Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Hospital experience and nursing improve cancer surgery outcome

25.07.2005


Choosing a hospital that either performs many cystectomies--the surgical removal of the urinary bladder--or has a high nurse-to-patient ratio minimizes post-operative complications after the procedure, according to a new study. The report, published in the September 1, 2005 issue of CANCER, a peer-reviewed journal of the American Cancer Society, indicates that post-operative mortality and complications were reduced by up to 75 percent in the best-case scenarios.



This year more than 63,000 Americans will get bladder cancer, with over 20 percent becoming invasive, leading to more than 13,000 deaths. The standard of care for invasive bladder cancer is cystectomy, which itself is associated with a mortality rate of about 2 percent, making it what doctors consider a moderate-risk surgery.

Studies show a clear survival benefit for patients who have high-risk cancer surgeries at hospitals that commonly perform the procedures. However, most cancer-related surgeries are moderate risk. In this category, studies analyzing the benefit of choosing a high procedure volume hospital have had inconsistent results.


Led by Linda S. Elting, Dr.P.H., of the University of Texas M. D. Anderson Cancer Center in Houston, researchers investigated the relationship between hospitals’ procedure volume and their post-operative mortality and morbidity. Researchers also analyzed data for hospital-related risk factors to help explain this relationship.

The investigators collected and analyzed data from 1302 bladder cancer patient who underwent cystectomy at 133 hospitals in Texas. They found about one in eights patients (12 percent) had post-operative complications and about one in 45 (2.2 percent) died. But hospitals performing over 10 cystectomies per year had statistically significant lower mortality and morbidity rates. Mortality was reduced by almost 75 percent and complications were reduced by approximately 50 percent at the high-volume hospitals. Interestingly, hospitals with a high nurse-to-patient ratio reduced post-operative mortality by more than 50 percent regardless of the hospital’s cystectomy volume.

"Referral to a hospital performing [more than] 10 cystectomies annually is indicated for patients who have access to high-volume centers," conclude the authors. They add that "among patients who do not have access to high-volume hospitals, treatment in a local hospital with a high nurse-to-patient ratio may confer a similar benefit."

Amy Molnar | EurekAlert!
Further information:
http://www.wiley.com

More articles from Studies and Analyses:

nachricht WAKE-UP provides new treatment option for stroke patients | International study led by UKE
17.05.2018 | Universitätsklinikum Hamburg-Eppendorf

nachricht First form of therapy for childhood dementia CLN2 developed
25.04.2018 | Universitätsklinikum Hamburg-Eppendorf

All articles from Studies and Analyses >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Powerful IT security for the car of the future – research alliance develops new approaches

The more electronics steer, accelerate and brake cars, the more important it is to protect them against cyber-attacks. That is why 15 partners from industry and academia will work together over the next three years on new approaches to IT security in self-driving cars. The joint project goes by the name Security For Connected, Autonomous Cars (SecForCARs) and has funding of €7.2 million from the German Federal Ministry of Education and Research. Infineon is leading the project.

Vehicles already offer diverse communication interfaces and more and more automated functions, such as distance and lane-keeping assist systems. At the same...

Im Focus: Molecular switch will facilitate the development of pioneering electro-optical devices

A research team led by physicists at the Technical University of Munich (TUM) has developed molecular nanoswitches that can be toggled between two structurally different states using an applied voltage. They can serve as the basis for a pioneering class of devices that could replace silicon-based components with organic molecules.

The development of new electronic technologies drives the incessant reduction of functional component sizes. In the context of an international collaborative...

Im Focus: LZH showcases laser material processing of tomorrow at the LASYS 2018

At the LASYS 2018, from June 5th to 7th, the Laser Zentrum Hannover e.V. (LZH) will be showcasing processes for the laser material processing of tomorrow in hall 4 at stand 4E75. With blown bomb shells the LZH will present first results of a research project on civil security.

At this year's LASYS, the LZH will exhibit light-based processes such as cutting, welding, ablation and structuring as well as additive manufacturing for...

Im Focus: Self-illuminating pixels for a new display generation

There are videos on the internet that can make one marvel at technology. For example, a smartphone is casually bent around the arm or a thin-film display is rolled in all directions and with almost every diameter. From the user's point of view, this looks fantastic. From a professional point of view, however, the question arises: Is that already possible?

At Display Week 2018, scientists from the Fraunhofer Institute for Applied Polymer Research IAP will be demonstrating today’s technological possibilities and...

Im Focus: Explanation for puzzling quantum oscillations has been found

So-called quantum many-body scars allow quantum systems to stay out of equilibrium much longer, explaining experiment | Study published in Nature Physics

Recently, researchers from Harvard and MIT succeeded in trapping a record 53 atoms and individually controlling their quantum state, realizing what is called a...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

VideoLinks
Industry & Economy
Event News

In focus: Climate adapted plants

25.05.2018 | Event News

Save the date: Forum European Neuroscience – 07-11 July 2018 in Berlin, Germany

02.05.2018 | Event News

Invitation to the upcoming "Current Topics in Bioinformatics: Big Data in Genomics and Medicine"

13.04.2018 | Event News

 
Latest News

In focus: Climate adapted plants

25.05.2018 | Event News

Flow probes from the 3D printer

25.05.2018 | Machine Engineering

Less is more? Gene switch for healthy aging found

25.05.2018 | Life Sciences

VideoLinks
Science & Research
Overview of more VideoLinks >>>