In a retrospective study of 12,154 radical cystectomies performed in 196 Spanish hospitals, the authors uncovered a highly significant relationship between patient volume per hospital and 90-day mortality.
Dr Ana Guijarro Cascales (Hospital Universitario Fundacion Alcorcon, Spain) examined the national registry of Spain from 2011-2015 for the impact of the number of radical cystectomies performed per hospital on 90-day mortality. In the literature, 90-day mortality is variable but generally thought to relate to number of patients treated per year, and reported to be 2.3-7.9% . The majority of hospitals do less than 10 radical cystectomies per year (191/196), with only 5 hospitals performing more than 38 per year. Across all Spanish hospitals, median mortality at 30, 60, and 90 days was respectively 2.9%, 5.2%, and 6.5%.
However, at the five higher volume centres (38+ radical cystectomies per year) the mortality rate at 90 days was just 3.3%. By e...
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