Mortalidade pós-cistectomia radical está fortemente associada ao volume de cirurgias da instituição
| Autor: | Fernando Korkes, Frederico Timóteo Silva Cunha, Matheus Prado Nascimento, Antonio Flávio Silva Rodrigues, Willy Baccaglini, Sidney Glina |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Length of hospitalization Hospital mortality Cystectomy Complicações intraoperatórias Cistectomia Public healthcare 03 medical and health sciences 0302 clinical medicine Bexiga urinária parasitic diseases Medicine Humans Urinary diversion 030212 general & internal medicine Hospital Mortality Mortality Intraoperative complications business.industry General surgery Mortality rate Artigo Original Derivação urinária General Medicine Urinary bladder Hospitalization Urinary Bladder Neoplasms 030220 oncology & carcinogenesis Mortalidade Original Article business |
| Zdroj: | Einstein (São Paulo), Volume: 18, Article number: eAO5628, Published: 07 DEC 2020 einstein (São Paulo) v.18 2020 Einstein (São Paulo) Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) instacron:IIEPAE Einstein Einstein (São Paulo), Vol 18 (2020) |
| ISSN: | 2317-6385 |
| Popis: | Objective: To analyze mortality rates and hospitalization data after radical cystectomy in each public healthcare center in São Paulo in the last decade, considering the number of surgeries performed at each center. Methods: This study included patients from the Departamento de Informática do Sistema Único de Saúde from the state of São Paulo, who underwent radical cystectomy between 2008 and 2018. Data analyzed included organization name, number of procedures/year, in-hospital death rates and hospital length of stay. Results: A total of 1,377 radical cystectomies were registered in the public health system in São Paulo, between 2008-2018. A total of 91 institutions performed at least one radical cystectomy in the decade analyzed. The number of radical cystectomies performed per organization during the years analyzed ranged from one to 161. Only 45.6% of patients were operated in organizations that performed more than five radical cystectomies yearly. A total of 684 patients were operated in organizations with higher surgical volume. There were 117 in-hospital deaths, representing an 8.5% mortality rate for the state of São Paulo during the last decade. Whereas highest volume organizations (>6 radical cystectomies/year) had a mortality rate of 6.1%, the lowest volume ( |
| Databáze: | OpenAIRE |
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