Navigation Links
Hospital surgical volume should be considered when judging value of procedures
Date:5/5/2013

SAN DIEGO The volume of cases performed at an institution each year has a direct effect on the outcome of surgical procedures, and should always be considered when looking at the benefits of a technique, according to a team of researchers at Henry Ford Hospital in Detroit.

Those conclusions will be presented May 5 at the annual meeting of the American Urological Association in San Diego.

The starting point of the study was the rapid increase in the use of surgical robots to assist in radical prostatectomy, in which the entire prostate gland and some surrounding tissue are removed to treat prostate cancer.

"This has happened in spite of a lack of randomized controlled studies to measure the superiority of robot-assisted radical prostatectomy, or RARP, over traditional open surgery to treat prostate cancers," says Jesse D. Sammon, D.O., a researcher at Henry Ford's Vattikuti Urology Institute and lead author of the study.

"There have been some studies recently that suggested an advantage for RARP in terms of complication rates from the time a patient is admitted for surgery, through the operation itself and until time of discharge from the hospital."

Dr. Sammon continues: "But these studies didn't take into account the relationship between surgical outcomes and the volume of surgery performed in a given institution. We set out to fill that void while comparing outcomes for RARP and open radical prostatectomy, or ORP."

Tapping data from the Nationwide Inpatient Sample a set of databases maintained for researchers and policymakers to find and address trends in U.S. health care the Henry Ford researchers identified 77,616 men who underwent radical prostatectomy in 2009. Of them, nearly 64 percent had RARP and about 36 percent had ORP.

The study then compared rates of blood transfusion, complications during and after surgery, prolonged length of hospital stay, elevated hospital charges and mortality within the test group.

"Overall, RARP patients experienced lower complication rates than those treated with ORP," Dr. Sammon says. "However, the picture changed when we factored in whether the procedures were done at very high-volume medical centers or low-volume institutions."

Low-volume centers averaged 26.2 cases of RARP and 5.2 of ORP, while the highest volume centers averaged nearly 579 RARP cases and 150 ORP cases per year.

When these caseloads were taken into account, the researchers found that among equivalent volumes, RARP results were generally favorable; ORP, however, at very high-volume centers, had lower complication rates after surgery and comparable rates of blood transfusions relative to RARP at low-volume centers.

"So, regardless of the approach whether RARP or ORP low-volume institutions experienced inferior outcomes when compared to the highest volume centers," Dr. Sammon says.


'/>"/>

Contact: Dwight Angell
dwight.angell@hfhs.org
313-850-3471
Henry Ford Health System
Source:Eurekalert

Related medicine news :

1. Dr. Kananit: Emergency Hospital Visits Related to Preventible Dental Issues
2. Hospitals Take Flight Lessons from Pilots to Avoid Government Penalties
3. Mother-Daughter Team from RE/MAX Plans 3rd Annual Michelle Radke Benefit on May 19 in Libertyville to Aid Lurie Children’s Hospital
4. Advanced Medical Certification Presents 'BabyTime' and Its Use in Hospitals
5. Medicaid Expert Says Florida's Failure to Accept Federal Funding to Cover More People Will Harm Families, Hospitals and Businesses
6. Health First and Palm Bay Police Department Receive National Recognition for Innovative Telemedicine Project to Help Patients Before they Get to the Hospital
7. Swisslog Introduces TransCar® LC3 – the Next Generation of Automated Guided Vehicles for Hospital Material Handling
8. Women's Choice Award Honors Orthopedics Hospitals Most Recommended by Women
9. STOP Obesity Alliance encourages nonprofit hospitals to address obesity via CHB requirements
10. St. Luke’s Cornwall Hospital Deploys Innovative Diagnosis Decision Support Tool From Isabel Healthcare
11. Traditional Chinese Medicine Hospitals in China Industry Research Report – Now Available from IBISWorld
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:1/15/2017)... ... January 15, 2017 , ... San Francisco Magazine recently queried ... counties for 2017. Almost 1,000 nominations were submitted and a little over 500 ... were announced the magazine’s January 2017 issue . , Under the category ...
(Date:1/15/2017)... NJ (PRWEB) , ... January 15, 2017 , ... ... firm located in Montclair, NJ is pleased to announce that it will be ... is located in Montclair and Glen Ridge townships, servicing all surrounding towns. The ...
(Date:1/14/2017)... (PRWEB) , ... January 14, 2017 , ... AgileMinder develops ... , The Emoji Scale is now available on Apple as a fun, free ... ratings simply by choosing one of the ten color coded values on The Emoji ...
(Date:1/13/2017)... (PRWEB) , ... January 13, 2017 , ... The 18th ... Avenida America hotel on March 3-4, 2017. This Congress is expertly designed to ... the management of patients with lung cancer. , Chaired by Dr. Giorgio V. Scagliotti, ...
(Date:1/13/2017)... ... January 13, 2017 , ... With the increasing public ... of providing additional organic alternatives for customers who have grown more conscious about ... line of all-natural activated charcoal products, Moody Zook Chief Executive Officer Nate Ginsburg ...
Breaking Medicine News(10 mins):
(Date:1/16/2017)... , Jan. 16, 2017  Today, Analytics 4 Life ... devices, announced its expansion into JLABS @ ... life science incubators. As a resident in the space, ... medical device development and commercialization expertise. JLABS ... science innovation center that provides a flexible environment for ...
(Date:1/15/2017)... , January 16, 2017 Der ... Kollagenprodukten für die Regeneration des menschlichen Gewebes, gibt die ... mit sofortiger Wirkung bekannt. ... Bill Allan ... Er bekleidete eine Reihe von Geschäftsführer- und anderen Führungspositionen ...
(Date:1/13/2017)... 2017 /PRNewswire/ - InMed Pharmaceuticals, Inc. ("InMed") (CSE: IN; OTCQB: IMLFF), ... Finance and Investment Banking at Eli Lilly & Company, has ... Bott brings over 28 years of senior financial and executive ... ... has established a significant leadership position in financial and business ...
Breaking Medicine Technology: