Day-case surgery for TURBT
The data extraction process is summarised in Supporting
Information 1, Supplementary Figure 1 . Data were available for 99,790
patients, 15,149 (15.2%) of whom had day-case surgery. The mean age of
patients was 72.5 (SD 11.595) before GIRFT visits and 72.3 (SD 11.751)
after. Procedures were conducted across 125 trusts during the baseline
pre-visit period. In the pre-visit period, in the 123 trusts seeing 50
patients or more during the study period, the mean percentage of
patients receiving a TURBT as a day-case varied between 1.5% and 68.4%
across trusts.
The change in the use of day-case surgery across the study period is
summarised in Figure 1 and the ITSA presented in Table
1 . At the start of the study period an average of 10.2% of patients
received TURBT procedures as day-case surgery. During the pre-GIRFT
visit period this proportion rose by an average of 0.105% per 30 day
period (1.3% per annum), after the GIRFT visit the increase in use of
day surgery was almost three times as rapid, at 0.281% per 30 day
period (3.4% per annum). Both these trends were significant as was the
change in trend (0.176% per 30 day period, 2.1% per annum).