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

itional 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."


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

    Page: 1 2

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