Patients
Cystectomy Outcomes Data
Summary & Timescale of the Data
The 3-year data collection period was from 1 January 2017 to 31 December 2019.
5,152 cases were submitted in total, of which 4,833 were from England (1,846 from 2017, 1,717 from 2018 and 1270 from 2019); these 5,152 cases came from 154 consultants at 69 sites, and include 93 private patients from 31 consultants.
Hospital Episode Statistics (HES) for 2017, 2018 & 2019 indicate that there were 5,434 radical cystectomies undertaken in England during this time period (1913 in 2017 and 1,916 in 2018 & 1605 in 2019), so this audit collected data on 89% of the radical cystectomies undertaken in England during 2017 to 2019 (inclusive).
Of the total 5,152 cases reported 50.1% were open, 40.7% were robotic assisted, 4.2% laparoscopic and 4.9% Minimally invasive NOS.
It is also important to note that as a result of the COVID-19 crisis some surgeons and units may have been unable to submit all or any of their 2019 data.
Activity by year
YEAR |
Median per Consultant |
Range |
Median per centre |
Range |
Final data analysis |
2017 |
11.5 |
1 - 56 |
24 |
1 - 91 |
2017 analysis |
2018 |
12 |
1 - 77 |
27 |
1 - 80 |
2018 analysis |
2019 |
12 |
1 - 68 |
23 |
1 - 80 |
2019 analysis |
All |
22.5 |
1 - 193 |
69 |
1 - 235 |
|
Adverse events
The transfusion rate for open cases was 17.9%; the transfusion rate for minimally invasive cases was 4.0%.
The overall 30-day mortality rate was 1.2% (62 out of 5152); the overall cumulative 90-day mortality rate was 2.2% (114 out of 5152).
Timeline for data publication
14 Apr 2020 |
Deadline for submission of data to BAUS |
25 Apr 2020 |
Summaries of data returned to Consultant contributors for validation |
18 May 2020 |
Final deadline for corrections and additional data |
Jun 2020 |
Data extracted from the web-based database. Once extracted, the data was transferred to a Microsoft Access™ database for validation before being imported into Tableau™ for generation of the analyses |
Jun 2000 |
All contributing surgeons sent a link to the website so they could check exactly how their data would be presented |
Jul 2020 |
Data live to public |