TY - JOUR
T1 - Impact of the Implementation of the EAU Guidelines Recommendation on Reporting and Grading of Complications in Patients Undergoing Robot-assisted Radical Cystectomy
T2 - A Systematic Review
AU - Dell'Oglio, Paolo
AU - Andras, Iulia
AU - Ortega, David
AU - Galfano, Antonio
AU - Artibani, Walter
AU - Autorino, Riccardo
AU - Mazzone, Elio
AU - Crisan, Nicolae
AU - Bocciardi, Aldo Massimo
AU - Sanchez-Salas, Rafael
AU - Gill, Inderbir
AU - Wiklund, Peter
AU - Desai, Mihir
AU - Mitropoulos, Dionysios
AU - Mottrie, Alexandre
AU - Cacciamani, Giovanni E.
N1 - Publisher Copyright:
© 2021 European Association of Urology
PY - 2021/8
Y1 - 2021/8
N2 - In 2012, the European Association of Urology (EAU) Ad Hoc Panel proposed a standardised methodology on reporting and grading complications after urological surgical procedures. The aim of the current study was to assess the impact of this implementation on complications reporting for patients undergoing robot-assisted radical cystectomy (RARC). A systematic review of all English-language original articles published on RARC until March 2020 was performed using PubMed, Scopus, and Web of Science databases. The study selection process followed the Preferred Reporting Items for Systematic Review and Meta-analyses (PRISMA) criteria. The quality of reporting and grading complication was evaluated according to the EAU recommendations. Our analysis failed to observe a statistically significant improvement in reporting outcomes after the EAU guidelines recommendations except for three of the 14 criteria proposed (ie, follow-up duration, utilisation of a severity grade system, and risk factors included in the analyses). A lower statistically significant adherence to outcome reporting in terms of inclusion of readmissions and causes (p = 0.02), was observed. Patient summary: In this study, we evaluated the impact of the proposed European Association of Urology (EAU) standardised reporting tool for urological complications, in patients treated with robot-assisted radical cystectomy. A low adherence to EAU guidelines recommendations for complications reporting was observed.
AB - In 2012, the European Association of Urology (EAU) Ad Hoc Panel proposed a standardised methodology on reporting and grading complications after urological surgical procedures. The aim of the current study was to assess the impact of this implementation on complications reporting for patients undergoing robot-assisted radical cystectomy (RARC). A systematic review of all English-language original articles published on RARC until March 2020 was performed using PubMed, Scopus, and Web of Science databases. The study selection process followed the Preferred Reporting Items for Systematic Review and Meta-analyses (PRISMA) criteria. The quality of reporting and grading complication was evaluated according to the EAU recommendations. Our analysis failed to observe a statistically significant improvement in reporting outcomes after the EAU guidelines recommendations except for three of the 14 criteria proposed (ie, follow-up duration, utilisation of a severity grade system, and risk factors included in the analyses). A lower statistically significant adherence to outcome reporting in terms of inclusion of readmissions and causes (p = 0.02), was observed. Patient summary: In this study, we evaluated the impact of the proposed European Association of Urology (EAU) standardised reporting tool for urological complications, in patients treated with robot-assisted radical cystectomy. A low adherence to EAU guidelines recommendations for complications reporting was observed.
KW - Complications
KW - European Association of Urology guidelines
KW - Outcome reporting
KW - Robot-assisted radical cystectomy
KW - Standardised tool
UR - https://www.scopus.com/pages/publications/85106370017
U2 - 10.1016/j.eururo.2021.04.030
DO - 10.1016/j.eururo.2021.04.030
M3 - Article
C2 - 34020829
AN - SCOPUS:85106370017
SN - 0302-2838
VL - 80
SP - 129
EP - 133
JO - European Urology
JF - European Urology
IS - 2
ER -