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Research & Audit

Section audits and other research activity

Research

Marcus Drake Mr Marcus Drake is the section lead for research and can be contacted by e-mail at the Bristol Urological Institute.

Audit

The audit programme aims to be fully inclusive, with all members being encouraged to submit data, contribute new audit topics for consideration on a national basis or indeed be involved in the creation/analysis of collected data.

It is anticipated that, following audit completion, the findings and any recommendations will be published both on the section website and in a suitable peer-reviewed journal.

Final analyses of the Botulinum Toxin injections for OAB audit and interim analyses of the suprapubic catheterisation audit were presented during the section's annual meeting in Liverpool in June 2011: click here for a copy of the presentation.

Mid-Urethral Tapes for Stress Urinary Incontinence in Women (2012)

This audit was launched at the Section’s annual meeting on Monday 25 June 2012 and the audit will run for three years.

The section has chosen an index procedure that the majority of the Section performs and, therefore, recruitment should be brisk, as well as satisfying the requirements of national and index audit for revalidation. The overall aim of this audit is to establish the safety and efficacy of mid-urethral tapes for the treatment of stress urinary incontinence in women. Several different types exist, which required different methods of insertion. They are popular procedures and have rapidly taken over from more traditional operations such as the Burch colposuspension. The world literature provides useful evidence of their efficacy and complications from systematic reviews; we do not, however, have a clear picture of practice in the UK.

The audit consists of two forms:

  1. the first for Operative Details
  2. the second for Outcomes (performed at follow-up 3 months post-operatively).

Both audit forms are accompanied by the validated ICIQ LUTS QoL Questionnaire which is to be completed by the patient, before surgery and at 3 months' follow-up. The scores from these questionnaires are to be added each form.

Please note:
Data return for the forms is via the online system ONLY, but once the data has been entered online, the QoL questionnaires should be annotated with the relevant audit numbers generated by the system and returned to BAUS offices for later analysis.

IN ORDER TO COMPLY WITH DATA PROTECTION / PATIENT CONSENT ISSUES, IT IS ESSENTIAL THAT YOU DO NOT INCLUDE ANY OTHER REFERENCE TO THE PATIENT OR CENTRE ON THESE FORMS.

The full protocol /dataset can be downloaded here, although data return is via the on-line system only

Interim Analysis of all data returned up to 18th March 2013 can be downloaded here and includes 157 returns from 20 consultants at 18 centres. Only 32 cases have follow-ups reported and very few have the QoL questions complete. The report can be filtered to include individual consultant or centre data only, for comparative purposes, and can be run over different dates. Please contact Sarah Fowler for this.

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