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The effect of advisory documents on mid-urethral sling case acquisition to the British Society Urogynaecology (BSUG) database in England.
Int Urogynecol J. 2020 Jun 17 [Online ahead of print]IU

Abstract

INTRODUCTION AND HYPOTHESIS

Many advisory documents have recommended uploading of all mid-urethral sling (MUS) cases onto the British Society of Urogynaecology (BSUG) or British Association of Urological Surgeons (BAUS) database. The aim of this study was to determine whether these documents have resulted in an increase in database case acquisition for MUS surgery.

METHOD

We determined the number of cases uploaded onto the BSUG and BAUS databases and cases acquired by Hospital Episode Statistics (HES) over the period January 2011-March 2017 for the 6 months prior to each document and 6 months afterwards.

RESULTS

There was an upsurge in data acquisition in 2013, which then declined after year end. There was a significant upsurge in case acquisition associated with the following documents: NHS Medical Director letter (p < 0.00001), the Healthcare Quality Improvement Partnership (HQIP) audit (p < 0.00001). There was a significant drop in case acquisition following the end of the HQIP audit (p < 0.00001) and the Mesh Working Group Interim report (p = 0.00325).

CONCLUSION

There was a significant increase in case acquisition with the HQIP audit and decline after it. The significant increase in case acquisition seen after the NHS MD letter in November 2012 may have been due to an overlap in the data capture between it and the HQIP audit. The levels of case acquisition do not compare to registries that are essentially compulsory and therefore we believe that voluntary databases are not effective for device post-market surveillance.

Authors+Show Affiliations

South Tees NHS Foundation Trust, Marton Road, Middlesbrough, TS4 3BW, UK. pballard@nhs.net.University of Leicester, NHS Trust, Leicester, UK.South Tees NHS Foundation Trust, Marton Road, Middlesbrough, TS4 3BW, UK.South Tees NHS Foundation Trust, Marton Road, Middlesbrough, TS4 3BW, UK.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32556850

Citation

Ballard, Paul, et al. "The Effect of Advisory Documents On Mid-urethral Sling Case Acquisition to the British Society Urogynaecology (BSUG) Database in England." International Urogynecology Journal, 2020.
Ballard P, Teo R, Khunda A, et al. The effect of advisory documents on mid-urethral sling case acquisition to the British Society Urogynaecology (BSUG) database in England. Int Urogynecol J. 2020.
Ballard, P., Teo, R., Khunda, A., & Kershaw, V. (2020). The effect of advisory documents on mid-urethral sling case acquisition to the British Society Urogynaecology (BSUG) database in England. International Urogynecology Journal. https://doi.org/10.1007/s00192-020-04388-0
Ballard P, et al. The Effect of Advisory Documents On Mid-urethral Sling Case Acquisition to the British Society Urogynaecology (BSUG) Database in England. Int Urogynecol J. 2020 Jun 17; PubMed PMID: 32556850.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effect of advisory documents on mid-urethral sling case acquisition to the British Society Urogynaecology (BSUG) database in England. AU - Ballard,Paul, AU - Teo,Rod, AU - Khunda,Aethele, AU - Kershaw,Victoria, Y1 - 2020/06/17/ PY - 2020/04/02/received PY - 2020/06/08/accepted PY - 2020/6/20/entrez KW - Database acquisition KW - Mid-urethral sling surgery JF - International urogynecology journal JO - Int Urogynecol J N2 - INTRODUCTION AND HYPOTHESIS: Many advisory documents have recommended uploading of all mid-urethral sling (MUS) cases onto the British Society of Urogynaecology (BSUG) or British Association of Urological Surgeons (BAUS) database. The aim of this study was to determine whether these documents have resulted in an increase in database case acquisition for MUS surgery. METHOD: We determined the number of cases uploaded onto the BSUG and BAUS databases and cases acquired by Hospital Episode Statistics (HES) over the period January 2011-March 2017 for the 6 months prior to each document and 6 months afterwards. RESULTS: There was an upsurge in data acquisition in 2013, which then declined after year end. There was a significant upsurge in case acquisition associated with the following documents: NHS Medical Director letter (p < 0.00001), the Healthcare Quality Improvement Partnership (HQIP) audit (p < 0.00001). There was a significant drop in case acquisition following the end of the HQIP audit (p < 0.00001) and the Mesh Working Group Interim report (p = 0.00325). CONCLUSION: There was a significant increase in case acquisition with the HQIP audit and decline after it. The significant increase in case acquisition seen after the NHS MD letter in November 2012 may have been due to an overlap in the data capture between it and the HQIP audit. The levels of case acquisition do not compare to registries that are essentially compulsory and therefore we believe that voluntary databases are not effective for device post-market surveillance. SN - 1433-3023 UR - https://www.unboundmedicine.com/medline/citation/32556850/The_effect_of_advisory_documents_on_mid-urethral_sling_case_acquisition_to_the_British_Society_Urogynaecology_(BSUG)_database_in_England L2 - https://dx.doi.org/10.1007/s00192-020-04388-0 DB - PRIME DP - Unbound Medicine ER -
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