J Clin Outcomes Manage
Establishing a prostatectomy outcomes database for clinical practice improvement, research, and education: a community hospital experience
Diokno AC, Killinger KA, Ibrahim IA, Petzel KJ
Abstract Objective: To describe the development and implementation of a prostatectomy outcomes database at a community hospital. Methods: We developed a comprehensive observational radical prostatectomy database with a prospective longitudinal arm to examine clinical and functional outcomes in patients undergoing retropubic robotic laparoscopic, open retropubic, and perineal prostatectomy. More than 600 data points are collected on each case, including preoperative and surgical data, data from the immediate postoperative period, and long-term functional and quality of life outcomes data. Results: As of June 2007, there were a total of 975 patients in the database. 56.7% of eligible patients have enrolled in the longitudinal arm and of those, 96.3% are actively participating. Mean age is 59.5 ± 7 years and 99.8% of participants had medical insurance at the time of surgery. Conclusion: This community hospital’s experience in creating a mechanism to monitor surgical outcomes may be useful as a template for generating other procedure- and disease-specific databases to support the ultimate goal of delivering high-quality, evidence-based health care.
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