Roberts, I.A., Cumberbatch, M.G. orcid.org/0000-0001-5548-379X and Catto, J.W.F. orcid.org/0000-0003-2787-8828 (2025) Renal, bladder and prostate cancer surgery outcomes with respect to team familiarity. BJU International. ISSN: 1464-4096
Abstract
Objectives
To investigate outcomes in urological oncology according to team membership and familiarity.
Subjects/patients
We assessed peri-operative times, lengths of stay and re-admission rates in all patients undergoing surgery for prostate, bladder and kidney cancer at Sheffield Teaching Hospitals from 2021 to September 2024. Our analysis was performed with respect to staff pairs and a validated familiarity score (FS) derived using seven team members.
Results
In total, 1043 patients, 319 staff members and 3791 staff combinations were included. The mean (sd) FS for all cases was 14.2 (7.2), and was 13.7 (7.3), 9.3 (4.1) and 16.7 (7.1) for renal, bladder and prostate surgeries (anova, P < 0.001), respectively. Teams with higher familiarity had shorter times for all peri-operative intervals (anova, P < 0.041), shorter lengths of stay (1.94 vs 5.3 days; anova, P < 0.001) and fewer readmissions within 30 days (4.1% vs 8.0%; chi-squared test, P = 0.01). Greater familiarity led to savings of 26.2, 44.2 and 12.8 min for renal, bladder and prostate surgeries, respectively. In multiple regression, using preoperative features, greater familiarity was associated with fewer total case min (each 1-unit increase in FS equated to −1.88 min; 95% confidence interval −2.25 to −1.29; P < 0.001). Regarding team dyads, the greatest difference in total case duration was for the Surgeon #1/Surgeon #2 combination (average 40.8-min saving). Increased anaesthetic familiarity (with anaesthetic assistant) was associated with shorter anaesthetic room durations (anova, P = 0.007) and shorter delays leaving theatre (P < 0.001).
Conclusion
Greater team familiarity was associated with faster surgical times and shorter lengths of stay. The time savings could be used to improve theatre usage and efficiency.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2025 The Authors. Except as otherwise noted, this author-accepted version of a journal article published in BJU International is made available via the University of Sheffield Research Publications and Copyright Policy under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ |
Keywords: | cancer outcomes; cystectomy; nephrectomy; prostatectomy; surgical experience; team composition; team familiarity; urology |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Medicine and Population Health |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 25 Sep 2025 14:23 |
Last Modified: | 26 Sep 2025 04:12 |
Status: | Published online |
Publisher: | Wiley |
Refereed: | Yes |
Identification Number: | 10.1111/bju.16920 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:232252 |
Downloads
Filename: Team_Familiarity_within_Urological_Oncology_R1_Clean.pdf
Licence: CC-BY 4.0
Filename: Supp._mat._FS__R1.pdf
Licence: CC-BY 4.0