Do high-volume hospitals and surgeons provide better care in urologic oncology? Journal Article
| Author: | Eastham, J. A. |
| Article Title: | Do high-volume hospitals and surgeons provide better care in urologic oncology? |
| Abstract: | Studies focusing primarily on hospital or surgical volume as a surrogate for surgical experience have found substantial variations in outcomes. Increasing surgical experience has been shown to improve outcomes after multiple procedures, including esophagectomy, pancreatectomy, and primary surgery for colon and breast cancer. More recently, evidence has been presented that surgical volume/experience affects quality of life and cancer control outcomes after urologic oncology procedures. Although most of these data pertain to radical prostatectomy, similar conclusions have been reached for radical cystectomy, retroperitoneal lymph node dissection, and management of renal cell carcinoma. This review highlights data indicating that high-volume surgeons and hospitals provide better care for radical prostatectomy. © 2009. |
| Keywords: | treatment outcome; cancer surgery; surgical technique; review; cancer recurrence; outcome assessment; lymph nodes; prostate specific antigen; quality of life; oncology; risk assessment; outcome assessment (health care); prostate cancer; prostatic neoplasms; health care quality; hospital; hospitals; prostate; carcinoma, renal cell; quality assurance, health care; prostatectomy; surgeon; urology; surgical risk; medical oncology; multivariate analysis; cancer control; biochemistry; convalescence; experiential learning; models, anatomic |
| Journal Title: | Urologic Oncology: Seminars and Original Investigations |
| Volume: | 27 |
| Issue: | 4 |
| ISSN: | 1078-1439 |
| Publisher: | Elsevier Inc. |
| Date Published: | 2009-07-01 |
| Start Page: | 417 |
| End Page: | 421 |
| Language: | English |
| DOI: | 10.1016/j.urolonc.2009.01.010 |
| PUBMED: | 19573772 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 1" - "Export Date: 30 November 2010" - "CODEN: UOSOA" - "Source: Scopus" |
