1631 EVOLUTION OF RADICAL PROSTATECTOMY PRACTICE IN FRANCE OVER A 10-YR PERIOD

You have accessJournal of UrologyProstate Cancer: Localized1 Apr 20111631 EVOLUTION OF RADICAL PROSTATECTOMY PRACTICE IN FRANCE OVER A 10-YR PERIOD Jean-nicolas Cornu, Jean-Baptiste Terrasa, Philippe Sèbe, François Haab, Olivier Cussenot, and Bertrand Lukacs Jean-nicolas CornuJean-nicolas Cornu Paris, France More articles by this author , Jean-Baptiste TerrasaJean-Baptiste Terrasa Paris, France More articles by this author , Philippe SèbePhilippe Sèbe Paris, France More articles by this author , François HaabFrançois Haab Paris, France More articles by this author , Olivier CussenotOlivier Cussenot Paris, France More articles by this author , and Bertrand LukacsBertrand Lukacs Paris, France More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.1740AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Prostate cancer incidence is growing in developed countries and several new therapeutic options emerged in the last 10 years for localized disease management. Our objective was to describe the evolution of the number of radical prostatectomies (RP) in France at a whole population level since 1998. METHODS Data concerning RP were extracted yearly from the national PMSI database held by the French national health insurance program. Registration of every surgical act conducted in any healthcare center is mandatory for all surgeons, so that the PMSI database is comprehensive. Data are anonymised and submitted to regular national control. We obtained the yearly number of RPs done in each French region from 1998 to 2009, divided in three surgical approaches: open, laparoscopic/robotic, and perineal. RESULTS The total number of prostatectomies grew up regularly until 2007, and started to fall down in 2008 (figure 1). The number of RPs done by laparoscopic/robotic approach was still growing, probably sustained by the recent expand of robotic surgery in the last two years. The analysis by regions, focused on year 2006 (figure 2) showed that adjusted to the number of men over 50, the rate of RP was highly variable according to the geographic area. CONCLUSIONS Despite a growing incidence of prostate cancer, the number of RPs per year severely decreased after 2007. Without any obvious reason, clinical practices are highly variable among French regions. These data should encourage practitioners from other countries to publish their results to appreciate the evolution and disparities of surgical indications at the European level. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e654 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Jean-nicolas Cornu Paris, France More articles by this author Jean-Baptiste Terrasa Paris, France More articles by this author Philippe Sèbe Paris, France More articles by this author François Haab Paris, France More articles by this author Olivier Cussenot Paris, France More articles by this author Bertrand Lukacs Paris, France More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...