The research showed that for 13 different kinds of cancer surgeries such as gastric and colon, younger patients with few pre-existing illnesses survived operations at community hospitals at a similar rate as at cancer centers.
But patients who are considered high risk or who need complicated cancer surgeries have a higher survival rate at specialized cancer centers. Patients with pancreatic and esophageal cancer, among the most complex cancer surgeries, are twice as likely to survive an operation at a specialized cancer center. The study defined these centers as those designated as Comprehensive Cancer Centers by the National Cancer Institute and those that have the highest volume of specific cancer surgeries.
The study from Northwestern's Feinberg School of Medicine and the American College of Surgeons will be published in a future issue of the Annals of Surgery and is accessible via its Web site. The study measured the death rates (known as perioperative mortality) after surgery.
Lead author Karl Bilimoria, M.D., surgery resident at the Feinberg School and a research fellow at the American College of Surgeons, noted that the study does not look at long-term survival after surgery or factors that affect long-term outcomes, such as whether surgery removed all of the cancer.
"There may be other reasons patients should be referred to specialized cancer centers beyond perioperative mortality," he said. Those reasons may include access to clinical trials and treatment options only available in an academic setting, state of the art technology and health professionals who specialize in a specific kind of cancer.
"Our findings provide new evidence about which patients need to be referred to a cancer center and which ones can have surgery in their own backyards," said Bilimoria. "This may make treatment more convenient for many patients. Sometimes it's prohibitively expensive for someone to travel to get care at a high-volume center. Patients also like to stay with their original doctors and close to their family."
The study used data from the National Cancer Data Base and looked at 940,718 patients from 1,430 hospitals. It was supported by a grant from Northwestern University and the American College of Surgeons' Clinical Scholars in Residence Program.
Marla Paul is the health sciences editor. Contact her at firstname.lastname@example.org
Marla Paul | EurekAlert!
Münster researchers make a fly’s heartbeat visible / Software automatically recognizes pulse
12.03.2018 | Westfälische Wilhelms-Universität Münster
3-D-written model to provide better understanding of cancer spread
05.03.2018 | Purdue University
Satellites in near-Earth orbit are at risk due to the steady increase in space debris. But their mission in the areas of telecommunications, navigation or weather forecasts is essential for society. Fraunhofer FHR therefore develops radar-based systems which allow the detection, tracking and cataloging of even the smallest particles of debris. Satellite operators who have access to our data are in a better position to plan evasive maneuvers and prevent destructive collisions. From April, 25-29 2018, Fraunhofer FHR and its partners will exhibit the complementary radar systems TIRA and GESTRA as well as the latest radar techniques for space observation across three stands at the ILA Berlin.
The "traffic situation" in space is very tense: the Earth is currently being orbited not only by countless satellites but also by a large volume of space...
An international team of researchers has discovered a new anti-cancer protein. The protein, called LHPP, prevents the uncontrolled proliferation of cancer cells in the liver. The researchers led by Prof. Michael N. Hall from the Biozentrum, University of Basel, report in “Nature” that LHPP can also serve as a biomarker for the diagnosis and prognosis of liver cancer.
The incidence of liver cancer, also known as hepatocellular carcinoma, is steadily increasing. In the last twenty years, the number of cases has almost doubled...
In just a few weeks from now, the Chinese space station Tiangong-1 will re-enter the Earth's atmosphere where it will to a large extent burn up. It is possible that some debris will reach the Earth's surface. Tiangong-1 is orbiting the Earth uncontrolled at a speed of approx. 29,000 km/h.Currently the prognosis relating to the time of impact currently lies within a window of several days. The scientists at Fraunhofer FHR have already been monitoring Tiangong-1 for a number of weeks with their TIRA system, one of the most powerful space observation radars in the world, with a view to supporting the German Space Situational Awareness Center and the ESA with their re-entry forecasts.
Following the loss of radio contact with Tiangong-1 in 2016 and due to the low orbital height, it is now inevitable that the Chinese space station will...
Fraunhofer Institute for Organic Electronics, Electron Beam and Plasma Technology FEP, provider of research and development services for OLED lighting solutions, announces the founding of the “OLED Licht Forum” and presents latest OLED design and lighting solutions during light+building, from March 18th – 23rd, 2018 in Frankfurt a.M./Germany, at booth no. F91 in Hall 4.0.
They are united in their passion for OLED (organic light emitting diodes) lighting with all of its unique facets and application possibilities. Thus experts in...
A new scenario seeking to explain how Mars' putative oceans came and went over the last 4 billion years implies that the oceans formed several hundred million...
23.03.2018 | Event News
19.03.2018 | Event News
16.03.2018 | Event News
23.03.2018 | Materials Sciences
23.03.2018 | Agricultural and Forestry Science
23.03.2018 | Physics and Astronomy