Maryland's Death Rate For Pancreatic Cancer Surgery Reduced By Medical Regionalization

"We know from previous research that regionalization improves outcomes for trauma and neonatal services, but this is the first study to show the same benefit for elective general surgery."

A move in Maryland toward regionalization -- centralizing particular medical services at centers performing the greatest number -- decreased the death rates for one of the most complex operations for cancer, according to a study by Johns Hopkins researchers published in the July 7, 1998 issue of Annals of Surgery.

In what is believed to be the first study of its kind in the state, researchers examined medical data from 1984 to 1995 from all of Maryland's non-federal acute care hospitals to see if -- and how -- regionalization affected in-hospital deaths for patients undergoing a pancreaticoduodenectomy, a complex, high-risk operation for pancreatic cancer also known as the Whipple procedure.

Throughout the study period, regionalization gained momentum, with 795 of the operations performed at 43 hospitals over the 12-year period. However, one medical center (The Johns Hopkins Hospital) increased its annual share of Whipples from 20.7 percent to almost 60 percent during this period.

At the same time, Maryland's overall in-hospital death rate for the operation dropped from 17.2 percent to 4.9 percent. According to the Hopkins researchers, nearly two-thirds of this reduction (61 percent) was due to the concentration of cases at Hopkins, since the mortality rate for the procedure at Hopkins was 1.8 percent over the 12-year study period versus 14.2 percent for the other Maryland hospitals.

"This study strongly suggests that regionalization of pancreaticoduodenectomy to one or more high-volume specialized medical centers in a state saves lives," said Toby Gordon, Sc.D., associate professor of surgery and Johns Hopkins Medicine vice president. "It really undersc

Contact: Gary Stephenson
Johns Hopkins Medical Institutions

Page: 1 2 3

Related biology news :

1. Marylands proposed crab regulations could have large economic impacts
2. Death and resurrection on Caribbean reefs
3. Death-defying approach devised by Penn scientists to prevent cell apoptosis
4. Researchers find a genetic connection in Sudden Infant Death Syndrome (SIDS)
5. Death from liver disease major threat to men with hepatitis B and HIV
6. Death by color: Spiny spiders bright stripes attract prey
7. Death risk higher for elderly women who lose weight, says University of Maryland School of Medicine study
8. Sudden Cardiac Death May Run In Families
9. U.S. In The Midst Of A Heroin Epidemic, But Many Overdose Deaths Can Be Prevented
10. A Mothers Love? New UD Theory Explains Why Good Insect Moms Risk Death To Save Their Only Children
11. Common Respiratory Virus Identified As One Cause Of Heart Muscle Damage That Can Lead To Sudden Death

Post Your Comments:

(Date:6/13/2020)... ... June 11, 2020 , ... Bode Technology ... of its forensic genealogy team. Bode’s Forensic Genealogy Service (FGS) continues ... and DNA analysis methods. The team has added experienced genealogists, each having over ...
(Date:6/11/2020)... ... June 09, 2020 , ... Superior Controls, Inc. ... automation and IT solutions for the life sciences industry, is pleased to announce the ... working out of the company’s Seabrook, New Hampshire office. In his new role, ...
(Date:6/5/2020)... ... , ... “Although we are disappointed to have to make this decision our ... public. We remain committed to creating a global platform to showcase the science, ... President of WMIS. , The abstract deadline for the virtual meeting ...
Breaking Biology News(10 mins):
(Date:7/10/2020)... Va. (PRWEB) , ... July 08, 2020 , ... ... testing services and products, announces a significant expansion of laboratory operations through its ... collection for agencies implementing testing programs. , Bode-CARES provides a ...
(Date:7/10/2020)... ... 2020 , ... In most research using the zebrafish model, ... in zebrafish embryos, maintaining optical transparency to facilitate microscopic imaging. Over the past ... the zebrafish model to investigate the causes of leukaemia and its relationship with ...
(Date:7/7/2020)... ... July 06, 2020 , ... R3 International is now offering stem ... 200 million stem cells. Depending on the patient's condition, treatment may be offered IV, ... die having some form of Alzheimers dementia, and the incidence continues to increase as ...
(Date:7/1/2020)... ... June 29, 2020 , ... ... date growth of 40% in 2020, despite many obstacles created as a result ... to increase revenue for its partnered medical practices and medical manufacturers by expanding ...
Breaking Biology Technology:
Cached News: