Table 2.
Changes to hospital and surgeon nephrectomy activities in England between 2000 and 2010
| Year | AAPC, % | P | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2000 | 2001 | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | |||
| Hospitals | |||||||||||||
| Performing nephrectomy (any), n | 180 | 179 | 168 | 156 | 149 | 148 | 145 | 146 | 141 | 143 | 136 | –2.8 | <0.01 |
| Performing RN, n | 180 | 179 | 168 | 155 | 149 | 148 | 145 | 145 | 139 | 143 | 136 | –2.8 | <0.01 |
| Performing PN, n | 56 | 51 | 61 | 63 | 69 | 77 | 80 | 81 | 86 | 88 | 91 | 5.9 | <0.01 |
| Performing MIS nephrectomy, n | 13 | 22 | 32 | 49 | 68 | 86 | 100 | 103 | 112 | 117 | 118 | 23.6 | <0.01 |
| Nephrectomy volume, n median (IQR) | 10 (6–15) | 10 (5–15) | 11.5 (7–18) | 13 (7.5–20.5) | 13 (8–22) | 14.5 (9–23.5) | 17 (11–25) | 17 (10–29) | 20 (12–32) | 23 (10–33) | 23 (12–39.5) | 9.5 | <0.01 |
|
RN volume, n
Median (IQR) |
10 (6–14) | 10 (5–15) | 11 (6–17) | 12 (7–19) | 13 (8–20) | 14 (9–21) | 15 (10–23) | 16 (10–26) | 18 (11–29) | 20 (10–30) | 20 (11.5–32) | 8.0 | <0.01 |
| PN volume, n, Median (IQR) | 1 (1–2) | 1 (1–2) | 1 (1–3) | 1 (1–3) | 2 (1–3) | 2 (1–3) | 2 (1–4) | 3 (1–4) | 3 (2–5) | 3 (1–7) | 5 (2–9) | 17.7 | <0.01 |
| MIS nephrectomy volume, n median (IQR) | 1 (1–2) | 1 (1–2) | 2 (1–5) | 3 (1–5) | 3 (2–6) | 4 (2–9) | 5 (3–9) | 7 (3–13) | 8.5 (4–13.5) | 10 (4–17) | 12 (6–18) | 29.2 | <0.01 |
| Surgeons | |||||||||||||
| Performing nephrectomy (any), n | 191 | 181 | 183 | 192 | 203 | 204 | 220 | 214 | 235 | 252 | 242 | 3.3 | <0.01 |
| Performing RN, n | 181 | 175 | 176 | 180 | 191 | 190 | 205 | 201 | 223 | 233 | 223 | 2.9 | <0.01 |
| Performing PN, n | 1 | 3 | 5 | 4 | 6 | 10 | 13 | 12 | 18 | 33 | 39 | 37.1 | <0.01 |
| Performing MIS nephrectomy, n | 0 | 3 | 7 | 11 | 22 | 37 | 57 | 71 | 89 | 111 | 128 | 51.8 | <0.01 |
| Nephrectomy volume, n median (IQR) | 7 (6–9) | 7 (5–9) | 7 (6–10) | 7 (6‐10) | 7 (6–11) | 8 (6–12) | 8 (6–13) | 9 (6–16) | 10 (7–14) | 10 (7–14) | 10.5 (7–16) | 4.6 | <0.01 |
| RN volume, n median (IQR) | 7 (6–9) | 7 (5–9) | 7 (6–10) | 7 (6–10) | 7 (5–11) | 8 (6–11) | 8 (6–12) | 9 (6–14) | 9 (6–13) | 9 (7–13) | 10 (7–14) | 3.5 | <0.01 |
| PN volume, n median (IQR) | 5 (5–5) | 5 (5–5) | 5 (5–5) | 5 (5–6) | 6 (5–6) | 7 (6–7) | 7 (6–12) | 10 (7–13.5) | 7 (5–12) | 7 (5.5–10) | 8 (5–11) | 5.8 | <0.01 |
| MIS nephrectomy volume, n median (IQR) | 0 | 6 (5–6) | 6 (5–9) | 8 (6–10) | 6 (5.5–8) | 9 (6–10) | 7 (5–10) | 8 (6.5–12) | 9 (7–12) | 8.5 (7–11) | 9 (6‐13) | 4.9 | <0.01 |
| Consultants/hospital, n median (IQR) | 1 (0–2) | 1 (0–2) | 1 (1–2) | 1 (0–2) | 1 (1–2) | 1 (1–2) | 1 (1–2) | 1.5 (1–2) | 2 (1–2) | 2 (1–3) | 2 (1–3) | 8.7 | <0.01 |
RN, radical nephrectomy; PN, partial nephrectomy.