Munich, Germany (UroToday.com) In today’s session on surgical management of adrenals at the 2016 EAU annual meeting, Dr. Sood and associates presented their data on complications after adrenalectomy, comparing outcomes between general surgeons and urologists using the ACS/NSQIP database. The outcome of interest in their study was 30 day morbidity, including complications, PLOS, reintervention, and readmission).
The analytic dataset included 4800 patients, of which 96% (n=4600) underwent surgery by a general surgeon. Those presenting to a urologist tended to be older (57 vs 54yo, p=0.004), male (51 vs 40%, p=0.001), and more commonly had a diagnosis of cancer (10 vs 6%, p=0.01). 7.5% of patients had a complication overall. There were no differences in any of the outcomes assessed between patients treated by a urologist vs. those who sought care from a general surgeon.
The authors concluded that while urologists tend to treat a slightly different population than general surgeons, there is no difference in morbidity between the two specialties.
By: Sood A.1, Sammon J.1, Abdollah F.1, Klett D.1, Dalela D.1, Löppenberg B.2, Kibel A.2, Pucheril D.1, Schmid M.2, Jeong W.1, Dabaja A.1, Rogers C.1, Peabody J.1, Menon M.1, Trinh Q.2
From the 31st Annual EAU Congress - March 12 - 15, 2016 – Munich, Germany