EVALUATING THE INDICATIONS AND SAFETY OF PROSTATE BIOPSIES PERFORMED IN ELDERLY PATIENTS: A REVIEW OF A STATEWIDE COLLABORATIVE

You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Quality Improvement & Patient Safety IV (MP83)1 Apr 2020MP83-09 EVALUATING THE INDICATIONS AND SAFETY OF PROSTATE BIOPSIES PERFORMED IN ELDERLY PATIENTS: A REVIEW OF A STATEWIDE COLLABORATIVE Brian Odom*, Arvin George, Michael Cher, Ji Qi, Susan Linsell, Frank Burks, James Montie, David Miller, SM Jafri, and for the Michigan Urological Surgery Improvement Collaborative Brian Odom*Brian Odom* More articles by this author , Arvin GeorgeArvin George More articles by this author , Michael CherMichael Cher More articles by this author , Ji Qi Ji Qi More articles by this author , Susan LinsellSusan Linsell More articles by this author , Frank BurksFrank Burks More articles by this author , James Montie James Montie More articles by this author , David MillerDavid Miller More articles by this author , SM JafriSM Jafri More articles by this author , and for the Michigan Urological Surgery Improvement Collaborative for the Michigan Urological Surgery Improvement Collaborative More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000975.09AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Although routine screening is not recommended for patients over 70 for prostate cancer (PCa), prostate biopsies (PBx) are performed and may be indicated under certain circumstances. We sought to evaluate the indications and peri-procedural outcomes of elderly patients that underwent PBx using registry data from the Michigan Urological Surgery Improvement Collaborative (MUSIC). METHODS: One of MUSIC’s initiatives is to reduce prostate biopsy complications. We analyzed patients who underwent an initial PBx from January 2012 to August 2019, examining data related to indications, complications, and emergency department (ED) visits. Age was stratified to < 55, 55 - 70, and > 70 years of age and bivariable analysis was performed. RESULTS: The analysis included 59,104 patients who underwent a PBx. Stratified by age, 6,273 (10%), 38,577 (65%), and 14,254 (24%) were <55, 55-70, and >70 years old, respectively. Among the age groups, the overall frequency of complications was not different (p = 0.18). Notably, elderly patients were more likely to develop urinary retention (p = <0.0001). Those over 70 did present to the ED more frequently (p = 0.05), however, there was no difference in readmission rates (p = 0.06). CONCLUSIONS: This analysis provides insight into the safety profile of a prostate biopsy in the elderly. Though no difference in overall complication rate was found, patients over 70 were more likely to develop urinary retention and go to the emergency department, which will help guide informed consent. Further review is needed to assess the utility of a biopsy in these patients in terms of impact on survival and quality of life. Source of Funding: Funding from Blue Cross Blue Shield of Michigan © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e1258-e1259 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Brian Odom* More articles by this author Arvin George More articles by this author Michael Cher More articles by this author Ji Qi More articles by this author Susan Linsell More articles by this author Frank Burks More articles by this author James Montie More articles by this author David Miller More articles by this author SM Jafri More articles by this author for the Michigan Urological Surgery Improvement Collaborative More articles by this author Expand All Advertisement PDF downloadLoading ...