180: Outcome from Radical Cystectomy in “Specialized” Urology Hospitals: are they any Better?
Year: 2005
Type: conference-abstract
Abstract: primary treatment modality for patients with invasive disease.The aim of this study is to characterize trends in the use and outcomes of cystectomy during a recent 13-year period.METHODS: The Nationwide Inpatient Sample is comprised of a 20% probability sample of hospital discharges in the United States each year.Patients who underwent cystectomy for bladder cancer between 1988 and 2000 were identified using ICD-9-CM codes.Outcome variables included in-hospital mortality and length of stay.National estimates of annual rates were calculated using respective weights.RESULTS: Between 1988 and 2000, an estimated 119,491 patients underwent cystectomy for bladder cancer.The number of procedures performed increased mildly, from 7,281 (2.98 per 100,000) in 1988 to 8,941 (3.25 per 100,000) in 2000.The overall mortality rate declined from 3. 2% (1988-1991) to 2.7% (1998)(1999)(2000) during the study period (p<O.OO I).High volume hospitals had a lower mortality rate (2.2%) than low volume hospitals (3.3%, p<O.OOl).Median length of stay declined from 13 days in 1988 through 1991 to 9 days in 1998 through 2000 (p<O.OOI).CONCLUSIONS: Utilization of cystectomy in the treatment of bladder cancer has remained relatively stable from 1988 to 2000.Over this time period, short-term outcomes following cystectomy for bladder cancer have improved significantly.Mortality S~ by Hoap+tal VolUme from 1988 to 2000.h ar of ap..
Source: The Journal of Urology
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2790613124