In 2012, the European Association of Urology (EAU) Ad Hoc Panel proposed a standardised methodology on reporting and grading complications after urological surgical procedures. The aim of the current study was to assess the impact of this implementation on complications reporting for patients undergoing robot-assisted radical cystectomy (RARC). A systematic review of all English-language original articles published on RARC until March 2020 was performed using PubMed, Scopus, and Web of Science databases. The study selection process followed the Preferred Reporting Items for Systematic Review and Meta-analyses (PRISMA) criteria. The quality of reporting and grading complication was evaluated according to the EAU recommendations. Our analysis failed to observe a statistically significant improvement in reporting outcomes after the EAU guidelines recommendations except for three of the 14 criteria proposed (ie, follow-up duration, utilisation of a severity grade system, and risk factors included in the analyses). A lower statistically significant adherence to outcome reporting in terms of inclusion of readmissions and causes (p = 0.02), was observed.

Patient summary

In this study, we evaluated the impact of the proposed European Association of Urology (EAU) standardised reporting tool for urological complications, in patients treated with robot-assisted radical cystectomy. A low adherence to EAU guidelines recommendations for complications reporting was observed.

中文翻译：

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实施 EAU 指南建议对接受机器人辅助根治性膀胱切除术患者并发症报告和分级的影响：系统评价

2012 年，欧洲泌尿外科协会 (EAU) 特设小组提出了一种关于泌尿外科手术后并发症报告和分级的标准化方法。本研究的目的是评估这种实施对接受机器人辅助根治性膀胱切除术 (RARC) 的患者并发症报告的影响。使用 PubMed、Scopus 和 Web of Science 数据库对截至 2020 年 3 月在 RARC 上发表的所有英文原创文章进行了系统评价。研究选择过程遵循系统评价和荟萃分析的首选报告项目 (PRISMA) 标准。根据 EAU 的建议评估报告和分级并发症的质量。除了提出的 14 项标准中的 3 项（即随访时间、严重程度分级系统的使用和分析中包含的风险因素）外，我们的分析未能观察到 EAU 指南建议后报告结果的统计学显着改善。在纳入再入院和原因方面，结果报告的统计显着性较低（p  = 0.02)，观察到。

患者总结

在这项研究中，我们评估了提议的欧洲泌尿外科协会 (EAU) 标准化报告工具对接受机器人辅助根治性膀胱切除术的患者的泌尿外科并发症的影响。观察到对并发症报告的 EAU 指南建议的依从性较低。