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:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... The temporary closing of Bruton Memorial Library ... City Observer , brings up a new, often overlooked aspect of head lice: the parasite’s ... for fumigation is not a common occurrence, but a necessary one in the event that ...
(Date:6/25/2016)... , ... June 25, 2016 , ... ... and non-athletes recover from injury. Recently, he has implemented orthobiologic procedures as a ... area —Johnson is one of the first doctors to perform the treatment. Orthobiologics ...
(Date:6/24/2016)... ... June 24, 2016 , ... Those who have experienced traumatic events may ... to unhealthy avenues, such as drug or alcohol abuse, as a coping mechanism. To ... for healthy coping following a traumatic event. , Trauma sufferers tend to feel a ...
(Date:6/24/2016)... ... , ... Global law firm Greenberg Traurig, P.A. announced that 20 Florida attorneys ... peers for this recognition are considered among the top 2 percent of lawyers practicing ... members of this year’s Legal Elite Hall of Fame: Miami Shareholders Mark D. ...
(Date:6/24/2016)... ... 2016 , ... People across the U.S. are sharpening their pencils and honing ... contest in which patients and their families pay tribute to a genetic counselor by ... Society of Genetic Counselors (NSGC) Annual Education Conference (AEC) this September. , In ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... DUBLIN , June 24, 2016 ... and Markets has announced the addition of the ... their offering. ... products and provides an updated review, including its applications ... covering the total market, which includes three main industries: ...
(Date:6/24/2016)... BEIJING , June 24, 2016 Dehaier ... or the "Company"), which develops, markets and sells medical ... China , signed a strategic cooperation agreement with ... as "Hongyuan Supply Chain") on June 20, 2016, to ... Under the strategic cooperation agreement, Dehaier will leverage Hongyuan ...
(Date:6/24/2016)... , June 24, 2016 According ... by Type (Standard Pen Needles, Safety Pen Needles), Needle ... GLP-1, Growth Hormone), Mode of Purchase (Retail, Non-Retail) - ... This report studies the market for the forecast period ... reach USD 2.81 Billion by 2021 from USD 1.65 ...
Breaking Medicine Technology: