Journal of Thyroid Disorders & Therapy
Open Access
ISSN: 2167-7948
+44 1300 500008
ISSN: 2167-7948
+44 1300 500008
Pranavi Challapalli
Royal Liverpool University Hospital, UK
Scientific Tracks Abstracts: Thyroid Disorders Ther
Aim: Retrospective study of urological practice and management of NMIBC (Non-Muscle Invasive Bladder Cancer). Primary objective was to determine if audit and feedback can improve the quality of TURBT surgery and reduce early recurrence rates. Secondly, the effect of introducing a TURBT specific operation note is being evaluated. Method: As a part of the multicentre observational study of TURBT’s (RESECT study), four key indicators were used to assess the quality of TURBT’s: 1) Detrusor muscle in the specimen 2) Single instillation of intra vesical chemotherapy (SI-IVC) within 24 hours 3) Documenting completeness of resection 4) Documenting tumor size, number and location. Initial evaluation was based on the study chart provided by RESECT. Based on data, an op-note specific to TURBT’s was made. For re-evaluation, a tailored study chart was created. Hospital records, operation notes and radiology reports were analysed. Results: 58 cases were evaluated since September 2022 to February 2023. 78.9% showed to have detrusor muscle in specimen and 73.3% received SI-IVC. 22.2% of notes documented the completeness of resection and 77.78% documented tumor numbers, size and location. After introducing the operation note, 8/15 (53.3%) cases till now have used the new proforma. Conclusion: Our initial analysis revealed that only one indicator (giving SI-IVC) was reaching target. Guidelines strongly recommend documenting the tumor location, size, multifocality and completeness. Introducing an op-note with these indicators allows these factors to be considered. Ensuring the proforma is filled out for all cases will allow for better documentation to improve quality of TURBT surgery and reduce recurrence rates.
Pranavi Challapalli graduated from Medical school - University of Dundee. She is currently working as a clinical teaching in Royal Liverpool a university Hospital and studying a PG cert in medical education at Edge Hill University in Liverpool.