Navigation Links
Fewer prostate cancer surgery complications found in teaching hospitals with fellowship programs

DETROIT Patients who undergo radical surgery for prostate cancer may expect better results, on average, if they're treated in accredited teaching hospitals with residency programs, and better still if the hospitals also have medical fellowships, according to a new study by Henry Ford Hospital.

The study, which evaluated postoperative complications in 47,100 radical prostatectomy (RP) patients throughout the U.S., also found that those with fewer complications after the surgery were more likely to have private insurance.

"To our knowledge, this is the first study to suggest that better post-operative outcomes may be expected at fellowship training than residency training institutions," says Quoc-Dien Trinh, M.D., a Fellow at Henry Ford Hospital's Vattikuti Urology Institute and lead author of the study.

The findings will be presented this week at the American Urological Association's Annual Meeting in Atlanta.

In residency, students who have earned their medical degree begin to practice in a specific type of medicine under the supervision of physicians licensed in that specialty. A fellowship provides training in a sub-specialty after the residency is finished.

Dr. Trinh says that while the researchers found better outcomes, on average, in teaching hospitals with one or both programs, they can't say exactly why.

"If you actually have a fellowship program for a particular sub-specialty, in this case urologic oncology, you could expect that the level of sub-specialized care might be better than in a typical all-purpose teaching hospital," Dr. Trinh says. "All this remains hypothetical, because the study of these mechanisms can't be done in large population-based datasets."

Of the study's 47,100 RP cases which were drawn from the Nationwide Inpatient Sample between 2003 and 2007 19,193 were performed at non-teaching institutions, 24,006 at residency teaching hospitals and 3,901 at fellowship teaching institutions.

The study's findings were based on comparisons of the length of time each patient spent in the hospital beyond the median of three days, death while in the hospital, and complications during and after RP surgery.

While stressing that explanations for better results found in residency and teaching hospitals are only hypothetical, Dr. Trinh says they may be due to several processes of care that exist at academic institutions.

"These characteristics may include the peer-review process associated with every level of clinical decision-making. Or, the more detailed nature of the peer-review process may translate into better selection of surgical candidates," he notes.

"Others may be the extent of patient history and physical examination, documentation of the work-up, ordering of diagnostic and laboratory tests, availability of advanced technology, and adherence to standardized clinical guidelines."

Because prostate cancer is one of the most common cancers among men, and the standard treatment for a significant number of those patients is radical prostatectomy in which the entire prostate gland and some of the surrounding tissue are surgically removed "it is essential to evaluate and to optimize the outcomes of patients undergoing RP," Dr. Trinh says, explaining why the Henry Ford researchers decided to do this study.

Experts predict, based on the current rates of prostate cancer, by 2045 there will be an estimated 425,000 new cases each year.


Contact: Krista Hopson
Henry Ford Health System

Related medicine news :

1. Fewer suicides after antidepressive treatment for schizophrenia
2. Pneumococcal disease: More cases but fewer deaths
3. Physician Groups Call for Fewer Medical Tests
4. Higher-spending hospitals have fewer deaths for emergency patients
5. Fewer U.S. Med Students Choose Psychiatry: Report
6. Ban on Public Smoking Linked to Fewer Preterm Deliveries
7. Fewer women need repeat breast cancer surgeries with new service at University of Michigan
8. In Tougher Economy, Fewer Americans Get Colonoscopy
9. Hispanic Americans Born Outside Country Have Fewer Strokes
10. Recession and high co-pays tied to fewer colonoscopy screenings among people with health insurance
11. Women with rheumatoid arthritis and lupus give birth to fewer children
Post Your Comments:
(Date:12/1/2015)... ... December 01, 2015 , ... ... Enterprise Authorized Technology Provider (ATP) status from Cisco. This designation recognizes Tympani as ... Cisco Unified Contact Center solutions targeted to the high-end enterprise contact center marketplace. ...
(Date:11/30/2015)... ... ... Trevor and Taylor Crabb have unveiled an exciting new campaign to unite ... States. This hybrid crowdfunding campaign is designed to provide the Crabb brothers’ ... offering corporate sponsors with some great marketing deliverables with the brothers for the 2016 ...
(Date:11/30/2015)... ... ... The National Association of Professional Women (NAPW) honors Dawn ... She is recognized with this prestigious distinction for leadership in estate sales and moving. ... 850,000 members and over 200 operating Local Chapters. , “I’m pleased to welcome Dawn ...
(Date:11/30/2015)... ... December 01, 2015 , ... ... to offer individual vision insurance plans on . The multi-carrier insurance ... rate and review products, allowing consumers to compare, quote and match plans to ...
(Date:11/30/2015)... ... November 30, 2015 , ... During the National ... caregivers and held two webinars on topics of ‘Medical and Palliative Care Decisions,’ ... at . , With a loved one's diagnosis of mesothelioma, the ...
Breaking Medicine News(10 mins):
(Date:11/30/2015)... , Nov. 30, 2015  The ... norm in U.S. medical imaging is on ... popular accountable care payer-provider contracts are set ... in their wake, alter provider-vendor relationships. The ... will push forward new purchasing frameworks in ...
(Date:11/30/2015)... , Nov. 30, 2015 Oramed Pharmaceuticals Inc. ... on the development of oral drug delivery systems, announced ... valued at up to $50,000,000 with Hefei Tianhui Incubator of Technologies Co., ... insulin capsule, ORMD-0801, in China , ... Macau . The agreements were signed at the ...
(Date:11/30/2015)... Nov. 30, 2015 iCAD, Inc. (Nasdaq: ... feature its latest solutions for advanced image analysis ... cancer at the Radiological Society of North American ... from November 29 to December 4, ... including iReveal®, an automated breast density assessment solution, ...
Breaking Medicine Technology: