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  • 1.
    Böös, Malin
    et al.
    aDepartment of Urology, Helsingborg Hospital, Helsingborg, Sweden; Department of Translational Medicine, Lund University, Malmö, Sweden.
    Jerlström, Tomas
    Örebro University, School of Medical Sciences. Department of Urology.
    Beckman, Eva
    Department of Urology, Uppsala University Hospital, Uppsala, Sweden.
    Bläckberg, Mats
    Department of Urology, Helsingborg Hospital, Helsingborg, Sweden.
    Brändstedt, Johan
    Department of Translational Medicine, Lund University, Malmö, Sweden; Department of Urology, Skåne University Hospital, Malmö, Sweden.
    Kollberg, Petter
    Department of Urology, Helsingborg Hospital, Helsingborg, Sweden; Department of Translational Medicine, Lund University, Malmö, Sweden; Department of Urology, Skåne University Hospital, Malmö, Sweden.
    Löfgren, Annica
    Department of Urology, Helsingborg Hospital, Helsingborg, Sweden; Department of Translational Medicine, Lund University, Malmö, Sweden; Department of Urology, Skåne University Hospital, Malmö, Sweden.
    Malmström, Per-Uno
    Department of Urology, Faculty of Medicine and Health, School of Medical Sciences, Örebro University, Örebro, Sweden.
    Sahlén, Göran
    Department of Urology, Faculty of Medicine and Health, School of Medical Sciences, Örebro University, Örebro, Sweden.
    Sörenby, Anne
    Department of Urology, Helsingborg Hospital, Helsingborg, Sweden; Department of Translational Medicine, Lund University, Malmö, Sweden; Department of Urology, Skåne University Hospital, Malmö, Sweden.
    Vikerfors, Anders
    Örebro University, School of Medical Sciences. Department of Urology.
    Åkesson, Anna
    Clinical Studies Sweden, Forum South, Skåne University Hospital, Lund, Sweden.
    Liedberg, Fredrik
    Department of Urology, Helsingborg Hospital, Helsingborg, Sweden; Department of Translational Medicine, Lund University, Malmö, Sweden; Department of Urology, Skåne University Hospital, Malmö, Sweden.
    Who should record surgical complications? Results from a third-party assessment of complications after radical cystectomyManuscript (preprint) (Other academic)
  • 2.
    Böös, Malin
    et al.
    Department of Urology, Helsingborg Hospital, Helsingborg, Sweden; Department of Translational Medicine, Lund University, Malmö, Sweden.
    Jerlström, Tomas
    Örebro University, School of Medical Sciences. Örebro University Hospital. Department of Urology.
    Beckman, Eva
    Department of Urology, Skåne University Hospital, Malmö, Sweden.
    Bläckberg, Mats
    Department of Urology, Helsingborg Hospital, Helsingborg, Sweden.
    Brändstedt, Johan
    Department of Translational Medicine, Lund University, Malmö, Sweden; Department of Urology, Skåne University Hospital, Malmö, Sweden.
    Kollberg, Petter
    Department of Urology, Helsingborg Hospital, Helsingborg, Sweden; Department of Translational Medicine, Lund University, Malmö, Sweden; Department of Urology, Skåne University Hospital, Malmö, Sweden.
    Löfgren, Annica
    Department of Translational Medicine, Lund University, Malmö, Sweden; Department of Urology, Skåne University Hospital, Malmö, Sweden.
    Malmström, Per-Uno
    Department of Urology, Faculty of Medicine and Health, School of Medical Sciences, Örebro University, Örebro, Sweden.
    Sahlén, Göran
    Department of Urology, Faculty of Medicine and Health, School of Medical Sciences, Örebro University, Örebro, Sweden.
    Sörenby, Anne
    Department of Translational Medicine, Lund University, Malmö, Sweden; Department of Urology, Skåne University Hospital, Malmö, Sweden.
    Vikerfors, Anders
    Örebro University, School of Medical Sciences. Department of Urology.
    Åkesson, Anna
    Clinical Studies Sweden, Skåne University Hospital, Lund, Sweden.
    Liedberg, Fredrik
    Department of Translational Medicine, Lund University, Malmö, Sweden; Department of Urology, Skåne University Hospital, Malmö, Sweden.
    Who should record surgical complications?: Results from a third-party assessment of complications after radical cystectomy2019In: Scandinavian journal of urology, ISSN 2168-1805, E-ISSN 2168-1813, Vol. 53, no 5, p. 339-343Article in journal (Refereed)
    Abstract [en]

    Objective: In Sweden complications after radical cystectomy have been reported to the nationwide population-based Swedish Cystectomy Registry since 2011. Here, validation of the reporting was assessed in two healthcare regions.

    Materials and methods: Complications were ascertained from patient records by a third party not involved in the care delivered to 429 randomly selected patients from 949 who had undergone radical cystectomy since 2011 in four hospitals. Without knowledge of the outcome in the primary registration, post-operative complications within 90 days post-operatively were assessed by an independent review of patient charts, and the results were compared with the primary reports in the Swedish Cystectomy Registry.

    Results: The third-party assessment identified post-operative complications in 310 patients (72%). Low-grade complications (Clavien-Dindo I-II) were noted in 110 (26%) of the patients in the primary registration, but increased to 182 (42%) in the validation (p < 0.00001). High-grade complications (Clavien-Dindo III-V) were reported in 113 (26%) patients in the primary registration, but in 128 (30%) of the patients in the validation (p = 0.02). According to the third-party assessment, 18 patients (4%) had Clavien-Dindo grade IV complications and 12 (3%) died within 90 days of surgery (Clavien-Dindo grade V); corresponding values in the primary registration were 15 (3%) and 9 (2%), respectively. The readmission rate within 90 days increased from 27 to 32% in the validation (p < 0.00001).

    Conclusions: Compared with registry data, third-party assessment revealed more complications and readmissions after radical cystectomy. Hence such evaluation may improve the validity of reported complication data.

  • 3.
    Carlsson, Jessica
    et al.
    Örebro University, School of Medical Sciences. Örebro University Hospital.
    Vikerfors, Anders
    Örebro University, School of Medical Sciences.
    Frey, Janusz
    Jerlström, Tomas
    Örebro University, School of Medical Sciences.
    Davidsson, Sabina
    Is soluble PD-L1 a potential biomarker for urothelial bladder cancer?2019Conference paper (Refereed)
  • 4.
    Carlsson, Jessica
    et al.
    Urologiska kliniken, Universitetssjukhuset Örebro, Örebro.
    Vikerfors, Anders
    Urologiska kliniken, Universitetssjukhuset Örebro, Örebro.
    Frey, Janusz
    Urologiska kliniken, Universitetssjukhuset Örebro.
    Jerlström, Tomas
    Urologiska kliniken, Universitetssjukhuset Örebro, Örebro.
    Davidsson, Sabina
    Urologiska kliniken, Universitetssjukhuset Örebro, Örebro.
    Är nivåer av cirkulerande CD163 associerat med kliniska parametrar för urinblåsecancer?2019In: Svensk Urologi, ISSN 2001-6794, Vol. 3, p. 53-53Article in journal (Other academic)
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