The Impact of Facility Surgical Caseload Volumes on Survival Outcomes in Patients Undergoing Radical Cystectomy.

ABSTRACT: The role of surgical experience and its impact on the survival requires further investigation. A cohort of patients undergoing radical cystectomy or anterior pelvic exenteration for localized bladder cancer between 2006 and 2013 at 1143 facilities across the United States was identified using the National Cancer Database and analyzed. Using overall survival (OS) as the primary outcome, the relationship between facility annual caseload (FAC) and facility annual surgical caseload (FASC) for those undergoing curative surgery was examined. Four volume groups (VG) depending on caseload using both FAC and FASC were defined. These included VG1: below 50th percentile, VG2: 50th-74th percentile, VG3: 75th-89th percentile, and VG4: 90th and above. Between 2006 and 2013, 27,272 patients underwent sur

SUBMITTER: Cacciamani GE 

PROVIDER: S-EPMC9735798 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature