MP69-17 EVALUATING THE TIMING OF SURGICAL COMPLICATIONS FOLLOWING PROSTATECTOMY

Field: Medicine (Health Sciences)

You have accessJournal of UrologyProstate Cancer: Localized: Surgical Therapy V1 Apr 2016MP69-17 EVALUATING THE TIMING OF SURGICAL COMPLICATIONS FOLLOWING PROSTATECTOMY Jason Lomboy, Matthew Macey, Troy Sukhu, Allison Deal, Eric Wallen, Michael Woods, Raj Pruthi, Matthew Nielsen, and Angela Smith Jason LomboyJason Lomboy More articles by this author , Matthew MaceyMatthew Macey More articles by this author , Troy SukhuTroy Sukhu More articles by this author , Allison DealAllison Deal More articles by this author , Eric WallenEric Wallen More articles by this author , Michael WoodsMichael Woods More articles by this author , Raj PruthiRaj Pruthi More articles by this author , Matthew NielsenMatthew Nielsen More articles by this author , and Angela SmithAngela Smith More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.1395AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES While complication rates following prostatectomy are well described, the timing with which each occurs is unclear. Our objective was to evaluate the median time-to-event for common 30-day postoperative complications following prostatectomy to better define early and late complications. METHODS Using the American College of Surgeons - National Surgical Quality Improvement Program (NSQIP) database, we performed a retrospective review of patients undergoing prostatectomy from 2005-2013. NSQIP collects prospective data on >135 variables, including perioperative data, 30-day post-operative complications and mortality on major surgical procedures at over 450 participating academic and private institutions. We investigated 19 complications occurring after prostatectomy and assessed days from operation to complication to better define early complications (those occurring during the first half of 30 days) and late complications (those occurring during the latter half of 30 days). RESULTS Overall, 23,157 patients underwent prostatectomy. Overall, 8.4% experienced a complication within 30 days, with 1.6% of patients experiencing two or more complications. The majority of complications occurred within 15 days (82%). Complications such as infection (wound, urinary tract, sepsis) were most likely to occur between 12-15 days post-procedure. Similarly, postoperative DVT and pulmonary embolism were likely to occur at a median of 11 days post-procedure. Cardiovascular, pulmonary, and neurologic complications, while rare, occurred a median of 2-8 days following prostatectomy. The table below reveals that all complications are most likely to occur early (within the 1st 15 days following surgery), although if later complications occur, these are most likely to be wound or thrombosis-related. CONCLUSIONS The majority of 30-day complications following prostatectomy occur within the first 15 days, with cardiovascular, pulmonary, and neurologic complications occurring early and wound and thrombosis-related complications occurring several weeks later. Knowledge regarding timing of postoperative complications may better inform quality improvement measures for postoperative follow-up. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e904 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Jason Lomboy More articles by this author Matthew Macey More articles by this author Troy Sukhu More articles by this author Allison Deal More articles by this author Eric Wallen More articles by this author Michael Woods More articles by this author Raj Pruthi More articles by this author Matthew Nielsen More articles by this author Angela Smith More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...