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:5/25/2016)... ... , ... One Florida-based plastic surgeon’s enthusiasm is proving to be contagious among ... May 13th on Vanity Fair. In fact, as the article explains, more than a ... more than 800,000 Snapchat fans. Commenting on this trend, Dr. Michael Salzhauer, also known ...
(Date:5/25/2016)... , ... May 25, 2016 , ... The Bank of ... Biomedical Technology Program to help provide veterans a pathway to employment and successful careers ... a $20,000 check to Nick Hallack, President and CEO of Medisend, parent organization and ...
(Date:5/25/2016)... ... May 25, 2016 , ... New studies ... of injured workers across 15 states. The outcomes examined in these studies include ... medical care, and satisfaction with medical care. , “The goal of the studies ...
(Date:5/25/2016)... , ... May 25, 2016 , ... Today Omega Institute, ... of 11 innovative workshops and training opportunities in the growing field of ... needs of individuals who are dealing with specific health issues—including injuries, illnesses, and temporary ...
(Date:5/25/2016)... ... May 25, 2016 , ... ... and products in the developing world, is pleased to release their 2015 global ... 5 million unwanted pregnancies, almost 14,000 maternal deaths and 3.8 million unsafe abortions ...
Breaking Medicine News(10 mins):
(Date:5/25/2016)... , May 25, 2016 Digital Health ... to it by the US Patent and Trademark ... technology includes proprietary processes for electronic opt-­in and ... and wellness programs, HIPAA compliance and otherwise. ... "Our technology allows for ...
(Date:5/24/2016)... May 24, 2016 Niederländische ... gebracht, die es Ärzten erlaubt, ihre Expertise weltweit ... MDLinking kombiniert Live Streaming mit einer Instant-Messaging-Funktion und ... kommunizieren. Mediziner in Europa, Afrika, Asien und den ... für die Plattform registriert. Information und ...
(Date:5/24/2016)... -- Diana Russell suffers from a form of rheumatoid arthritis ... This disease has put her in a wheelchair, and ... to leave her home.  Because of the size and ... wheelchair.  So if there is a family function, the ... to wait for the bus. Photo - ...
Breaking Medicine Technology: