Navigation Links
Intensive Early Treatment Doesn't Help Bladder Cancer Survival
Date:4/7/2009

High-intensity early treatment may lead to more interventions in future, study finds

TUESDAY, April 7 (HealthDay News) -- More intensive treatment in the first two years after a diagnosis of early bladder cancer doesn't appear to improve patient survival, a new study finds.

Researchers analyzed data on 20,713 Medicare patients diagnosed with early bladder cancer between 1992 and 2002. The average cost of care for patients who received the most intensive treatment was $7,131 compared to $2,830 for those who received the least intensive treatment.

There was no association between more intensive treatment and better overall survival. The study also found that patients who had more intensive early treatment were more likely to undergo major interventions in the future.

"The high-treatment intensity style of practice was characterized by a greater use of all measured health services, including intravesical therapy, endoscopy, urinary studies and imaging," wrote Dr. Brent K. Hollenbeck, of the University of Michigan Health System in Ann Arbor, and colleagues, in a news release.

"However, this aggressive early treatment approach did not improve survival or prevent patients from having to undergo major medical interventions in subsequent years," Hollenbeck and colleagues noted. "In fact, compared with patients treated by low-treatment intensity urologists, those treated by high-treatment intensity urologists were nearly two-and-a half-times more likely to undergo radical cystectomy and nearly twice as likely to receive any major medical intervention, even after accounting for patient differences."

The study appears in the April 7 online issue of the Journal of the National Cancer Institute.

The findings need to be interpreted with caution, Dr. Gary H. Lyman and colleagues at Duke University School of Medicine in Durham, N.C., wrote in an accompanying editorial.

"The apparent association between provider treatment intensity defined as greater average bladder cancer expenditures and worse bladder cancer-specific but not overall survival is more likely the result of confounding by unavailable prognostic factors than the result of adverse events resulting from the procedures themselves," Lyman and colleagues noted.

More information

The American Cancer Society has more about bladder cancer.



-- Robert Preidt



SOURCE: Journal of the National Cancer Institute, news release, April 7, 2009


'/>"/>
Copyright©2009 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Intensive summer program helps physicians build clinical research careers
2. NICE SUGAR: Intensive insulin therapy risks
3. Dallas To Host Intensive Norvax University Insurance Agent Sales Training and Web Marketing Conference on March 26
4. New Anxiety and Mood Disorders Intensive Treatment Program in Downtown Chicago
5. Intensive Resource Group (IRG) Helps Hospitals Address Financial and Operational Crisis
6. Intensive Insulin Therapy Reduces Mortality in Sick Kids
7. Intensive support programs can help hospitalized smokers stay smoke-free
8. Integrated Medical Systems Receives FDA Clearance for Worlds First Suitcase Intensive Care Unit
9. New Intensive Care Unit at Gilbert Hospital Sees First Patient
10. WellPoint Partners With CareNex Health Services to Expand Its Neonatal Intensive Care Services Program
11. Newborns in Intensive Care Often Exposed to Pain
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Intensive Early Treatment Doesn't Help Bladder Cancer Survival
(Date:6/26/2017)... ... 2017 , ... Maryland’s soybean farmers have improved the sustainability ... the United Soybean Board. , Thanks to the responsible use of technology ... on less land per bushel, the report says. The United Soybean Board’s “Soy ...
(Date:6/26/2017)... ... June 26, 2017 , ... New patients with missing ... Cotey, with or without a referral. Dr. Cotey is a trusted dentist who has ... tooth replacement option. , Patients with missing teeth in Fitchburg, WI, are encouraged to ...
(Date:6/25/2017)... ... ... CareSet Labs released the Root NPI Graph today at the 2017 Academy ... of the Doctor Referral teaming dataset commonly available from Medicare. , Originally created through ... “Doctor Referral Dataset” as released by Medicare and “DocGraph” as released by Trotter, the ...
(Date:6/24/2017)... ... June 24, 2017 , ... Dr. Mitchell Mehlman ... Road in Lake Ronkonkoma, Dental365 offers patients high-quality and affordable routine and emergency ... the dentist fit into their patients’ busy lifestyles. Dental365 also gladly work with ...
(Date:6/23/2017)... ... ... By scoring 100% for fiscal management and accountability, the Arthritis National Research ... Charity Navigator, validating ANRF's work as a top charity in America. , This achievement ... earns ANRF a spot on their “ 10 Charities Worth Watching ” list as ...
Breaking Medicine News(10 mins):
(Date:6/20/2017)... CHICAGO , June 19, 2017  Hill-Rom Holdings, Inc. ... conference call and webcast on Friday, July 28, 2017, beginning ... Conference Call Audio Only Dial-in information: To participate in the ... Please dial into the call at least 10 minutes prior ... Code is 34090339.  ...
(Date:6/16/2017)... -- Datascope Corp. is voluntarily performing a worldwide field correction of certain Intra-Aortic ... code.     ... NUMBER ... 0998-UC-0446HXX; 0998-UC-0479HXX 0998-00-3013-XX;  0998-UC-3013-XX ... This field correction also applies to any System ...
(Date:6/14/2017)... , June 14, 2017  ivWatch LLC, a medical ... of intravenous (IV) therapy, is pleased to announce it ... of Nonsurgical Hospital Supplies and Equipment at the 2017 ... for the medtech industry. The award was presented by ... K. Javits Center in New York ...
Breaking Medicine Technology: