Outcomes of nephrectomy for renal cell carcinoma: An ecologic retrospective study in a middle-income country
Objective: The aim of this study was to describe and compare the outcomes and indirect costs of oncological radical (RN) and partial nephrectomies (PN) in hospitals from the São Paulo public health system, Brazil. Materials and methods: An ecologic retrospective study was performed from 2008 to 20...
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PAGEPress Publications
2022-06-01
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| Series: | Archivio Italiano di Urologia e Andrologia |
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| Online Access: | https://www.pagepressjournals.org/index.php/aiua/article/view/10481 |
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| author | Alexandre Dib Partezani Hugo Octaviano Duarte-Santos Breno Santos Amaral Alan Roger Gomes Barbosa Marcelo Apezzato João Brunhara Bianca Bianco Gustavo Caserta Lemos Arie Carneiro |
| author_facet | Alexandre Dib Partezani Hugo Octaviano Duarte-Santos Breno Santos Amaral Alan Roger Gomes Barbosa Marcelo Apezzato João Brunhara Bianca Bianco Gustavo Caserta Lemos Arie Carneiro |
| author_sort | Alexandre Dib Partezani |
| collection | DOAJ |
| description |
Objective: The aim of this study was to describe and compare the outcomes and indirect costs of oncological radical (RN) and partial nephrectomies (PN) in hospitals from the São Paulo public health system, Brazil.
Materials and methods: An ecologic retrospective study was performed from 2008 to 2019, using the TabNet Platform of the Brazilian Unified Health System Department of Informatics. Hospitals were classified according to volume of surgeries (low and high-volume, and also into four quartiles according to volume of surgeries), and with or without medical residency program in urology. The results were compared between groups.
Results: In the period analyzed were performed 2.606 RN in 16 hospitals. Data available for PN ranged only from 2013-2019 and included 1.223 surgeries comprising 15 hospitals. Overall mortality rates were 0.41% for PN and 2.87% for RN. The length of hospital stay was significantly higher in low-volume hospitals for both RN and PN (8.97 vs. 5.62 days, p = 0.001, and 7.75 vs. 4.37 days, p = 0.001, respectively), and also for the RN in hospitals without residency program in Urology (9.37 vs. 6.54 days, p = 0.03). When the volume of surgeries was divided into four quartiles, the length of hospital stay and ICU hospitalization days were significantly higher in the first quartile hospitals for RN (p = 0.016) and PN (p = 0.009), respectively. The mortality rates and indirect costs were not different considering PN and RN in the different types of hospitals.
Conclusions: The length of hospital stay was significantly lower for both PN and RN in high-volume hospitals, and also for RN in hospitals with residency program in Urology.
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| first_indexed | 2024-04-12T09:46:36Z |
| format | Article |
| id | doaj.art-55f8fd3fd4c34795b0ab6d178f2d6941 |
| institution | Directory Open Access Journal |
| issn | 1124-3562 2282-4197 |
| language | English |
| last_indexed | 2024-04-12T09:46:36Z |
| publishDate | 2022-06-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Archivio Italiano di Urologia e Andrologia |
| spelling | doaj.art-55f8fd3fd4c34795b0ab6d178f2d69412022-12-22T03:37:56ZengPAGEPress PublicationsArchivio Italiano di Urologia e Andrologia1124-35622282-41972022-06-0194210.4081/aiua.2022.2.129Outcomes of nephrectomy for renal cell carcinoma: An ecologic retrospective study in a middle-income countryAlexandre Dib Partezani0Hugo Octaviano Duarte-Santos1Breno Santos Amaral2Alan Roger Gomes Barbosa3Marcelo Apezzato4João Brunhara5Bianca Bianco6Gustavo Caserta Lemos7Arie Carneiro8Department of Urology, Hospital Israelita Albert Einstein, São Paulo, SPDepartment of Urology, Hospital Israelita Albert Einstein, São Paulo, SPDepartment of Urology, Hospital Israelita Albert Einstein, São Paulo, SPDepartment of Urology, Hospital Israelita Albert Einstein, São Paulo, SPDepartment of Urology, Hospital Israelita Albert Einstein, São Paulo, SPDepartment of Urology, Hospital Israelita Albert Einstein, São Paulo, SPDepartment of Urology, Hospital Israelita Albert Einstein, São Paulo, SPDepartment of Urology, Hospital Israelita Albert Einstein, São Paulo, SPDepartment of Urology, Hospital Israelita Albert Einstein, São Paulo, SP Objective: The aim of this study was to describe and compare the outcomes and indirect costs of oncological radical (RN) and partial nephrectomies (PN) in hospitals from the São Paulo public health system, Brazil. Materials and methods: An ecologic retrospective study was performed from 2008 to 2019, using the TabNet Platform of the Brazilian Unified Health System Department of Informatics. Hospitals were classified according to volume of surgeries (low and high-volume, and also into four quartiles according to volume of surgeries), and with or without medical residency program in urology. The results were compared between groups. Results: In the period analyzed were performed 2.606 RN in 16 hospitals. Data available for PN ranged only from 2013-2019 and included 1.223 surgeries comprising 15 hospitals. Overall mortality rates were 0.41% for PN and 2.87% for RN. The length of hospital stay was significantly higher in low-volume hospitals for both RN and PN (8.97 vs. 5.62 days, p = 0.001, and 7.75 vs. 4.37 days, p = 0.001, respectively), and also for the RN in hospitals without residency program in Urology (9.37 vs. 6.54 days, p = 0.03). When the volume of surgeries was divided into four quartiles, the length of hospital stay and ICU hospitalization days were significantly higher in the first quartile hospitals for RN (p = 0.016) and PN (p = 0.009), respectively. The mortality rates and indirect costs were not different considering PN and RN in the different types of hospitals. Conclusions: The length of hospital stay was significantly lower for both PN and RN in high-volume hospitals, and also for RN in hospitals with residency program in Urology. https://www.pagepressjournals.org/index.php/aiua/article/view/10481Nephrectomy; Renal cell carcinoma; Mortality rates; Teaching Hospital. |
| spellingShingle | Alexandre Dib Partezani Hugo Octaviano Duarte-Santos Breno Santos Amaral Alan Roger Gomes Barbosa Marcelo Apezzato João Brunhara Bianca Bianco Gustavo Caserta Lemos Arie Carneiro Outcomes of nephrectomy for renal cell carcinoma: An ecologic retrospective study in a middle-income country Archivio Italiano di Urologia e Andrologia Nephrectomy; Renal cell carcinoma; Mortality rates; Teaching Hospital. |
| title | Outcomes of nephrectomy for renal cell carcinoma: An ecologic retrospective study in a middle-income country |
| title_full | Outcomes of nephrectomy for renal cell carcinoma: An ecologic retrospective study in a middle-income country |
| title_fullStr | Outcomes of nephrectomy for renal cell carcinoma: An ecologic retrospective study in a middle-income country |
| title_full_unstemmed | Outcomes of nephrectomy for renal cell carcinoma: An ecologic retrospective study in a middle-income country |
| title_short | Outcomes of nephrectomy for renal cell carcinoma: An ecologic retrospective study in a middle-income country |
| title_sort | outcomes of nephrectomy for renal cell carcinoma an ecologic retrospective study in a middle income country |
| topic | Nephrectomy; Renal cell carcinoma; Mortality rates; Teaching Hospital. |
| url | https://www.pagepressjournals.org/index.php/aiua/article/view/10481 |
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