Outcome of treatment of bladder cancer: a comparison between low-volume hospitals and an oncology centre.

World Journal of Urology
R R de VriesMembers of the Urological Oncology Working Group of the Comprehensive Cancer Centre Amsterdam

Abstract

To evaluate the effect of volume of cystectomies in the Greater Amsterdam region on postoperative outcomes. All primary bladder tumours diagnosed between 1989 and 2003 were selected from the Amsterdam Cancer Registry, a population-based cancer registry (population 3.0 million). For all patients who underwent cystectomy during 1989-2003 at 20 participating hospitals, medical records were reviewed for information on postoperative mortality, locoregional recurrences and relative risk of death. To assess the effect of volume, outcomes at an oncology centre and low-volume hospitals were compared. During 1989-2003 a total of 1,185 cystectomies were performed in 20 hospitals of the Greater Amsterdam region. Postoperative mortality was 3.2%. During 1989-1997, 8% of cystectomies were performed at the oncology centre, increasing to 30% in 1998-2003. Although postoperative mortality at this centre decreased from 4.0% in 1989-1997 to 1.1% in 1998-2003, the latter percentage was not statistically significantly different from the other hospitals during 1998-2003 (OR 0.3; P = 0.09). No statistically significant difference in locoregional recurrence rate and in the relative risk of death was observed between the oncology centre and all other h...Continue Reading

References

Apr 12, 2002·The New England Journal of Medicine·John D BirkmeyerDavid E Wennberg
Feb 15, 2003·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Stephan MadersbacherUrs E Studer
Jan 10, 2004·The Journal of Urology·Marcus L QuekDonald G Skinner
Jun 17, 2004·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Harry W HerrE David Crawford
Mar 24, 2005·International Urology and Nephrology·Narmada P GuptaM S Ansari
Sep 8, 2005·The Journal of Urology·Brent K HollenbeckJohn T Wei
Feb 14, 2006·The Journal of Urology·Marcus L QuekDonald G Skinner
Mar 30, 2006·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·F J van OostA J M van den Eijnden-van Raaij
May 2, 2006·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Badrinath R KonetyBrian Smith
Jun 30, 2006·Urology·Badrinath R KonetyHarry Herr
Aug 15, 2006·Current Opinion in Urology·Peter C BlackColin P Dinney
Dec 30, 2006·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Brent K HollenbeckJohn T Wei
Jan 9, 2007·Urologic Oncology·Eila C SkinnerDonald G Skinner
Apr 26, 2007·Annals of Surgery·John D BirkmeyerTherese A Stukel
May 19, 2007·The Journal of Urology·Brent K HollenbeckDavid C Miller
Jun 27, 2007·Annals of Surgery·Veerajalandhar AllareddyBadrinath R Konety
Aug 7, 2007·Postgraduate Medical Journal·John E McCabePradip M Javle
Aug 21, 2007·The Journal of Urology·Christopher E BarbieriSam S Chang
Jan 18, 2008·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Matthias MayMichael Siegsmund
May 20, 2008·The Journal of Urology·Mohamed A GhoneimMahmoud A el-Baz

❮ Previous
Next ❯

Citations

Jul 6, 2010·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·C A Goossens-LaanP J M Kil
Apr 13, 2018·PloS One·Melvin J KilsdonkWim H van Harten
Apr 16, 2021·BMJ Open·Sophia Liff MaibomMartin Andreas Røder

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bladder Carcinoma In Situ

Bladder Carcinoma In Situ is a superficial bladder cancer that occurs on the surface layer of the bladder. Discover the latest research on this precancerous condition in this feed.

Carcinoma, Squamous Cell

Basal cell carcinoma is a form of malignant skin cancer found on the head and neck regions and has low rates of metastasis. Discover the latest research on basal cell carcinoma here.

© 2021 Meta ULC. All rights reserved