Karakiewicz P I, Zini A, Meshref A W, Bazinet M, Aprikian A G, Elhilali M M
Department of Urology, McGill University, Montreal, Quebec, Canada.
Urology. 1998 Aug;52(2):219-23. doi: 10.1016/s0090-4295(98)00176-9.
To examine the use of radical retropubic prostatectomy (RRP) in a large population-based study.
Identification of all RRPs performed in the province of Quebec between the years 1988 and 1993 was accomplished by relying on the Quebec Healthcare Plan Database.
Overall, 2861 RRPs have been performed during the study period. On average, 80% of surgeries have been performed by urologists using this surgery 12 times or less annually. Of all surgeries, 420 (15%) RRPs have been performed in individuals 71 years of age or older.
Each year, most RRPs (80%) in this population-based study were performed by urologists performing this procedure 12 times or less annually. A substantial proportion (15%) of RRPs have been performed in men 71 years of age or older, in whom the detriments of radical surgery may outweigh its benefits. These findings could potentially contribute to suboptimal outcomes when radical prostatectomy is compared with alternative treatment modalities.
在一项基于人群的大型研究中考察耻骨后根治性前列腺切除术（RRP）的应用情况。
通过依赖魁北克医疗保健计划数据库，识别出1988年至1993年间在魁北克省进行的所有RRP手术。
总体而言，在研究期间共进行了2861例RRP手术。平均而言，80%的手术由每年进行该手术12次或更少的泌尿科医生完成。在所有手术中，420例（15%）RRP手术是在71岁及以上的个体中进行的。
在这项基于人群的研究中，每年大多数RRP手术（80%）由每年进行该手术12次或更少的泌尿科医生完成。相当一部分（15%）RRP手术是在71岁及以上的男性中进行的，对于这些男性，根治性手术的弊端可能超过其益处。当将根治性前列腺切除术与其他治疗方式进行比较时，这些发现可能会导致不理想的结果。
