Perioperative Outcomes and Trends in Transurethral Resection of Bladder Tumors with Photodynamic Diagnosis: Results from the GeRmAn Nationwide Inpatient Data Study Article Swipe
Nikolaos Pyrgidis
,
Marco Moschini
,
Lazaros Tzelves
,
Bhaskar Somani
,
Patrick Juliebø‐Jones
,
Francesco Del Giudice
,
Laura S. Mertens
,
Renate Pichler
,
Yannic Volz
,
Benedikt Ebner
,
Lennert Eismann
,
Marie Semmler
,
Benjamin Pradère
,
Francesco Soria
,
Christian G. Stief
,
Gerald Bastian Schulz
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.3390/jcm13123531
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.3390/jcm13123531
Background: Photodynamic diagnosis (PDD) during transurethral resection of bladder tumor (TURBT) is guideline recommended, as it improves bladder cancer detection rates. However, the extent to which PDD is implemented in everyday clinical practice has not been thoroughly assessed. We aimed to evaluate the current trends and major perioperative outcomes of TURBT with PDD. Methods: The present study evaluated the GeRmAn Nationwide inpatient Data (GRAND) from 2010 (the year when PDD started to be coded separately in Germany) to 2021, which were made available from the Research Data Center of the German Bureau of Statistics. We undertook numerous patient-level and multivariable logistic regression analyses. Results: Overall, 972,208 TURBTs [228,207 (23%) with PDD and 744,001 (77%) with white light] were performed. Patients offered PDD during TURBT were younger (p < 0.001), presented fewer comorbidities (p < 0.001) and were discharged earlier from hospital (p < 0.001). PDD was associated with additional costs of about EUR 500 compared to white-light TURBT (p < 0.001). The yearly TURBT cases remained relatively stable from 2010 to 2021, whereas utilization of PDD underwent a 2-fold increase. After adjusting for major risk factors in the multivariate regression analysis, PDD was related to lower rates of transfusion (1.4% vs. 5.6%, OR: 0.29, 95% CI: 0.28 to 0.31, p < 0.001), intensive care unit admission (0.7% vs. 1.4%, OR: 0.56, 95% CI: 0.53 to 0.59, p < 0.001) and 30-day in-hospital mortality (0.1% vs. 0.7%, OR: 0.24, 95% CI: 0.22 to 0.27, p < 0.001) compared to white-light TURBT. On the contrary, PDD was related to clinically insignificant higher rates of bladder perforation (0.6% versus 0.5%, OR: 1.3, 95% CI: 1.2 to 1.4, p < 0.001), and reoperation (2.6% versus 2.3%, OR: 1.2, 95% CI: 1.1 to 1.2, p < 0.001). Conclusions: The utilization of PDD with TURBT is steadily increasing. Nevertheless, the road toward the establishment of PDD as the standard of care for TURBT is still long, despite of the advantages of PDD.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/jcm13123531
- https://www.mdpi.com/2077-0383/13/12/3531/pdf?version=1718608836
- OA Status
- gold
- Cited By
- 2
- References
- 27
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4399740706
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4399740706Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3390/jcm13123531Digital Object Identifier
- Title
-
Perioperative Outcomes and Trends in Transurethral Resection of Bladder Tumors with Photodynamic Diagnosis: Results from the GeRmAn Nationwide Inpatient Data StudyWork title
- Type
-
articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-06-17Full publication date if available
- Authors
-
Nikolaos Pyrgidis, Marco Moschini, Lazaros Tzelves, Bhaskar Somani, Patrick Juliebø‐Jones, Francesco Del Giudice, Laura S. Mertens, Renate Pichler, Yannic Volz, Benedikt Ebner, Lennert Eismann, Marie Semmler, Benjamin Pradère, Francesco Soria, Christian G. Stief, Gerald Bastian SchulzList of authors in order
- Landing page
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https://doi.org/10.3390/jcm13123531Publisher landing page
- PDF URL
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https://www.mdpi.com/2077-0383/13/12/3531/pdf?version=1718608836Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://www.mdpi.com/2077-0383/13/12/3531/pdf?version=1718608836Direct OA link when available
- Concepts
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Medicine, Perioperative, Logistic regression, Bladder cancer, Guideline, Intensive care unit, Multivariate analysis, Cystectomy, Urology, Internal medicine, Surgery, Cancer, PathologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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2Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2Per-year citation counts (last 5 years)
- References (count)
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27Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| corresponding_author_ids | https://openalex.org/A5046111451 |
| countries_distinct_count | 6 |
| institutions_distinct_count | 16 |
| corresponding_institution_ids | https://openalex.org/I8204097 |
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