BAUS Female & Reconstructive Urology

Audit Programme  - September 2008

There are three elements to this programme and all audits are to start immediately. Please return your proformas and data on a regular basis .  This site will be updated with the numbers returned so that we can see how close we are to reaching our targets

25th March 2009 - The surgical procedures dataset has been upgraded to allow the report of operations performed to include the operation group as well as the precise procedure performed and can be downloaded below along with installation instructions.

1.         National Suprapubic Catheter Insertion Audit

            Number of proformas returned as of 11th May 2009: 55

    The aim of this audit is to produce definitive data on the safety/risks of elective suprapubic catheter insertion.  We know that this “  simple” intervention can be associated with significant complications but do not have reliable data which can be used to counsel  patients.  Data on a large number of procedures (500 is a realistic aspiration) would provide the necessary information.   Furthermore, the data will be helpful in informing guidelines regarding catheter insertion techniques in particular clinical situations  (such as the patient who has had previous lower abdominal surgery).

 2.        National Botulinum Toxin Therapy Audit

           Number of proformas returned as of 11th May 2009: 20

   Botulinum toxin injection therapy for detrusor overactivity (and other indications) has entered urological practice in a widespread but unstructured manner.  Limited numbers of high-quality controlled trials are available to complement published case series.  Now botulinum toxin is “out there”, there is a need to gain a clear picture as to its use, effectiveness and complications.  This audit is designed to collect data on a very large number of treatments (perhaps as many as 1,000) and thereby generate information that is of international importance.  Simple outcome measures are included which will provide data on the proportion of “real world” patients who respond to treatment and, importantly, the duration of responses.

      The Executive committee has chosen a simple paper-based system for these first two audits in order to get them off the ground with the Section’s membership as quickly and simply as possible. Please download the proformas and their explanatory guides from the list below and start submitting data immediately.

 If you can not read the proformas you need to install the freely available Adobe Acrobat Reader.

3.         Surgical Procedures Data-Set

           The original database from 2004 has been greatly simplified and is now re-launched so that data entry will be very straightforward.  Once the Section membership is engaged in routinely submitting their data, this will be a valuable resource that can be easily built on to     include outcomes data or additional detail.  This should become the tool through which future audits (such as the two described     above) are carried out – thereby moving the process of audit to an electronic rather than paper-based system.  Furthermore, anyone     with an interest in auditing a particular procedure will be able to access information on the departments that are undertaking that     operation and set up collaborative prospective or retrospective audits.

                   Please download the Access database along with its installation instructions and overview / user guide and start collecting and        start submitting your data immediately.

      N.B. Please return all data from this database using the following secure e-mail address: sarahfowler2@nhs.net