The effect of hospital volume on cancer control after radical prostatectomy

L. M. Ellison, Bruce Trock, N. R. Poe, Alan Wayne Partin

Research output: Contribution to journalArticle

Abstract

Purpose: For complex oncological procedures, hospital volume affects short and long-term patient outcome. We examined the association of hospital volume and long-term cancer control after radical prostatectomy. Materials and Methods: With a cohort study design, we used the Surveillance, Epidemiology and End Results-Medicare linked files to identify a population based sample of men with newly diagnosed prostate cancer treated primarily with radical prostatectomy. Failure of cancer control was defined as the use of postoperative medical or surgical hormone ablation or treatment with radiation therapy more than 6 months after surgery. Results: A total of 12,635 men underwent radical prostatectomy for incident prostate cancer. After adjusting for age, comorbidity, histological grade and clinical stage, the risk of adjuvant therapy was greater among those treated at low (1 to 33 cases) and medium (34 to 61 cases) volume hospitals than at very high (more than 108 cases) volume hospitals (HR 1.25, p

Original languageEnglish (US)
Pages (from-to)2094-2098
Number of pages5
JournalJournal of Urology
Volume173
Issue number6
DOIs
StatePublished - Jun 2005

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Prostatectomy
Neoplasms
Prostatic Neoplasms
Medicare
Comorbidity
Epidemiology
Cohort Studies
Radiotherapy
Hormones
Therapeutics
Population

Keywords

  • Health facility size
  • Outcome assessment
  • Prostatic neoplasms

ASJC Scopus subject areas

  • Urology

Cite this

The effect of hospital volume on cancer control after radical prostatectomy. / Ellison, L. M.; Trock, Bruce; Poe, N. R.; Partin, Alan Wayne.

In: Journal of Urology, Vol. 173, No. 6, 06.2005, p. 2094-2098.

Research output: Contribution to journalArticle

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