title: Prostate Biopsy Complications: A Dual Analysis.
abstract: OBJECTIVE
  To measure prostate needle biopsy (PNB)-associated complications and place of treatment: inpatient hospitalization and outpatient treatment. An electronic medical record (EMR) data query is compared to a patient questionnaire survey.
  
  
  METHODS
  A total of 2410 patients underwent 2588 biopsies and were evaluated for PNB-associated complications. Two approaches were used: (1) EMR analysis based on International Classification of Diseases, Ninth Revision, and Current Procedural Terminology coding and chart review; and (2) patient-reported questionnaire and chart review validation. Serious complications were defined as any complication leading to a related hospitalization, visit to the emergency department (ED), urgent care (UC), or doctor's office within 30 days of the biopsy.
  
  
  RESULTS
  The EMR study revealed 69 (2.67%) serious complications leading to either hospitalization or treatment at an ED, UC, or doctor's office. Thirty serious complications led to hospitalization (1.16%), 14 patients (0.54%) were treated at the ED, 1 was managed at a UC (0.04%), and 24 (0.93%) were treated at the doctor's office. Of the 847 (35.1%) questionnaires considered appropriate for analysis, 36 (4.25%) reported treatment in either the hospital, ED, UC, or doctor's office. Nine patients (1.06%) reported being hospitalized within 30 days of the procedure, whereas 27 patients (3.19%) were treated in an outpatient setting, 8 (0.94%) at the ED, 3 (0.35%) at a UC, and 16 (1.89%) at the doctor's office.
  
  
  CONCLUSIONS
  Our dual analysis study indicates a slightly greater than 1% incidence of hospitalization due to serious complications following PNB. Serious complications appear to be more frequently managed outside the hospital setting (ED, UC, and doctor's office).
authors.affiliation: Genesis Healthcare Partners, San Diego, CA; Department of Surgery/Urology, University of California, San Diego, CA. Electronic address: fgaylis@genhp.com.
authors.forename: Franklin
authors.initials: F
authors.lastname: Gaylis
authors.affiliation: Genesis Healthcare Partners, San Diego, CA.
authors.forename: Ryan
authors.initials: R
authors.lastname: Nasseri
authors.affiliation: Genesis Healthcare Partners, San Diego, CA.
authors.forename: Logan
authors.initials: L
authors.lastname: Fink
authors.affiliation: Genesis Healthcare Partners, San Diego, CA.
authors.forename: Renee
authors.initials: R
authors.lastname: Calabrese
authors.affiliation: Genesis Healthcare Partners, San Diego, CA.
authors.forename: Paul
authors.initials: P
authors.lastname: Dato
authors.affiliation: Genesis Healthcare Partners, San Diego, CA.
authors.forename: Edward
authors.initials: E
authors.lastname: Cohen
mesh_terms: D000368:Aged; D000553:Ambulatory Care; D001707:Biopsy, Needle / Q000009:adverse effects; D059026:Diagnostic Self Evaluation; D006760:Hospitalization; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology* / Q000628:therapy*; D011467:Prostate / Q000473:pathology*; D012189:Retrospective Studies