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!
Wireless power can drive tiny electronic devices in the GI tract
28.04.2017 | Brigham and Women's Hospital
Artificial intelligence may help diagnose tuberculosis in remote areas
25.04.2017 | Radiological Society of North America
More and more automobile companies are focusing on body parts made of carbon fiber reinforced plastics (CFRP). However, manufacturing and repair costs must be further reduced in order to make CFRP more economical in use. Together with the Volkswagen AG and five other partners in the project HolQueSt 3D, the Laser Zentrum Hannover e.V. (LZH) has developed laser processes for the automatic trimming, drilling and repair of three-dimensional components.
Automated manufacturing processes are the basis for ultimately establishing the series production of CFRP components. In the project HolQueSt 3D, the LZH has...
Reflecting the structure of composites found in nature and the ancient world, researchers at the University of Illinois at Urbana-Champaign have synthesized thin carbon nanotube (CNT) textiles that exhibit both high electrical conductivity and a level of toughness that is about fifty times higher than copper films, currently used in electronics.
"The structural robustness of thin metal films has significant importance for the reliable operation of smart skin and flexible electronics including...
The nearby, giant radio galaxy M87 hosts a supermassive black hole (BH) and is well-known for its bright jet dominating the spectrum over ten orders of magnitude in frequency. Due to its proximity, jet prominence, and the large black hole mass, M87 is the best laboratory for investigating the formation, acceleration, and collimation of relativistic jets. A research team led by Silke Britzen from the Max Planck Institute for Radio Astronomy in Bonn, Germany, has found strong indication for turbulent processes connecting the accretion disk and the jet of that galaxy providing insights into the longstanding problem of the origin of astrophysical jets.
Supermassive black holes form some of the most enigmatic phenomena in astrophysics. Their enormous energy output is supposed to be generated by the...
The probability to find a certain number of photons inside a laser pulse usually corresponds to a classical distribution of independent events, the so-called...
Microprocessors based on atomically thin materials hold the promise of the evolution of traditional processors as well as new applications in the field of flexible electronics. Now, a TU Wien research team led by Thomas Müller has made a breakthrough in this field as part of an ongoing research project.
Two-dimensional materials, or 2D materials for short, are extremely versatile, although – or often more precisely because – they are made up of just one or a...
28.04.2017 | Event News
20.04.2017 | Event News
18.04.2017 | Event News
28.04.2017 | Medical Engineering
28.04.2017 | Earth Sciences
28.04.2017 | Life Sciences