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Prostatic urethral lift (UroLift): a real-world analysis of outcomes using hospital episodes statistics
To determine real-world outcomes of prostatic urethral lift (UroLift) procedures conducted in hospitals across England. A retrospective observational cohort was identified from Hospital Episode Statistics data including men undergoing UroLift in hospitals in England between 2017 and 2020. Procedure...
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| Published in: | BMC urology 2021-04, Vol.21 (1), p.55-55, Article 55 |
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| creator | Page, Toby Veeratterapillay, Rajan Keltie, Kim Burn, Julie Sims, Andrew |
| description | To determine real-world outcomes of prostatic urethral lift (UroLift) procedures conducted in hospitals across England.
A retrospective observational cohort was identified from Hospital Episode Statistics data including men undergoing UroLift in hospitals in England between 2017 and 2020. Procedure uptake, patient demographics, inpatient complications, 30-day accident and emergency re-attendance rate, requirement for further treatment and catheterization were captured. Kaplan-Meier and hazard analysis were used to analyse time to re-treatment.
2942 index UroLift procedures from 80 hospital trusts were analysed; 85.3% conducted as day-case surgery (admitted to hospital for a planned surgical procedure and returning home on the same day). In-hospital complication rate was 3.4%. 93% of men were catheter-free at 30 days. The acute accident and emergency attendance rate within 30 days was 12.0%. Results of Kaplan Meier analysis for subsequent re-treatment (including additional UroLift and endoscopic intervention) at 1 and 2 years were 5.2% [95% CI 4.2 to 6.1] and 11.9% [10.1 to 13.6] respectively.
This real-world analysis of UroLift shows that it can be delivered safely in a day-case setting with minimal morbidity. However, hospital resource usage for catheterization and emergency hospital attendance in the first 30 days was substantial, and 12% required re-treatment at 2 years. |
| doi_str_mv | 10.1186/s12894-021-00824-5 |
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A retrospective observational cohort was identified from Hospital Episode Statistics data including men undergoing UroLift in hospitals in England between 2017 and 2020. Procedure uptake, patient demographics, inpatient complications, 30-day accident and emergency re-attendance rate, requirement for further treatment and catheterization were captured. Kaplan-Meier and hazard analysis were used to analyse time to re-treatment.
2942 index UroLift procedures from 80 hospital trusts were analysed; 85.3% conducted as day-case surgery (admitted to hospital for a planned surgical procedure and returning home on the same day). In-hospital complication rate was 3.4%. 93% of men were catheter-free at 30 days. The acute accident and emergency attendance rate within 30 days was 12.0%. Results of Kaplan Meier analysis for subsequent re-treatment (including additional UroLift and endoscopic intervention) at 1 and 2 years were 5.2% [95% CI 4.2 to 6.1] and 11.9% [10.1 to 13.6] respectively.
This real-world analysis of UroLift shows that it can be delivered safely in a day-case setting with minimal morbidity. However, hospital resource usage for catheterization and emergency hospital attendance in the first 30 days was substantial, and 12% required re-treatment at 2 years.</description><identifier>ISSN: 1471-2490</identifier><identifier>EISSN: 1471-2490</identifier><identifier>DOI: 10.1186/s12894-021-00824-5</identifier><identifier>PMID: 33827525</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Analysis ; Bladder ; BPH ; Catheterization ; Catheters ; Coding standards ; Datasets ; Demography ; Endoscopy ; England ; Fatalities ; Hospitals ; Humans ; Intervention ; Intubation ; Lower Urinary Tract Symptoms - surgery ; LUTS ; Male ; Middle Aged ; Morbidity ; Mortality ; Patients ; Prostate ; Prostate - surgery ; Prostatic urethral lift ; Prostheses ; Retention ; Retrospective Studies ; Statistical analysis ; Statistics ; Surgery ; Treatment Outcome ; Type 2 diabetes ; Urethra - surgery ; Urinary retention ; Urogenital system ; UroLift ; Urologic Surgical Procedures, Male - methods ; Urologic Surgical Procedures, Male - statistics & numerical data ; Urology</subject><ispartof>BMC urology, 2021-04, Vol.21 (1), p.55-55, Article 55</ispartof><rights>COPYRIGHT 2021 BioMed Central Ltd.</rights><rights>2021. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c563t-ddd794f5917d09875021982278adb816e2a256562ea52e54eb6bbf140e6f0ac33</citedby><cites>FETCH-LOGICAL-c563t-ddd794f5917d09875021982278adb816e2a256562ea52e54eb6bbf140e6f0ac33</cites><orcidid>0000-0001-5108-6279 ; 0000-0002-1961-1405 ; 0000-0002-9553-7278 ; 0000-0002-2300-2725</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8028737/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2514860620?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33827525$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Page, Toby</creatorcontrib><creatorcontrib>Veeratterapillay, Rajan</creatorcontrib><creatorcontrib>Keltie, Kim</creatorcontrib><creatorcontrib>Burn, Julie</creatorcontrib><creatorcontrib>Sims, Andrew</creatorcontrib><title>Prostatic urethral lift (UroLift): a real-world analysis of outcomes using hospital episodes statistics</title><title>BMC urology</title><addtitle>BMC Urol</addtitle><description>To determine real-world outcomes of prostatic urethral lift (UroLift) procedures conducted in hospitals across England.
A retrospective observational cohort was identified from Hospital Episode Statistics data including men undergoing UroLift in hospitals in England between 2017 and 2020. Procedure uptake, patient demographics, inpatient complications, 30-day accident and emergency re-attendance rate, requirement for further treatment and catheterization were captured. Kaplan-Meier and hazard analysis were used to analyse time to re-treatment.
2942 index UroLift procedures from 80 hospital trusts were analysed; 85.3% conducted as day-case surgery (admitted to hospital for a planned surgical procedure and returning home on the same day). In-hospital complication rate was 3.4%. 93% of men were catheter-free at 30 days. The acute accident and emergency attendance rate within 30 days was 12.0%. Results of Kaplan Meier analysis for subsequent re-treatment (including additional UroLift and endoscopic intervention) at 1 and 2 years were 5.2% [95% CI 4.2 to 6.1] and 11.9% [10.1 to 13.6] respectively.
This real-world analysis of UroLift shows that it can be delivered safely in a day-case setting with minimal morbidity. However, hospital resource usage for catheterization and emergency hospital attendance in the first 30 days was substantial, and 12% required re-treatment at 2 years.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Analysis</subject><subject>Bladder</subject><subject>BPH</subject><subject>Catheterization</subject><subject>Catheters</subject><subject>Coding standards</subject><subject>Datasets</subject><subject>Demography</subject><subject>Endoscopy</subject><subject>England</subject><subject>Fatalities</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Intervention</subject><subject>Intubation</subject><subject>Lower Urinary Tract Symptoms - surgery</subject><subject>LUTS</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Patients</subject><subject>Prostate</subject><subject>Prostate - surgery</subject><subject>Prostatic urethral lift</subject><subject>Prostheses</subject><subject>Retention</subject><subject>Retrospective Studies</subject><subject>Statistical analysis</subject><subject>Statistics</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><subject>Type 2 diabetes</subject><subject>Urethra - surgery</subject><subject>Urinary retention</subject><subject>Urogenital system</subject><subject>UroLift</subject><subject>Urologic Surgical Procedures, Male - methods</subject><subject>Urologic Surgical Procedures, Male - statistics & numerical data</subject><subject>Urology</subject><issn>1471-2490</issn><issn>1471-2490</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptkk1v1DAQhiMEoqXwBzigSFzKIcXfdjhUqio-Kq0EB3q2JvEk61U2XuwE1H-PN1tKFyEfbI3feTwzfoviNSUXlBr1PlFmalERRitCDBOVfFKcUqFpxURNnj46nxQvUtoQQrWR6nlxwrlhWjJ5WvTfYkgTTL4t54jTOsJQDr6byvPbGFb58O5DCWVEGKpfIQ6uhBGGu-RTGboyzFMbtpjKOfmxL9ch7fyUAbjzKbgcX8gpw9PL4lkHQ8JX9_tZcfvp4_frL9Xq6-eb66tV1UrFp8o5p2vRyZpqR2qjZW6uNoxpA64xVCEDJpVUDEEylAIb1TQdFQRVR6Dl_Ky4OXBdgI3dRb-FeGcDeLsEQuwtxFzQgJarmivKqXAAgqI2gjoQTiiNPFejM-vywNrNzRZdi-OUx3MEPb4Z_dr24ac1hBnN94Dze0AMP2ZMk9361OIwwIhhTpZJSpiSjJgsffuPdBPmmGe9qIRRRDHyV9VDbsCPXcjvtnuovVK5l1qrpe6L_6jycrj1bRix8zl-lMAOCW02Q4rYPfRIid1bzR6sZvNv2MVqVuakN4-n85Dyx1v8N95uzbY</recordid><startdate>20210407</startdate><enddate>20210407</enddate><creator>Page, Toby</creator><creator>Veeratterapillay, Rajan</creator><creator>Keltie, Kim</creator><creator>Burn, Julie</creator><creator>Sims, Andrew</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-5108-6279</orcidid><orcidid>https://orcid.org/0000-0002-1961-1405</orcidid><orcidid>https://orcid.org/0000-0002-9553-7278</orcidid><orcidid>https://orcid.org/0000-0002-2300-2725</orcidid></search><sort><creationdate>20210407</creationdate><title>Prostatic urethral lift (UroLift): a real-world analysis of outcomes using hospital episodes statistics</title><author>Page, Toby ; 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A retrospective observational cohort was identified from Hospital Episode Statistics data including men undergoing UroLift in hospitals in England between 2017 and 2020. Procedure uptake, patient demographics, inpatient complications, 30-day accident and emergency re-attendance rate, requirement for further treatment and catheterization were captured. Kaplan-Meier and hazard analysis were used to analyse time to re-treatment.
2942 index UroLift procedures from 80 hospital trusts were analysed; 85.3% conducted as day-case surgery (admitted to hospital for a planned surgical procedure and returning home on the same day). In-hospital complication rate was 3.4%. 93% of men were catheter-free at 30 days. The acute accident and emergency attendance rate within 30 days was 12.0%. Results of Kaplan Meier analysis for subsequent re-treatment (including additional UroLift and endoscopic intervention) at 1 and 2 years were 5.2% [95% CI 4.2 to 6.1] and 11.9% [10.1 to 13.6] respectively.
This real-world analysis of UroLift shows that it can be delivered safely in a day-case setting with minimal morbidity. However, hospital resource usage for catheterization and emergency hospital attendance in the first 30 days was substantial, and 12% required re-treatment at 2 years.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>33827525</pmid><doi>10.1186/s12894-021-00824-5</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0001-5108-6279</orcidid><orcidid>https://orcid.org/0000-0002-1961-1405</orcidid><orcidid>https://orcid.org/0000-0002-9553-7278</orcidid><orcidid>https://orcid.org/0000-0002-2300-2725</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Analysis Bladder BPH Catheterization Catheters Coding standards Datasets Demography Endoscopy England Fatalities Hospitals Humans Intervention Intubation Lower Urinary Tract Symptoms - surgery LUTS Male Middle Aged Morbidity Mortality Patients Prostate Prostate - surgery Prostatic urethral lift Prostheses Retention Retrospective Studies Statistical analysis Statistics Surgery Treatment Outcome Type 2 diabetes Urethra - surgery Urinary retention Urogenital system UroLift Urologic Surgical Procedures, Male - methods Urologic Surgical Procedures, Male - statistics & numerical data Urology |
| title | Prostatic urethral lift (UroLift): a real-world analysis of outcomes using hospital episodes statistics |
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