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Dive into the research topics where S. Scuderi is active.

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Featured researches published by S. Scuderi.


European Urology | 2018

The Impact of Implementation of the European Association of Urology Guidelines Panel Recommendations on Reporting and Grading Complications on Perioperative Outcomes after Robot-assisted Radical Prostatectomy

Giorgio Gandaglia; Carlo Andrea Bravi; Paolo Dell’Oglio; Elio Mazzone; Nicola Fossati; S. Scuderi; D. Robesti; F. Barletta; L. Grillo; Steven MacLennan; James N’Dow; Francesco Montorsi; Alberto Briganti

The rate of postoperative complications might vary according to the method used to collect perioperative data. We aimed at assessing the impact of the prospective implementation of the European Association of Urology (EAU) guidelines on reporting and grading of complications in prostate cancer patients undergoing robot-assisted radical prostatectomy (RARP). From September 2016, an integrated method for reporting surgical morbidity based on the EAU guidelines was implemented at a single, tertiary center. Perioperative data were prospectively and systematically collected during a patient interview at 30 d after surgery as recommended by the EAU Guidelines Panel Recommendations on Reporting and Grading Complications. The rate and grading of complications of 167 patients who underwent RARP±pelvic lymph node dissection (PLND) after the implementation of the prospective collection system (Group 1) were compared with 316 patients treated between January 2015 and August 2016 (Group 2) when a system based on patient chart review was used. No differences were observed in disease characteristics and PLND between the two groups (all p≥0.1). Postoperative complications were graded according to the Clavien-Dindo classification system. Overall, the complication rate was higher when the prospective collection system based on the EAU guidelines was used (29%) than when retrospective chart review (10%; p<0.001) was used. In particular, a substantially higher rate of grade 1 (8.4% vs 4.7%) and 2 (14% vs 2.8%) complications was detected in Group 1 versus Group 2 (p<0.001). Although the rate of complications occurred during hospitalization did not differ (13% vs 10%; p=0.3), 31 (19%) complications after discharge were detected in Group 1. This resulted into a readmission rate of 16%. Conversely, no complications after discharge and readmissions were recorded for Group 2. The implementation of the EAU guidelines on reporting perioperative outcomes roughly doubled the complication rate after RARP and allowed for the detection of complications after discharge in more than 15% of patients that would have been otherwise missed, where patients assessed with the EAU implemented protocol had a threefold higher likelihood of reporting complications.nnnPATIENT SUMMARYnThe implementation of the European Association of Urology guidelines on reporting and grading of complications after urologic procedures in prostate cancer patients roughly doubled the complication rate after robot-assisted radical prostatectomy compared to retrospective patient chart review. Moreover, it allowed for the detection of complications after discharge in more than 15% of patients that would have been otherwise missed.


European Urology Supplements | 2018

Impact of implementation of the EAU guidelines panel recommendations on reporting and grading of complications on perioperative outcomes after robot-assisted radical prostatectomy

Giorgio Gandaglia; Nicola Fossati; Nazareno Suardi; Carlo Andrea Bravi; S. Scuderi; L. Grillo; P. Dell’Oglio; Elio Mazzone; D. Robesti; F. Barletta; Marco Moschini; Umberto Capitanio; Vincenzo Mirone; F. Montorsi; A. Briganti

word count: 298; Word count: 1,239; References: 11; Tables: 2; Supplementary files: 1; Pages: 9 Corresponding author: Alberto Briganti Division of Oncology/Unit of Urology; URI San Raffaele Hospital Milan, Italy Tel. +390226437286 Email: [email protected] 1


The Journal of Urology | 2018

MP57-14 PROSTATE BIOPSY CENTRALIZATION AT HIGH VOLUME, TERTIARY CARE CENTERS REPRESENTS THE MOST REFINED DIAGNOSTIC TOOL FOR PROSTATE CANCER PATIENTS: RESULTS FROM A PROSPECTIVE SERIES

Marco Bianchi; Carlo Andrea Bravi; Nicola Fossati; Giorgio Gandaglia; Emanuele Zaffuto; S. Scuderi; Elio Mazzone; Umberto Capitanio; Nazareno Suardi; Pierre I. Karakiewicz; Rodolfo Montironi; Vincenzo Mirone; Massimo Freschi; Claudio Doglioni; Francesco Montorsi; Alberto Briganti


The Journal of Urology | 2018

MP53-18 PROPOSAL OF A NOVEL RISK SCORE TO IDENTIFY BIOPSY NAÏVE MEN WITH ELEVATED PSA WHO SHOULD BE CONSIDERED FOR A MULTI- PARAMETRIC MRI

Gandaglia Giorgio; Nicola Fossati; Antonio Esposito; Giorgio Brembilla; Giulia Cristel; Paolo Dell'Oglio; Alessandro Nini; Manuela Tutolo; Andrea Gallina; S. Scuderi; Vito Cucchiara; Rodolfo Montironi; Francesco De Cobelli; Francesco Montorsi; Alberto Briganti


The Journal of Urology | 2018

PD38-04 PATIENTS ADHERING TO STANDARDIZED PROTOCOLS FOR FUNCTIONAL OUTCOME ASSESSMENT AFTER RADICAL PROSTATECTOMY SHOW HIGHER RATES OF RETURN TO PRE-OPERATIVE STATUS: IMPLICATIONS FOR POSSIBLE SELECTION BIASES

Manuela Tutolo; Marco Bianchi; Nicola Fossati; Giorgio Gandaglia; Andrea Salonia; D. Robesti; F. Barletta; S. Scuderi; Davide Oreggia; Francesco Cianflone; Alessandro Nini; Emanuele Zaffuto; Nazareno Suardi; Francesco Montorsi; Alberto Briganti


The Journal of Urology | 2018

MP53-17 WHERE DO WE MISS EXTRACAPSULAR EXTENSION AT MULTIPARAMETRIC MAGNETIC RESONANCE IMAGING OF THE PROSTATE?

Giorgio Gandaglia; S. Scuderi; Nicola Fossati; Giorgio Brembilla; Paolo Dell'Oglio; Firas Abdollah; Massimo Freschi; L. Grillo; Roberta Lucianò; Marco Bandini; Alessandro Nini; Rodolfo Montironi; Vincenzo Mirone; Franco Gaboardi; Esposito Antonio; Francesco De Cobelli; Francesco Montorsi; Alberto Briganti


The Journal of Urology | 2018

MP35-18 NEUTROPHIL TO LYMPHOCYTE RATIO IS ASSOCIATED WITH LYMPH NODE INVASION AND HIGHER NODAL BURDEN IN CONTEMPORARY HIGH RISK PATIENTS TREATED WITH RADICAL PROSTATECTOMY AND EXTENDED PELVIC LYMPH NODE DISSECTION

Carlo Andrea Bravi; Marco Bianchi; Nicola Fossati; Giorgio Gandaglia; Emanuele Zaffuto; S. Scuderi; D. Robesti; F. Barletta; Luigi Nocera; Umberto Capitanio; Andrea Gallina; Nazareno Suardi; Shahrokh F. Shariat; Pierre I. Karakiewicz; Francesco Montorsi; Alberto Briganti


European Urology Supplements | 2018

Proposal of a novel procedure-specific classification system for postoperative complications in patients undergoing robot-assisted radical prostatectomy

L. Grillo; Carlo Andrea Bravi; Giorgio Gandaglia; Nicola Fossati; P. Dell’Oglio; Armando Stabile; Marco Bandini; E. Zaffuto; Elio Mazzone; D. Robesti; S. Scuderi; Andrea Gallina; Roberto Bertini; Umberto Capitanio; L. Nocera; F. Barletta; Pierre I. Karakiewicz; F. Montorsi; A. Briganti


European Urology Supplements | 2018

Which patients with clinically node prostate cancer benefit from radical prostatectomy? The impact of the size and site of nodal involvement on long-term outcomes

S. Scuderi; Giorgio Gandaglia; M. Soligo; A. Battaglia; T. Muilwijk; D. Robesti; Umberto Capitanio; M. Tutolo; Andrea Gallina; Nicola Fossati; E. Zaffuto; Vincenzo Scattoni; Steven Joniau; J. Karnes; F. Montorsi; A. Briganti


European Urology Supplements | 2018

Patients adhering to standardized protocols for functional outcome assessment after radical prostatectomy show higher rates of return to preoperative status: Implications for possible selection biases

M. Tutolo; Marco Bianchi; Nicola Fossati; Giorgio Gandaglia; Andrea Salonia; D. Robesti; F. Barletta; S. Scuderi; D. Oreggia; Francesco Cianflone; Alessandro Nini; E. Zaffuto; Nazareno Suardi; F. Montorsi; A. Briganti

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Nicola Fossati

Vita-Salute San Raffaele University

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Giorgio Gandaglia

Vita-Salute San Raffaele University

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D. Robesti

Vita-Salute San Raffaele University

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F. Barletta

Vita-Salute San Raffaele University

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F. Montorsi

Vita-Salute San Raffaele University

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A. Briganti

Université de Montréal

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Umberto Capitanio

Vita-Salute San Raffaele University

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Alberto Briganti

Vita-Salute San Raffaele University

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Alessandro Nini

Vita-Salute San Raffaele University

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Andrea Gallina

Vita-Salute San Raffaele University

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