Improving the Quality of Transurethral Resection of Bladder Tumour (TURBT) Operative Notes Following the European Association of Urology Guidelines: A Completed Audit Loop Study.

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dc.contributor.affiliationThe Dudley Group NHS Foundation Trust; King Hamad University Hospital; Sandwell and West Birmingham NHS Trusten_US
dc.contributor.authorGuerero, Daniel N
dc.contributor.authorBruce, Angus
dc.contributor.authorVayalapra, Sushanth
dc.contributor.authorMenon, Vishnu
dc.contributor.authorEl Hadi, Mohammed
dc.contributor.authorKhashaba, Shehab
dc.contributor.departmentUrologyen_US
dc.contributor.roleMedical and Dentalen_US
dc.contributor.trustauthorBruce, Angus
dc.contributor.trustauthorMenon, Vishnu
dc.contributor.trustauthorEl Hadi, Mohammed
dc.date.accessioned2023-09-18T12:45:49Z
dc.date.available2023-09-18T12:45:49Z
dc.date.issued2022-10-10
dc.description.abstractBackground The European Association of Urology (EAU) recommends that the operative steps and documentation necessary for successful and appropriate management of bladder cancer include identifying factors necessary to assign disease risk stratification, clinical stage, adequacy of resection and the presence of complications and immediate intravesical chemotherapy administration. Aim To assess and improve the adequacy of current transurethral resection of bladder tumour (TURBT) documentation at a district general hospital in the UK against the EAU 2022 guidelines. Methods Operative notes over a one-year period were assessed for the inclusion of key steps to achieve a comprehensive TURBT as outlined by EAU guidelines. Outcomes included documentation on the details of the operative findings and intervention as well as the perioperative assessment. A standardised template for TURBT procedures was created and surgical staff received training on its usage. The audit was subsequently repeated after six months to assess for improvements. Results TURBT documentation of 78 cases in the first cycle was compared to 37 cases from the second cycle. Significant improvements in the documentation of tumour size (46% to 89%; p<0.05), tumour description (59% to 89%; p <0.05), depth of resection (36% to 89%; p<0.05), administration of chemotherapy (21% to 46%; p<0.05) and assessment for perforation (22% to 68%; p=0.001) were demonstrated. Improvements in pre-operative and post-operative examination rates under anaesthesia also achieved statistical significance (47% & 14% respectively to 89%; p<0.05). There was an increase in the documentation of completeness of resection but this did not achieve statistical significance (59% to 68%; p=0.42). Conclusion The operative note template led to the improvement in the documentation, improving the risk stratification of bladder cancer in patients undergoing TURBT. The use of procedure-specific operative note templates should be adopted for all commonly performed procedures to improve the completeness of documentationen_US
dc.identifier.citationGuerero, D. N., Bruce, A., Vayalapra, S., Menon, V., El Hadi, M., & Khashaba, S. (2022). Improving the Quality of Transurethral Resection of Bladder Tumour (TURBT) Operative Notes Following the European Association of Urology Guidelines: A Completed Audit Loop Study. Cureus, 14(10), e30131. https://doi.org/10.7759/cureus.30131en_US
dc.identifier.doi10.7759/cureus.30131
dc.identifier.issn2168-8184
dc.identifier.pmid36246089
dc.identifier.urihttp://hdl.handle.net/20.500.14200/2213
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.source.journaltitleCureus
dc.subjectUrologyen_US
dc.subjectOncology. Pathology.en_US
dc.titleImproving the Quality of Transurethral Resection of Bladder Tumour (TURBT) Operative Notes Following the European Association of Urology Guidelines: A Completed Audit Loop Study.en_US
dc.typeArticle
dspace.entity.typePublication
oa.grant.openaccessnaen_US
rioxxterms.versionNAen_US
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