Radical Cystectomy Safer in High-Volume Hospitals

Bladder cancer patients have fewer non-surgical complications in large urban hospitals

THURSDAY, July 27 (HealthDay News) -- Bladder cancer patients who undergo radical cystectomy in hospitals performing many such procedures have fewer post-surgical complications than those undergoing the procedure in low-volume hospitals, researchers report in the July issue of Urology.

Badrinath R. Konety, M.D., of the University of California San Francisco, and colleagues analyzed national data on complications of radical cystectomy in bladder cancer patients between 1998 and 2002.

The researchers found that 2.57 percent of patients died in the hospital, and 28.4 percent of patients had one or more complications. Patients that were younger, female, and treated in a hospital performing a high volume of procedures had fewer complications related to surgery, and younger patients and those in large, urban hospitals had fewer non-surgery complications, the report indicates.

"The overall morbidity and mortality rates after radical cystectomy in a population-based sample were comparable to those reported from individual centers," the authors write. "Larger centers in urban locations may have lower complication rates but only hospitals performing a high volume of cystectomies were associated with fewer primary surgery-related complications."

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