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Summary & Timescale of the Data

The 3-year data collection period was from 1 January 2014 to 31 December 2016.

5,763 cases were submitted in total, of which 5,236 were from England (1,644 from 2014, 1,790 from 2015 and 1802 from 2016); these 5,763 cases came from 177 consultants at 87 sites, and include 118 private patients from 32 consultants.

Hospital Episode Statistics (HES) for 2014, 2015 & 2016 indicate that there were 5,857 radical cystectomies undertaken in England during this time period (2,028 in 2014, 1,952 in 2015 and 1,877 in 2016), so this audit collected data on 90% of the radical cystectomies undertaken in England during 2014 to 2016 (inclusive).

Of the total 5,763 cases reported 65.4% were open, 24.6% were robotic assisted, 6.4% laparoscopic, 2.0% Minimally invasive NOS and in 1.5% of cases the technique was not recorded.

Activity by year

YEAR Median per Consultant Range Median per centre Range Final data analysis
2014 9 1 - 85 17 1 - 104 2014 summary data
2015 11 1 - 92 22 1 - 102 2015 summary data
2016 13 1 - 66 25.5 1 - 116 2016 summary data
All 23.5 1 - 243 46 1 - 322  

Adverse events

The transfusion rate for open cases was 23.5%;  the transfusion rate for minimally invasive cases was 5.52%.

The overall 30-day mortality rate was 1.2% (67 out of 5763); the overall 90-day mortality rate was 2.3% (131 out of 5763).

Timeline for 2014, 2015 & 2016 data

31 Mar 2017 Deadline for submission of data to BAUS
27 Apr 2017 Summaries of data returned to Consultant contributors for validation
5 Jun 2017 Second summay of data sent to Consultant contributors for validation
7 Jul 2017 Final deadline for corrections and additional data
Aug 2017 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
Sep 2017 All contributing surgeons were sent a link to the website so they could check exactly how their data would be presented