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Well, this is a bit muddled.

First up, there is confusion in 'Prostatectomy' as to whether it is laparoscopic versus open, or open versus closed (whatever that might mean). Further, is this to do with prostatic enucleation (instead of TURP for larger glands) or radical prostatectomy for cancer. Needs to be clearer what this one is about.

Next, the LOS for TURP should not be confined to inpatients. Many units are trying to get TURP to be a 23 hour or even day case procedure using bipolar resection or laser, so day cases should not be exluded.

Otherwise, this seems an OK data set but doesn't seem to include any clinical outcomes other than readmission. Shouldn't there be some more 'never events' in here? Mortwality doesn't figure, let alone VTE, decubitus ulcers, unplanned admissions to ITU, etc etc.

One other you might look at is Cystoscopy: ratio of outpatient procedures to day case to in-patient. Major shift to flexible cystoscopy as OP procedure is improving productivity and quality, but some units lag far behind.

Finally, why is urology the only surgical speciality? Sufrely the similar measures can be applied fror orthopaedics, ENT, gynae etc. And what about

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