FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2030676747> ?p ?o ?g. }

• W2030676747 endingPage "6" @default.
• W2030676747 startingPage "5" @default.
• W2030676747 abstract "In the current issue of BJUI, Nielsen et al. 1 assessed the role of hospital characteristics on the risk of short-term mortality in a contemporary cohort of patients with bladder cancer treated with radical cystectomy (RC) representing the USA population. In their investigation, the authors evaluated >35 000 undergoing RC included within the National Cancer Database. Interestingly, they showed that hospital volume represents an independent predictor of both 30- and 90-day mortality. Several studies already explored the association between hospital characteristics (i.e., hospital volume) and short- and long-term postoperative outcomes, e.g. complication, blood transfusion, readmission, and mortality rates after RC 2-5. Although this topic has already been broadly investigated, the current study was able to determine the 90-day mortality rates conditional on survival to 30 days after RC. From a clinical standpoint, the authors report several relevant findings. First, hospital volume represented an independent predictor of 90-day mortality after RC 1. Particularly, patients treated in centres performing an average of >20 RC/year had significantly lower mortality rates compared with those undergoing RC in smaller volume hospitals. However, it should be noted that the magnitude of the effect was substantially greater when evaluating the 30-day period as compared with 90 days after RC. This observation leads to clinically relevant considerations. Indeed, it might be speculated that the better quality of care generally provided in high-volume tertiary referral centres has a substantial impact on perioperative outcomes and mortality. However, this effect manifests itself mainly in the immediate period after RC. This is consistent with previous studies evaluating the impact of hospital volume on perioperative outcomes in inpatient cohorts 4, 5. For example, Trinh et al. 4 showed that this parameter was significantly associated with the risk of dying in the perioperative period when a complication occurred. In this context, tertiary referral centres might be better equipped to assist patients in the postoperative period and eventually treat them in a timely fashion 4. Particularly, better processes of care, e.g. preoperative patient evaluation, invasive monitoring, and perioperative consultations with critical care and other units, might be at least in part responsible for this phenomenon 4. These observations justify the referral to high-volume centres when a major surgical procedure is planned 3, 4. On the other hand, the quality of the assistance received during hospitalisation might have a limited impact on postoperative outcomes after hospital discharge. Consequently, these findings might be used to advocate better home care in order to improve patient management after hospital discharge and, in turn, reduce the risk of perioperative morbidity and mortality. Second, it should be noted that a substantial proportion of patients had died by the 3-month follow-up (7.2%). Moreover, up to 5% of patients who survived at 1 month after RC died in the following 2 months. These observations are consistent with previous studies and highlight the need for better perioperative patient management 1, 3, 5, 6. Additionally, these sobering figures should be used to advocate better patient selection in order to spare the potential RC-related complications in frail patients, where alternative and less invasive treatment options might be considered. Concluding, the study by Nielsen et al. 1 further demonstrates that patients with bladder cancer undergoing RC have a non-negligible risk of perioperative mortality at 30- and 90-days after RC. Patients treated at higher volume centres (≥20 procedures/year) experience better perioperative outcomes compared with their counterparts undergoing RC at lower volume institutions (<10 procedures/year). However, the effect of hospital volume on the risk of perioperative mortality is considerably greater in the early period after RC. Consequently, substantive efforts should be made to improve postoperative patient care even after hospital discharge. None disclosed." @default.
• W2030676747 created "2016-06-24" @default.
• W2030676747 creator A5023266580 @default.
• W2030676747 creator A5044228660 @default.
• W2030676747 creator A5060378122 @default.
• W2030676747 creator A5077545940 @default.
• W2030676747 date "2014-06-25" @default.
• W2030676747 modified "2023-10-02" @default.
• W2030676747 title "High hospital volume reduces mortality after cystectomy" @default.
• W2030676747 cites W1502810893 @default.
• W2030676747 cites W1538193234 @default.
• W2030676747 cites W1558486292 @default.
• W2030676747 cites W1889609901 @default.
• W2030676747 cites W2047905289 @default.
• W2030676747 cites W2084748232 @default.
• W2030676747 doi "https://doi.org/10.1111/bju.12780" @default.
• W2030676747 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/24964183" @default.
• W2030676747 hasPublicationYear "2014" @default.
• W2030676747 type Work @default.
• W2030676747 sameAs 2030676747 @default.
• W2030676747 citedByCount "1" @default.
• W2030676747 countsByYear W20306767472019 @default.
• W2030676747 crossrefType "journal-article" @default.
• W2030676747 hasAuthorship W2030676747A5023266580 @default.
• W2030676747 hasAuthorship W2030676747A5044228660 @default.
• W2030676747 hasAuthorship W2030676747A5060378122 @default.
• W2030676747 hasAuthorship W2030676747A5077545940 @default.
• W2030676747 hasBestOaLocation W20306767471 @default.
• W2030676747 hasConcept C121608353 @default.
• W2030676747 hasConcept C126322002 @default.
• W2030676747 hasConcept C141071460 @default.
• W2030676747 hasConcept C167135981 @default.
• W2030676747 hasConcept C179755657 @default.
• W2030676747 hasConcept C194828623 @default.
• W2030676747 hasConcept C2775910329 @default.
• W2030676747 hasConcept C2776135927 @default.
• W2030676747 hasConcept C2780283434 @default.
• W2030676747 hasConcept C2780352672 @default.
• W2030676747 hasConcept C2908647359 @default.
• W2030676747 hasConcept C31174226 @default.
• W2030676747 hasConcept C512399662 @default.
• W2030676747 hasConcept C71924100 @default.
• W2030676747 hasConcept C72563966 @default.
• W2030676747 hasConcept C81182388 @default.
• W2030676747 hasConcept C99454951 @default.
• W2030676747 hasConceptScore W2030676747C121608353 @default.
• W2030676747 hasConceptScore W2030676747C126322002 @default.
• W2030676747 hasConceptScore W2030676747C141071460 @default.
• W2030676747 hasConceptScore W2030676747C167135981 @default.
• W2030676747 hasConceptScore W2030676747C179755657 @default.
• W2030676747 hasConceptScore W2030676747C194828623 @default.
• W2030676747 hasConceptScore W2030676747C2775910329 @default.
• W2030676747 hasConceptScore W2030676747C2776135927 @default.
• W2030676747 hasConceptScore W2030676747C2780283434 @default.
• W2030676747 hasConceptScore W2030676747C2780352672 @default.
• W2030676747 hasConceptScore W2030676747C2908647359 @default.
• W2030676747 hasConceptScore W2030676747C31174226 @default.
• W2030676747 hasConceptScore W2030676747C512399662 @default.
• W2030676747 hasConceptScore W2030676747C71924100 @default.
• W2030676747 hasConceptScore W2030676747C72563966 @default.
• W2030676747 hasConceptScore W2030676747C81182388 @default.
• W2030676747 hasConceptScore W2030676747C99454951 @default.
• W2030676747 hasIssue "1" @default.
• W2030676747 hasLocation W20306767471 @default.
• W2030676747 hasLocation W20306767472 @default.
• W2030676747 hasOpenAccess W2030676747 @default.
• W2030676747 hasPrimaryLocation W20306767471 @default.
• W2030676747 hasRelatedWork W2026379318 @default.
• W2030676747 hasRelatedWork W2038403130 @default.
• W2030676747 hasRelatedWork W2056837032 @default.
• W2030676747 hasRelatedWork W2161751169 @default.
• W2030676747 hasRelatedWork W2343297151 @default.
• W2030676747 hasRelatedWork W2438866770 @default.
• W2030676747 hasRelatedWork W2888770561 @default.
• W2030676747 hasRelatedWork W2891707856 @default.
• W2030676747 hasRelatedWork W2938312621 @default.
• W2030676747 hasRelatedWork W4300960531 @default.
• W2030676747 hasVolume "114" @default.
• W2030676747 isParatext "false" @default.
• W2030676747 isRetracted "false" @default.
• W2030676747 magId "2030676747" @default.
• W2030676747 workType "article" @default.