A comprehensive systematic review of publications was performed using online databases. Quality of reporting and grading complications were assessed according to EAU recommendations.
They identified 1093 RPN publications including 114 case series and 155 comparitive studies. 208 (77%) were published after 2012. The majority of papers (86%) reported complications as outcomes of interest. Over time there was an improvement in outcome reporting in terms of mortality and its causes (11% versus 24%, p=0.05), definitions of complications (33% versus 52%, p<0.001), severity complication grade (42% versus 92%, p<0.001), and risk factors (23% versus 46%, p<0.001). The study results do not indicate prevalence of specific reporting methods (e.g. Clavien-Dindo, EAU, etc.).
In conclusion, the authors suppose that EAU recommendations on complication reporting may have had a positive impact on outcome measurement and reporting after RPN. Reporting of intraoperative outcomes is still lacking and warrants attention. Discussions from the audience included proposals for journals to require standardized reporting in publications.
Presented by: Giovanni E. Cacciamani, MD, Assistant Professor of Research Urology Keck School of Medicine of USC, Los Angeles, CA
Authors: Luis Medina, Tania Gill, Alessandro Tafuri, Willy Baccaglini, Felipe glina, Vanessa Blasic, Matthew Winter, Akbar Ashrafi, Andre De Castro Abreu, Rene Sotelo, Inderbir Gill, Los Angeles, CA, Walter Artibani, Verona, Italy
Written by: Selma Masic, MD, Urologic Oncology Fellow (SUO), Fox Chase Cancer Center, @selmasic at the American Urological Association's 2019 Annual Meeting (AUA 2019), May 3 – 6, 2019 in Chicago, Illinois