Navigation Links
Safer kidney cancer surgery under-used for poorer, sicker Medicare, Medicaid patients
Date:5/15/2012

DETROIT An increasingly common and safer type of surgery for kidney cancer is not as likely to be used for older, sicker and poorer patients who are uninsured or rely on Medicare or Medicaid for their health care, according to a new study by researchers at Henry Ford Hospital.

The treatment, partial nephrectomy (PN), involves surgically removing only the diseased portion of a cancerous kidney, leaving the unaffected part to continue to function.

Standard treatment for small kidney tumors has traditionally been radical nephrectomy (RN) surgical removal of the entire kidney, part of the ureter, the adrenal gland, and some surrounding tissue.

The less-extreme PN became possible with improvements in 3D scanning technology, and not only offers obvious advantages over RN, but earlier studies have found that it results in an overall drop in related cardiovascular complications and death.

The results will be presented this week at the American Urological Association Annual Meeting in Atlanta.

The Henry Ford study looked at 375,986 kidney cancer patients from throughout the U.S. who underwent either PN or RN from 1998 to 2009. Of those, 63,670 were PN patients.

During the study period, researchers found that the rate PR grew nearly five times, from 6 percent of patients to 28 percent, says Quoc-Dien Trinh, M.D., a Fellow at Henry Ford Hospital's Vattikuti Urology Institute and lead author of the study.

Most kidney cancer patients today can be treated with this kidney-saving technique, which reduces the chance of long-term kidney failure. Another advantage is that if something happens to the patient's other kidney, there is still one in reserve.

But the Henry Ford study also found that while PN is becoming more common, it is not being used to treat certain patients for other than medical reasons. The researchers learned that rates of PN dropped in patients who:

  • Are older and have additional diseases or disorders
  • Have no insurance or rely and Medicare and/or Medicaid for their health care
  • Live in lower-income zip codes
  • Are treated in lower-volume, non-teaching hospitals

There are several possible reasons for these disparities, Dr. Trinh says, although they're mostly conjecture because available data doesn't provide the information to test them.

"We couldn't adjust for such things as disease characteristics like tumor size, grade or location," he explains. "Also, it's possible that these patients have inferior access to care, so present with worse disease, when partial nephrectomy isn't feasible.

"However, it is also entirely possible that patients within this bracket are treated at hospitals that don't have the proficiency to perform this advanced surgical technique, therefore putting these patients at risk of the well-documented, long-term effects of radical nephrectomy."

If the disparities exist because of limited access, "then mechanisms need to be implemented to ensure that these patients receive higher quality care, and that they receive the appropriate treatment, namely partial nephrectomy, whenever possible," Dr. Trinh says. "This has been shown in all sorts of medical procedures and specialties.

"We have to change the way insurance is distributed and how health care is delivered. But this is easier said than done."


'/>"/>

Contact: Krista Hopson
khopson1@hfhs.org
313-874-7207
Henry Ford Health System
Source:Eurekalert

Related medicine news :

1. Father Channels His Grief into Advocacy, Promotes Simple Actions to Make Hospitals Safer for Children
2. Electronic Health Information Leader Says Physician Practice Redesign is Vital Next Step Towards Safer, More Effective Care Delivery
3. Why do physicians order costly CTs? Ultrasound yields better diagnosis, safer, less costly
4. Stitching Wounds May Be Safer Than Stapling
5. New York Personal Injury Attorney Interprets Increase in Tickets for Cyclists as Effort to Make Streets Safer
6. Safer Patients Mean Fewer Malpractice Suits
7. Free UAB service to help parents advocate for safer playgrounds, gyms
8. New Migraine Drug Might Be Safer for Some
9. Study finds everolimus-eluting stent safer, more effective than paclitaxel-eluting stent
10. New Implanted Defibrillator May Be Simpler, Safer
11. Safety Training Makes for Safer Mining
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... ... June 26, 2016 , ... Pixel Film Studios Released ProSlice Levels, a ... can give their videos a whole new perspective by using the title layers ... Film Studios. , ProSlice Levels contains over 30 Different presets to choose from. ...
(Date:6/25/2016)... ... 25, 2016 , ... Experts from the American Institutes for ... Meeting June 26-28, 2016, at the Hynes Convention Center in Boston. , AIR ... care planning, healthcare costs and patient and family engagement. , AIR researchers will ...
(Date:6/25/2016)... ... 2016 , ... First Choice Emergency Room , the largest network of ... Medical Director of its new Mesquite-Samuell Farm facility. , “We are pleased to ... said Dr. James M. Muzzarelli, Executive Medical Director of First Choice Emergency Room. ...
(Date:6/25/2016)... Montreal, Canada (PRWEB) , ... June 25, 2016 , ... ... the pursuit of success. In terms of the latter, setting the bar too high ... low, risk more than just slow progress toward their goal. , Research from ...
(Date:6/24/2016)... ... ... was in a crisis. Her son James, eight, was out of control. Prone to extreme ... “When something upset him, he couldn’t control his emotions,” remembers Marcy. “If there was ... other children and say he was going to kill them. If we were driving ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... -- Revolutionary technology includes multi-speaker listening to ... leaders in advanced audiology and hearing aid technology, has ... the world,s first internet connected hearing aid that opens ...      (Photo: http://photos.prnewswire.com/prnh/20160622/382240 ) , ... firsts,: , TwinLink™ - the first dual ...
(Date:6/23/2016)... , June 23, 2016 The vast majority ... outpatient dialysis facility.  Treatments are usually 3 times a ... per visit, including travel time, equipment preparation and wait ... but especially grueling for patients who are elderly and ... skilled nursing and rehabilitation centers for some duration of ...
(Date:6/23/2016)... FRANKLIN, Tenn. , June 23, 2016 ... for automating, integrating and transforming the patient ... launch of several innovative new products and ... depth of its revenue cycle offerings. These ... establish more efficient workflows, remain compliant in ...
Breaking Medicine Technology: