Navigation Links
Fewer prostate cancer surgery complications found in teaching hospitals with fellowship programs
Date:5/15/2012

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
khopson1@hfhs.org
313-874-7207
Henry Ford Health System
Source:Eurekalert

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:
*Name:
*Comment:
*Email:
(Date:2/23/2017)... (PRWEB) , ... February 23, 2017 , ... ... an official 2017 partnership with The Jensie Gran Fondo of Marin. For the ... UVB rays with Thinksport’s broad-spectrum, mineral-based sunscreen. , “We are thrilled to provide ...
(Date:2/23/2017)... ... 2017 , ... The American Cleft Palate-Craniofacial Association (ACPA) is pleased to announce ... a longtime supporter of the event. , "We are pleased that KLS Martin is ... Havlik, 2017 ACPA President. "KLS Martin has a long track record of support of ...
(Date:2/23/2017)... ... February 23, 2017 , ... On April 13, ... symposium on “Doping in Sport: How the Culture Might Change,” in ... LLP. The symposium will be held at Pepperdine University in Malibu, California. , ...
(Date:2/23/2017)... ... February 23, 2017 , ... Healthcare ... for those in the fight against cancer, has produced a seminal study that ... HRA will release top-line findings in a webinar, Defining Compassionate Care Through the ...
(Date:2/23/2017)... York (PRWEB) , ... February 23, 2017 , ... Curemark, ... the safety and efficacy of CM-AT in children aged 3-8 with Autism, is now ... clinical sites already enrolling children across the United States. , “There are currently ...
Breaking Medicine News(10 mins):
(Date:2/24/2017)... NEW YORK , Feb. 23, 2017  This ... US$ Thousand by the following Products: ... analyzed in the report include Pharmaceuticals, and Agrochemicals. The ... Japan , Europe , ... provided for the period 2015 through 2022. Also, a ...
(Date:2/24/2017)... -- Research and Markets has announced the addition of ... report to their offering. ... The latest research Urinary Incontinence Drugs Price Analysis ... the global Urinary Incontinence market. The research answers the following ... marketed for Urinary Incontinence and their clinical attributes? How are they ...
(Date:2/23/2017)... Feb. 23, 2017  Cogentix Medical, Inc. (NASDAQ: CGNT), ... innovative proprietary products for the urology market, will release ... ended December 31, 2016 before the market open on ... will host a conference call and webcast to discuss ... 9, 2017 at 11:00 a.m. Eastern Time (10:00 a.m. ...
Breaking Medicine Technology: