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Census report on Chinese urological surgeons.

ABSTRACT: Objective:To grasp the general situation of Chinese urological surgeons and the status quo of their scientific research, work and training, thus providing valuable recommendations for urological talent team construction in future. Methods:The survey respondents were the urological surgeons, who held the Certificate of Medical Practitioner in the People's Republic of China, whose scope of practice was confined to urological surgery. The urological surgeons involved in the project completed an online questionnaire survey. All the data were collected through the internet. Results:There were a total of 18 981 urological surgeons in China in 2015, of whom 15 875 from 2 602 hospitals participated in this project, with a mean age of 39.64 years old. In 2015, 1 949 631 cases of surgery were performed, including 493 723 cases of open surgery, 1 146 444 cases of endoscopic/laparoscopic surgery (robot-assisted laparoscopic surgery were excluded), 6 259 robot-assisted surgery and other types of urological surgery. Besides, Chinese urological surgeons published 1 358 monographs as well as 14 558 academic papers, and also obtained 2 064 scientific funds in 2015. A total of 92 122 person-time participated in academic conferences. Urological surgeons with higher educational degrees as well as higher academic titles and from Eastern China or higher-level hospitals had more opportunities to participate in further education and training. Conclusion:This is the very first census conducted through internet on urological surgeons' multiple aspects. After analyzing and summarizing the data collected, the Census could improve the quality of urological diseases diagnosis and treatment in China.

SUBMITTER: Sun Y

PROVIDER: S-EPMC7096688 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature

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Census report on Chinese urological surgeons.

Sun Yinghao Y Zhou Liqun L Zhang Junhua J Xing Nianzeng N Zhang Qian Q Hu Xiuzhong X Wang Linhui L Guo Yinglu Y

Asian journal of urology 20191210 2

<h4>Objective</h4>To grasp the general situation of Chinese urological surgeons and the status quo of their scientific research, work and training, thus providing valuable recommendations for urological talent team construction in future.<h4>Methods</h4>The survey respondents were the urological surgeons, who held the Certificate of Medical Practitioner in the People's Republic of China, whose scope of practice was confined to urological surgery. The urological surgeons involved in the project c ...[more]

PMID: 32257808

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Project description:BackgroundRadical cystectomy (RC) is associated with high morbidity.ObjectiveTo evaluate healthcare and surgical factors associated with high-quality RC surgery.Design setting and participantsPatients within the prospective British Association of Urological Surgeons (BAUS) registry between 2014 and 2017 were included in this study.Outcome measurements and statistical analysisHigh-quality surgery was defined using pathological (absence of positive surgical margins and a minimum of a level I lymph node dissection template with a minimum yield of ten or more lymph nodes), recovery (length of stay ≤10 d), and technical (intraoperative blood loss <500 ml for open and <300 ml for minimally invasive RC) variables. A multilevel hierarchical mixed-effect logistic regression model was utilised to determine the factors associated with the receipt of high-quality surgery and index admission mortality.Results and limitationsA total of 4654 patients with a median age of 70.0 yr underwent RC by 152 surgeons at 78 UK hospitals. The median surgeon and hospital operating volumes were 23.0 and 47.0 cases, respectively. A total of 914 patients (19.6%) received high-quality surgery. The minimum annual surgeon volume and hospital volume of ≥20 RCs/surgeon/yr and ≥68 RCs/hospital/yr, respectively, were the thresholds determined to achieve better rates of high-quality RC. The mixed-effect logistic regression model found that recent surgery (odds ratio [OR]: 1.22, 95% confidence interval [CI]: 1.11-1.34, p < 0.001), laparoscopic/robotic RC (OR: 1.85, 95% CI: 1.45-2.37, p < 0.001), and higher annual surgeon operating volume (23.1-33.0 cases [OR: 1.54, 95% CI: 1.16-2.05, p = 0.003]; ≥33.1 cases [OR: 1.64, 95% CI: 1.18-2.29, p = 0.003]) were independently associated with high-quality surgery. High-quality surgery was an independent predictor of lower index admission mortality (OR: 0.38, 95% CI: 0.16-0.87, p = 0.021).ConclusionsWe report that annual surgeon operating volume and use of minimally invasive RC were predictors of high-quality surgery. Patients receiving high-quality surgery were independently associated with lower index admission mortality. Our results support the role of centralisation of complex oncology and implementation of a quality assurance programme to improve the delivery of care.Patient summaryIn this registry study of patients treated with surgical excision of the urinary bladder for bladder cancer, we report that patients treated by a surgeon with a higher annual operative volume and a minimally invasive approach were associated with the receipt of high-quality surgery. Patients treated with high-quality surgery were more likely to be discharged alive following surgery.

Dataset Information

Census report on Chinese urological surgeons.

Publications

Census report on Chinese urological surgeons.

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