{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T14:41:56Z","timestamp":1780324916669,"version":"3.54.1"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,10,25]],"date-time":"2023-10-25T00:00:00Z","timestamp":1698192000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To describe the contemporary evolution of day\u2010case bladder outflow obstruction (BOO) surgery in England and to profile day\u2010case BOO surgery practices across England in terms of the types of operation performed and their safety profiles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>This was a retrospective observational analysis of Hospital Episode Statistics and UK Office for National Statistics data. All 111\u2009043 recorded operations across 117 hospital trusts over 66\u2009months, from 1 January 2017 to 30 June 2022, were obtained. Operations were identified as one of: transurethral resection of prostate (TURP); laser ablation or enucleation; vapour therapy; prostatic urethral lift (PUL); or bladder neck incision. Monthly day\u2010case rate trends were plotted across the study period. Descriptive data, day\u2010case rates and 30\u2010day hospital readmissions were analysed for each operation type. Multilevel regression modelling with mixed effects was performed to determine whether day\u2010case surgery was associated with higher 30\u2010day hospital readmissions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Day\u2010case patients were younger, with fewer comorbidities. Time series analysis showed a linear day\u2010case rate increase from 8.3% (January 2017) to 21.0% (June 2022). Day\u2010case rates improved for 92\/117 trusts in 2021\/2022 compared with 2017. Three of the six trusts with the highest day\u2010case rates performed predominantly day\u2010case TURP, and the other three laser surgery. Nationally, PUL and vapour surgery had the highest day\u2010case rates (80.9% and 38.1%). Most inpatient operations were TURP. Multilevel regression modelling found reduced odds of 30\u2010day readmission after day\u2010case BOO surgery (all operations pooled), no difference for day\u2010case vs inpatient TURP, and reduced odds following day\u2010case LASER operations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The day\u2010case rates for BOO surgery have linearly increased. Minimally invasive surgical technologies are commonly performed as day cases, whereas high day\u2010case rates for TURP and for laser ablation operations are seen in a minority of hospitals. Day\u2010case pathways to treat BOO can be safely developed irrespective of operative modality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.16202","type":"journal-article","created":{"date-parts":[[2023,10,13]],"date-time":"2023-10-13T01:19:50Z","timestamp":1697159990000},"page":"96-103","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Trends in day\u2010case bladder outflow obstruction surgery: a study using Hospital Episode Statistics"],"prefix":"10.1111","volume":"133","author":[{"given":"Joseph B.","family":"John","sequence":"first","affiliation":[{"name":"Getting It Right First Time Programme NHS England  London UK"},{"name":"Department of Urology Royal Devon University Healthcare NHS Foundation Trust  Exeter UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9597-5446","authenticated-orcid":false,"given":"William K.","family":"Gray","sequence":"additional","affiliation":[{"name":"Getting It Right First Time Programme NHS England  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kieran","family":"O'Flynn","sequence":"additional","affiliation":[{"name":"Getting It Right First Time Programme NHS England  London UK"},{"name":"Department of Urology Salford Royal, Northern Care Alliance NHS Foundation Trust  Salford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim W.R.","family":"Briggs","sequence":"additional","affiliation":[{"name":"Getting It Right First Time Programme NHS England  London UK"},{"name":"Department of Surgery Royal National Orthopaedic Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9416-9912","authenticated-orcid":false,"given":"John S.","family":"McGrath","sequence":"additional","affiliation":[{"name":"Getting It Right First Time Programme NHS England  London UK"},{"name":"Department of Urology Royal Devon University Healthcare NHS Foundation Trust  Exeter UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,10,25]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"NHS.GIRFT HVLC Pathway Metrics [Internet]. Model Health Website.2023[cited 2023 Mar 21]. Available at:https:\/\/model.nhs.uk\/compartments\/2d592cda\u2010322d\u20104a4e\u20108328\u2010d66e9555d464\/subcompartments\/bbbbc725\u20108aa9\u20104185\u2010ab32\u2010cbc55b3f2985"},{"key":"e_1_2_10_3_1","first-page":"1440","article-title":"Elective surgery cancellations due to the COVID\u201019 pandemic: global predictive modelling to inform surgical recovery plans","volume":"107","author":"Collaborative C","year":"2020","journal-title":"BJS"},{"key":"e_1_2_10_4_1","unstructured":"GIRFT Urology.Urology: the path to recovery. 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Available at:https:\/\/gettingitrightfirsttime.co.uk\/wp\u2010content\/uploads\/2021\/12\/Urology_2021\u201012\u201010_Guidance_Bladder\u2010outlet\u2010obstruction.pdf"},{"key":"e_1_2_10_13_1","unstructured":"GIRFT.Model hospital [Internet]. Model health website.2022[cited 2022 May 21]. Available at:https:\/\/model.nhs.uk\/home"},{"key":"e_1_2_10_14_1","unstructured":"NHS Digital.Hospital episode statistics (HES) analysis guide. NHS Digit website.2019;(December):1\u201324."},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(94)90129-5"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.15610"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/2051415819874562"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1308\/rcsbull.2020.152"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euros.2023.03.007"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/postgradmedj-2020-138564"},{"key":"e_1_2_10_21_1","unstructured":"O'FlynnK McGrathJS.A framework for re\u2010establishing and developing urology services in the COVID\u201019 era [internet]. GIRFT website.2020. p. 1\u201334 [cited 2023 Feb 1]. 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