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per hospital, PN rates, complication rates, and completeness of data.
Results: In total, 13045 surgically treated T1 tumours
were included in the analyses. Over time, there was an
increase in PNs (39.7% in 2012 to 44.9% in 2016). Missing
information on post-operative complications appeared
constant over the years (8.5-9%). PADUA score entry into
the audit was initiated in 2016 and was included in 39% of
cases recorded in 2016. A clear association was found
between annual hospital volume and the proportion of T1
tumours treated with PN rather than RN (see figure 1-2),
this association persisted after adjustment for PADUA
complexity (figure 3a-b-c).The complication rate decreased
with increasing surgical volume, for all patients as well as
patients with PN (4a-b-c).
Conclusions: Probability of treatment of T1 tumours
with PN increased with increasing hospital volume,

Journal of Clinical Urology 11(1S)

Figure 3a. Best Academic Paper 4

Figure 3b. Best Academic Paper 4

Figure 1. Best Academic Paper 4

Figure 3c. Best Academic Paper 4

Figure 2. Best Academic Paper 4

whereas an inverse association of hospital volume with
complication rate is found. These results show closer
guideline adherence in higher volume centers and support
the centralisation of specialist cancer surgical services to
improve patient outcomes.



Table of Contents for the Digital Edition of JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018

Contents
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