Complications after surgery for benign prostatic enlargement: a population-based cohort study in Ontario, Canada: Objectives
To examine the complication rates after benign prostatic enlargement (BPE) surgery and the effects of age, comorbidity and preoperative medical therapy.
Design
A retrospective, population-based cohort study using linked administrative data.
Setting
Ontario, Canada.
Participants
52 162 men≥66 years undergoing first BPE surgery between 1 January 2003 to 31 December 2014.
Intervention
Medical therapy preoperatively and surgery for BPE.
Primary and secondary outcome measures
The primary outcome was overall 30-day postoperative complication rates. Secondary outcomes included BPE-specific event rates (bleeding, infection, obstruction, trauma) and non-BPE specific event rates (cardiovascular, pulmonary, thromboembolic and renal). Multivariable analysis examined the association between preoperative medical therapy and postoperative complication rates.
Results
The 30-day overall complication rate after BPE surgery was 2828 events/10 000 procedures and increased annually over the study period. Receipt of preoperative α-blocker monotherapy (relative rate (RR) 1.05; 95% CI 1.00 to 1.09; p=0.033) and antithrombotic medications (RR 1.27; 95% CI 1.22 to 1.31; p<0.0001) was associated with increased complication rates. Among the ≥80-year-old group, the rate of complications increased by 39% from 2003 to 2014 (RR 1.39; 95% CI 1.21 to 1.61; p<0.0001). The mean duration of medical and conservative management increased by a mean of 2.1 years between 2007 and 2014 (p<0.0001 for trend).
Conclusions
Thirty-day complication rates after BPE surgery have increased annually between 2003 and 2014. Preoperative medical therapy with alpha blockers or antithrombotics was independently associated with higher rates of complications. Over this time, the duration of conservative therapy also increased.
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,00306932607174,alsfakia@gmail.com,
Πληροφορίες
Ετικέτες
Δευτέρα 30 Δεκεμβρίου 2019
Complications after surgery for benign prostatic enlargement
Αναρτήθηκε από
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,00306932607174,alsfakia@gmail.com,
στις
11:27 μ.μ.
Ετικέτες
00302841026182,
00306932607174,
alsfakia@gmail.com,
Anapafseos 5 Agios Nikolaos 72100 Crete Greece,
Medicine by Alexandros G. Sfakianakis,
Telephone consultation 11855 int 1193
Εγγραφή σε:
Σχόλια ανάρτησης (Atom)
Αρχειοθήκη ιστολογίου
-
►
2023
(276)
- ► Φεβρουαρίου (133)
- ► Ιανουαρίου (143)
-
►
2022
(1976)
- ► Δεκεμβρίου (116)
- ► Σεπτεμβρίου (158)
- ► Φεβρουαρίου (165)
- ► Ιανουαρίου (161)
-
►
2021
(3661)
- ► Δεκεμβρίου (161)
- ► Σεπτεμβρίου (274)
- ► Φεβρουαρίου (64)
- ► Ιανουαρίου (368)
-
►
2020
(4554)
- ► Δεκεμβρίου (400)
- ► Σεπτεμβρίου (381)
- ► Φεβρουαρίου (638)
- ► Ιανουαρίου (691)
-
▼
2019
(4999)
-
▼
Δεκεμβρίου
(924)
- Happy New Year ! God is our strength. Let Him be t...
- Inability to close mouth and dysphagia caused by p...
- Piperacillin-tazobactam induced bicytopenia in low...
- Acute cerebellar ataxia due to Epstein-Barr virus ...
- Pericardial knock
- Paternal uniparental disomy for chromosome 14: pre...
- Chronic mesenteric ischaemia masked by candida eso...
- History, treatment and analysis of a rare form of ...
- History, treatment and analysis of a rare form of ...
- Extracellular Vesicles from Mesenchymal Stem Cells...
- Signaling Network of Forkhead Family of Transcript...
- Csf1 Deficiency Dysregulates Glial Responses to De...
- Spontaneous Ultraslow Na+ Fluctuations in the Neon...
- Journal of Voice
- Thorough performance evaluation of 213 nm ultravio...
- The Xylella fastidiosa-Resistant Olive Cultivar “L...
- GEO series published today
- Comparative Pharmacokinetic Study of Taxifolin aft...
- Investigating Prime-Pull Vaccination through a Com...
- New GEO Series
- Transcription profiling of dendritic cells differe...
- Chemotherapeutic remodeling of the gut microbiome ...
- DNA methylation and hydroxymethylation mediated ge...
- The histone methyltransferase SETDB1 contributes t...
- HIF1α/HIF2α-miR210-3p network promotes glioblastom...
- H3K27Ac ChIP-seq on Patient Dirived Xenograft (PDX...
- CRISPR/Cas9-mediated gene correction in newborn ra...
- Genome-wide localisation of histone H3S57ph in pro...
- Pathway level gating of auxin signalling provides ...
- Single cell transcriptome sequencing of gastric ca...
- Whole kidneys at embryonic day 16.5: wildtype (WT)...
- Antifungal Activity of Beauveria bassiana Endophyt...
- Immune Responses after Vascular Photodynamic Thera...
- One Anastomosis Gastric Bypass Reconstitutes the A...
- Immune Checkpoint Inhibitor Rechallenge in Patient...
- Ontogenetic Pattern Changes of Nucleobindin-2/Nesf...
- Latent Tuberculosis Infection Treatment Completion...
- The Chromatin Remodelling Contributions of Snf2l i...
- CD271/p75NTR is a novel diagnostic marker, prognos...
- Chemogenomic profiling of breast cancer patient-de...
- Sequencing of canine and genetically-engineered mo...
- Telomeres suppress the activity of retrotransposon...
- Bu Shen Zhu Yun Decoction Improves Endometrial Rec...
- Multicentre, non-interventional study of the effic...
- Finding/identifying primaries with neck disease (F...
- Intermittent theta burst stimulation applied durin...
- Multidimensional impact of severe mental illness o...
- Clinical evaluation of percutaneous transforaminal...
- Digital phenotyping for assessment and prediction ...
- Research priorities in children requiring elective...
- Complications after surgery for benign prostatic e...
- Identifying patient concerns during consultations ...
- Better before-better after: efficacy of prehabilit...
- Elderly migrants : Effect of social integration on...
- Pattern and probability of dispensing of prescript...
- Improving mental health and physiological stress r...
- B!RTH: a mixed-methods survey of audience members ...
- Vitamin D in the prevention of exacerbations of as...
- Advanced practice nurses, registered nurses and me...
- Complement activation in individuals with previous...
- Thyroid Hormone Receptor β Inhibits Self-Renewal C...
- Macrofollicular Variant of Follicular Thyroid Carc...
- Trained immunity confers broad-spectrum protection...
- IGFBP7 acts as a negative regulator of RANKL‐induc...
- Subgingival Instrumentation for Treatment of Perio...
- The Spine Functional Index
- Sarcomatoid Dedifferentiation in Renal Cell Carcin...
- Negative Impact of Wound Complications on Oncologi...
- Nanoformulated Zoledronic Acid Boosts the Vδ2 T Ce...
- Autophagy in the Immunosuppressive Perivascular Mi...
- Molecular Profiling of Atypical Tenosynovial Giant...
- Biomarkers of meat and seafood intake: an extensiv...
- Non ‐alcoholic steatohepatitis mimicking solitary ...
- Diffusion-Weighted MR Imaging of Primary and Secon...
- Clear cell carcinoma of the anterior abdominal wal...
- Sister Mary Joseph nodule: an often overlooked or ...
- Superb microvascular imaging technique in depictin...
- Protean Manifestations and Diagnostic Challenges I...
- Thyroid Dose Estimates for a Cohort of Belarusian ...
- Dose to Medical Personnel
- Factors Determining Work Arduousness Levels among ...
- Treatment of Miller Class I Gingival Recession wit...
- Vitamin K and Bone Health: A Review on the Effects...
- Laparoscopic Partial Nephrectomy for cT1 Tumors
- A Non-Interventional Pilot Study to Explore the Ro...
- Anlotinib Combined With TACE in Hepatocellular Car...
- Testing the Addition of the Immunotherapy Drug, Pe...
- Management of Cognitive Difficulties After Cancer ...
- Nab-paclitaxel Versus Topotecan As Second-Line Tre...
- Sintilimab Combined With Bevacizumab for Brain Met...
- SHR-1210 Combined With Albumin-bound Paclitaxel an...
- Heated Intra-peritoneal Chemotherapy With Doxorubi...
- Ribociclib and Spartalizumab in R/M HNSCC
- Biomolecules, Vol. 10, Pages 66: The Emerging Role...
- Evaluating the effectiveness of adjuvant radiother...
- Examining seasonal variation in epistaxis in a mar...
- Is the survival rate for acral melanoma actually w...
- The Improved Effects of a Multidisciplinary Team o...
- Treatment of an Adult Skeletal Class III Patient w...
- Significant influencing factors and practical solu...
- ► Σεπτεμβρίου (845)
-
▼
Δεκεμβρίου
(924)
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου