Readmissions,Sepsis and Costs of 200,000 NHS Prostate biopsies- Interrogation of HES data for TRUS vs TP Biopsy between 2012-2018
BAUS ePoster online library. Simson N. Jun 25, 2019; 259484; P12-1
Mr. Nick Simson
Mr. Nick Simson
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Abstract
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INTRODUCTION

Which of TRUS&TP biopsy is the best approach for diagnostic yield,sepsis rates, complications and NHS cost?
Hospital Episode Statistics(HES) data allows interrogation of granular detailed readmission costs as well as complication OPCS codes comparing these 2 approaches performed in the NHS. It also records costs of readmissions
Methods
Using an information request to Harvey Walsh(HES data licensed), we analysed all TRUSvsTP biopsies performed under the the OPCS codes M702(TP) and M703(TRUS) between April2012 and March2016. We analysed all A&E and OPD readmissions in the 28 days post procedure. Just over 195,000 biopsies were analysed.
Results
Both had a similar number of non elective admissions within 28 days(~4%). TP driven mainly by retention and TRUS by infection.
The sepsis rates were encouragingly low in both groups but double the rate with TRUS and increased ct HES2007-2012.
Readmission costs to the tax payer were £603.28 less for TP per patient admitted ct TRUS (driven mainly by more extensive sepsis in TRUS).
Also presented will be the integrated HES and Primary care data for a subset of this group to see if HES is missing complications picked up by primary care.
Conclusion
Taxpayers could save £3 million if all prostate biopsies switched to TP approach.
Introducing a national training program for LATP biopsies, overall costs and sepsis rates maybe reduced without compromising diagnostic accuracy.Importance of this dataset being that it provides contemporary assessment of NHS costs of TP and TRUS, on which further assessment of LATP vs GATP can be based
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