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https://hdl.handle.net/2440/60859
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Type: | Journal article |
Title: | Radical prostatectomy: a systematic review of the impact of hospital and surgeon volume on patient outcome |
Author: | Wilson, A. Marlow, N. Maddern, G. Barraclough, B. Collier, N. Dickinson, I. Fawcett, J. Graham, J. |
Citation: | ANZ Journal of Surgery, 2010; 80(1-2):24-29 |
Publisher: | Blackwell Science Asia |
Issue Date: | 2010 |
ISSN: | 1445-1433 1445-2197 |
Statement of Responsibility: | Ailsa Wilson, Nicholas E. Marlow, Guy J. Maddern, Bruce Barraclough, Neil A. Collier, Ian C. Dickinson, Jonathon Fawcett, John C. Graham |
Abstract: | <h4>Background</h4>To assess the impact of hospital and surgeon volume on mortality, morbidity, length of hospital stay and costs of radical prostatectomy (RP).<h4>Methods</h4>This systematic review identified relevant studies published between 1997 and June 2007. Inclusion of papers was established through application of a predetermined protocol, independent assessment by two reviewers, and a final consensus decision.<h4>Results</h4>Compared with low volume hospitals, the included studies showed high volume hospitals demonstrated lower rates of mortality, postoperative complications and readmissions, and lower overall hospital costs. High volume surgeons similarly showed lower rates of postoperative complications and shorter length of stay compared with low volume surgeons, but no difference in mortality.<h4>Conclusions</h4>From the literature obtained, patients undergoing RP performed by high volume providers may have better outcomes compared to low volume providers; however, any move to centralize RP must be further evaluated. |
Keywords: | centralized hospital services health services needs and demand prostatectomy referral and consultation review |
Rights: | © 2010 The Authors. Journal compilation © 2010 Royal Australasian College of Surgeons |
DOI: | 10.1111/j.1445-2197.2009.05172.x |
Published version: | http://dx.doi.org/10.1111/j.1445-2197.2009.05172.x |
Appears in Collections: | Aurora harvest 5 Surgery publications |
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