None listed
Conditions
Brief summary
There has been recent interest in understanding the costs associated with post-operative complications of patients undergoing radical cystectomy (removal of the entire bladder). Accurately defining the costs of complications allows institutions to make more informed decisions as to what these costs are, and then implement strategies to reduce the incidence of complications, thereby mitigating hospital costs. The aim of this study is to provide a detailed costs analysis for patients who undergo radical cystectomy. Who is it for? You may be eligible for this study if you are an adult who underwent a radical cystectomy. Study details This study will be conducted using a review of medical records, and no patient contact is required. The study will review the medical records of adult patients who underwent a radical cystectomy at the Austin Hospital between 1 Jan 2012 and 31st July 2021. It is hoped that this research will help to provide a better understanding of the costs associated with major surgery.
Interventions
In this study we will be observing complications after radical cystectomy and the associated hospital costs for patients undergoing this surgery between 1 July 2012 and 31st July 2021. As this is a retrospective study, there is no participant involvement. Only the de-identified hospital medical record of patients who have undergone radical cystectomy will be reviewed. We will review all the International Classification for Diseases (ICD) codes relevant to cystectomy or radical cystectomy inclusive of: 1. ICD-10-Procedure Coding System for bladder removal and neobladder 2. ICD-10-Procedure Coding System for an open or laparoscopic surgical approach
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria will include 1. Radical cystectomy with or without ileal conduit 2. Radical cystoprostatectomy with or without ileal/sigmoid conduit 3. Radical cystectomy with neobladder 4. Radical cystoprostatectomy with neobladder Both open and laparoscopic techniques will be included. All reconstructions of the urinary tract will be included (e.g., ileal conduit, neobladder reconstruction or continent urinary reservoir).
Exclusion criteria
Excluded patients will include: 1. Patients who have undergone a partial cystectomy 2. If the cystectomy was secondary to another major procedure (e.g., pelvic exenteration, cystectomy with hysterectomy and oophorectomy) 3. Cystectomy secondary to trauma.