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.3310\/hta16410"},{"key":"e_1_2_6_12_1","unstructured":"MottetN BellmuntJ BriersEet al.EAU \u2013 ESTRO \u2013 ESUR \u2013 SIOG Guidelines on Prostate Cancer. Edn. presented at the EAU Annual Congress London 2017. ISBN 978\u201090\u201079754\u201091\u20105. Arnhem the Netherlands: EAU Guidelines Office"}],"container-title":["BJU International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fbju.14156","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bju.14156","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T15:19:25Z","timestamp":1761751165000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/10.1111\/bju.14156"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2,26]]},"references-count":11,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2018,6]]}},"alternative-id":["10.1111\/bju.14156"],"URL":"https:\/\/doi.org\/10.1111\/bju.14156","archive":["Portico"],"relation":{},"ISSN":["1464-4096","1464-410X"],"issn-type":[{"value":"1464-4096","type":"print"},{"value":"1464-410X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,2,26]]},"assertion":[{"value":"2018-02-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}