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:10/13/2017)... Calif. (PRWEB) , ... October 13, 2017 , ... Many ... dementia. However, many long-term care insurance companies have a waiver for care if the ... 90-day elimination period, when the family pays for care, is often waived, so the ...
(Date:10/13/2017)... ... October 13, 2017 , ... Ellevate Network, the leading network ... advocate for action towards gender equality at their inaugural Summit in New York City ... and reached a social audience of over 3 million. To watch the Mobilize Women ...
(Date:10/13/2017)... ... , ... Yisrayl Hawkins, Pastor and Overseer at The House of Yahweh, has ... least understood books in the Holy Scriptures, Revelation. The Book of Revelation paints a ... centuries. Many have tossed it off as mere rubbish, but Yisrayl Hawkins says that ...
(Date:10/13/2017)... Fairfax, VA (PRWEB) , ... October 13, 2017 ... ... provider of DevOps and Agile Software Development, has been awarded a contract by ... (EATS) Blanket Purchase Agreement (BPA) aims to accelerate the enterprise use of Agile ...
(Date:10/13/2017)... ... 13, 2017 , ... “America On The Brink”: the Christian history of the ... is the creation of published author, William Nowers. Captain Nowers and his wife, ... he spent thirty years in the Navy. Following his career as a naval ...
Breaking Medicine News(10 mins):
(Date:9/28/2017)... -- Cohen Veterans Bioscience and Early Signal Foundation announce ... home sensors for real-time monitoring of patients with trauma-related ... organization focused on disruptive health solutions for rare disorders ... to record and integrate behavioral, cognitive, physiological and contextual ... ...
(Date:9/27/2017)... , Sept. 27, 2017  DarioHealth Corp. (NASDAQ: DRIO), a leading ... announced that its MyDario product is expected to appear on The Dr. ... The Dr. Oz Show airs in your area: http://www.doctoroz.com/page/where-watch-dr-oz-show ... The nine-time Emmy award-winning, The Dr. Oz Show ... The segment ...
(Date:9/25/2017)... , Sept. 25, 2017  EpiVax, Inc., ... vaccine design, and immune-engineering today announced the launch ... the development of personalized therapeutic cancer vaccines. EpiVax ... provided exclusive access to enabling technologies to the ... MBA will lead EpiVax Oncology as Chief Executive ...
Breaking Medicine Technology: