Home > Urology > EAU 2019 > Bladder Cancer > Spanish Study Directly Links Surgical Volume with Mortality in Bladder Cancer Patients Undergoing Cystectomy

Spanish Study Directly Links Surgical Volume with Mortality in Bladder Cancer Patients Undergoing Cystectomy

Presented By
Dr Ana Guijarro Cascales, Hospital Universitario Fundacion Alcorcon, Spain
Conference
EAU 2019

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% [1]. 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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