{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T22:47:39Z","timestamp":1788562059923,"version":"build-2803163510"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess whether improvements in transurethral resection of bladder tumour (TURBT) quality achieved during the RESECT international study (ClinicalTrials.gov identifier: NCT05154084) were sustained over time following completion of the programme at our institution and to investigate their effect on disease recurrence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>We conducted a prospective, observational monocentric cohort study at a tertiary university hospital. A total of 128 consecutive patients undergoing TURBT between March 2023 and June 2025 and meeting RESECT eligibility criteria were analysed. Four pre\u2010defined surgical quality indicators\u2014detrusor muscle sampling, completeness of resection, accuracy of operative documentation, and administration of single immediate intravesical chemotherapy (SI\u2010IVC)\u2014were compared across three institutional phases: pre\u2010audit, prospective audit and post\u2010audit RESECT periods. Recurrence\u2010free survival (RFS) at follow\u2010up was evaluated by cystoscopy and histological confirmation with TURBT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Detrusor muscle presence improved from 61.9% in the pre\u2010audit phase to 70.7% during the prospective audit and 85.9% post\u2010audit (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001). Completeness of resection documentation increased from 88.4% to 96.3% and 97.6%, respectively (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001), while documentation accuracy remained high across all phases (93.2%, 96.3%, and 96.1%). SI\u2010IVC use rose from 0% in the first two phases to 25% after audit closure. Despite these improvements, RFS did not differ significantly between phases.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Participation in a service\u2010wide audit and feedback programme resulted in sustained improvements in TURBT surgical quality indicators after programme completion. This did not yield a detectable reduction in recurrence, highlighting the multifactorial nature of oncological outcomes in non\u2010muscle\u2010invasive bladder cancer. Further studies are required to identify which quality metrics most strongly influence long\u2010term prognosis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.70266","type":"journal-article","created":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T12:39:31Z","timestamp":1775047171000},"page":"92-99","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Impact of audit and feedback on transurethral resection of bladder tumour quality: a monocentric post\u2010completion evaluation of the\n                    <scp>RESECT<\/scp>\n                    trial"],"prefix":"10.1111","volume":"138","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8376-5380","authenticated-orcid":false,"given":"Luca","family":"Orecchia","sequence":"first","affiliation":[{"name":"Urology Unit Fondazione Policlinico Tor Vergata  Rome Italy"},{"name":"Department of Surgical Sciences University of Rome Tor Vergata  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Gerardi","sequence":"additional","affiliation":[{"name":"Urology Unit Fondazione Policlinico Tor Vergata  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8703-5975","authenticated-orcid":false,"given":"Gaia","family":"Colalillo","sequence":"additional","affiliation":[{"name":"Urology Unit Fondazione Policlinico Tor Vergata  Rome Italy"},{"name":"Urology Department Policlinico San Marco Hospital  Bergamo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federico De","family":"Leonardis","sequence":"additional","affiliation":[{"name":"Urology Unit Fondazione Policlinico Tor Vergata  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleonora","family":"Rosato","sequence":"additional","affiliation":[{"name":"Urology Unit Fondazione Policlinico Tor Vergata  Rome 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