دورية أكاديمية
Geographic Variation of Infectious Complications Following Prostate Biopsy in The United States: Results From a Population-Based Cohort of Privately Insured Patients.
| العنوان: | Geographic Variation of Infectious Complications Following Prostate Biopsy in The United States: Results From a Population-Based Cohort of Privately Insured Patients. |
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| المؤلفون: | Morrison JC; University of Colorado Anschutz Medical Center, Division of Urology, Aurora, Colorado., Sax-Bolder A; University of Colorado Anschutz Medical Center, Division of Urology, Aurora, Colorado., Gershman B; Beth Israel Deaconess Medical Center, Division of Urologic Surgery, Boston, Massachusetts., Konety B; Rush Medical College, Division of Urology, Chicago, Illinois., Clark PE; Atrium Health,Department of Urology, Charlotte, NC., Gonzalez CM; Loyola University Medical Center, Department of Urology, Maywood, Illinois., Bronsert MR; University of Colorado Anschutz Medical Center, Division of Urology, Aurora, Colorado; Adult and Child Consortium for Health Outcomes Research and Delivery Science, Aurora, Colorado., Lloyd G; University of Colorado Anschutz Medical Center, Division of Urology, Aurora, Colorado; Rocky Mountain Regional Veterans Hospital; Aurora, Colorado., Pessoa RR; University of Colorado Anschutz Medical Center, Division of Urology, Aurora, Colorado., Ballon-Landa E; University of Colorado Anschutz Medical Center, Division of Urology, Aurora, Colorado; Rocky Mountain Regional Veterans Hospital; Aurora, Colorado., Kim SP; University of Colorado Anschutz Medical Center, Division of Urology, Aurora, Colorado. Electronic address: simon.kim@cuanshutz.edu. |
| المصدر: | Urology [Urology] 2022 Oct; Vol. 168, pp. 27-34. Date of Electronic Publication: 2022 Jul 06. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Science Country of Publication: United States NLM ID: 0366151 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1527-9995 (Electronic) Linking ISSN: 00904295 NLM ISO Abbreviation: Urology Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: New York : Elsevier Science Original Publication: Ridgewood, N.J., Professional Medical Services Co. |
| مواضيع طبية MeSH: | Prostate*/pathology , Prostatic Neoplasms*/pathology, Humans ; Male ; United States/epidemiology ; Middle Aged ; Biopsy/adverse effects ; Biopsy/methods ; Cohort Studies ; Insurance, Health ; Image-Guided Biopsy/adverse effects ; Image-Guided Biopsy/methods |
| مستخلص: | Objective: To elucidate regional trends of infectious complications following transrectal ultrasound prostate biopsy (TRUS-PB) from a national, privately-insured database. Matereial and Methods: Using Market Scan, we identified all men who underwent TRUS-PB from 2010 to 2015. Infectious complications (UTI, prostatitis, sepsis) occurring 30 days after the prostate biopsy from emergency room (ER) visits or hospital admissions constituted the primary outcomes. We analyzed unadjusted and adjusted rates of infectious complications from ER visits and hospital admissions per 100 prostate biopsies by state. Multivariable logistic regression analyses were used to identify patient covariates associated with infectious complications. Results: During the study interval, we identified 193,490 patients who underwent TRUS-PB. The mean age was 57.6 years (SD: 5.0). Over time the unadjusted national rates of infectious complications remained similar from 0.4 ER visits per 100 prostate biopsies in 2010 -0.2 in 2015 (P = 0.83), and 1.2 hospital admissions per 100 prostate biopsies in 2010 to 1.1 in 2015 (P= 0.58). Connecticut had the lowest unadjusted infectious complication rate per 100 biopsies at 0.64, whereas West Virginia had the highest at 2.34. Multivariable analysis revealed higher Elixhauser status and patient age were associated with higher odds of infectious complications (P<0.05). Conclusions: While rates of infectious complications attributable to prostate biopsies remain relatively stable, significant variation exists at the state level regarding this adverse outcome. (Copyright © 2022. Published by Elsevier Inc.) |
| التعليقات: | Comment in: Urology. 2022 Oct;168:33. (PMID: 36266025) |
| تواريخ الأحداث: | Date Created: 20220709 Date Completed: 20221024 Latest Revision: 20221206 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1016/j.urology.2022.05.046 |
| PMID: | 35809698 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1527-9995 |
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| DOI: | 10.1016/j.urology.2022.05.046 |