KEY UROLOGICAL SURGICAL PROCEDURES IN THE CZECH REPUBLIC IN PERIOD 2009–2014

Česká verzia

Authors: Milan Hora ¹; Marek Babjuk ²; Miloš Broďák ³ ; Tomáš Hanuš ⁴; Ladislav Jarolím ²; Jan Krhut ⁵; Aleš Petřík ⁶; Vladimír Študent ⁷; Roman Zachoval ⁸; Jiří Jarkovský ^9,10; Petr Klika ^9,10; Ladislav Dušek ^9,10
Authors place of work: Urologická klinika LF UK a FN Plzeň ¹; Urologická klinika 2. LF UK a FN Motol Praha ²; Urologická klinika LF UK a FN Hradec Králové ³; Urologická klinika 1. LF UK a VFN Praha ⁴; Urologické oddělení, FN Ostrava a Katedra chirurgických oborů LF OU Ostrava ⁵; Urologické oddělení Nemocnice České Budějovice, a. s. ⁶; Urologická klinika LF UP a FN, Olomouc ⁷; Urologické oddělení Thomayerovy nemocnice Praha ⁸; Institut biostatistiky a analýz, Lékařská fakulta, Masarykova univerzita Brno ⁹; Ústav zdravotnických informací a statistiky, Praha ¹⁰
Published in the journal: Ces Urol 2016; 20(2): 135-140
Category: Original Articles

Summary

Introduction:
The Czech Urological Society (ČUS) tried to map the number of key urological surgical procedures performed in the Czech Republic. The aim of the study is better planning of urological care in the Czech Republic.

Methods:
ČUS selected key surgical procedures, which were found by National Health Information System (NHIS) in the Czech Repbulic. Possible misinterpretations of these numbers include: reporting in individual hospitals; it is the first analysis of such type and this methodology had not been validated in 2014.

Results:
Selected urological surgical procedures are quantified in the six year preriod (2009– 2014). A total of 17 3 135 of these surgical procedures were performed. It included (in order of decreasing frequency): Ureteroscopies 56 699, of these flexible 2 571 (4.5 %). TURB 44 690. Surgical procedures for BPH 35 370 (open 7 950 – 22.5 %, TURP 25 810 – 73.0 %). Surgical procedures for kidney tumours (and probably for other diagnoses) 20 634 (4 809 – 23.3 % resections; laparoscopy 6 772 – 32.8 %). Radical prostatectomies 13 449 (open 8 597 – 63.9 %, robot assisted 2 536 – 18.9 %, laparoscopic 2 316 – 17.2 %). NB. Data from Czech Society for Robotic Surgery shows undervaluation of numbers (e.g. year 2013: 373 vs. 999). Orchiectomies 14 297. ESWL 11 217. Nephroscopies 6 189. Cystectomies 1 934; 380 (19.6 %) of them with continent neobladder. Adrenalectomies 1 893 (1 138 – 60.1 % laparoscopic). Pyeloplasties 1 067 (open 681 – 63,8 %, laparoscopic 35,8 %). Surgeries for primary tumour of penis 731.

Conclusions:
Modern information technologies allow relatively detailed mapping of provided urological surgical care. This enables the urological society and other institutions better organisation of urological care in the Czech Republic. The most frequent surgical procedures in urology are ureteroscopies, TURBT and TURP. The reported numbers present clearly the considerable limitations in collection of data. E.g. in laparoscopy and robotic surgery (absence of signal DRG codes). Refining of entering and processing of data are common interest to urologist and their clients/patients.

Key words:
Urology, surgery, statistics.

Zdroje

1. Babjuk M, et al. Návrh koncepce robotické operativy v urologii v ČR, ČUS www.cus.cz, 21.2.2012, http://www.cus.cz/wp-content/uploads/2015/07/Koncepce-robotiky-v-urologii-v-CR-1-2012.pdf

2. Babjuk M, et al. Koncepce oboru urologie, ČUS www.cus.cz, 29.4.2013, http://www.cus.cz/wp-content/ uploads/2014/05/Koncepce-urologie-CUS.pdf