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Centralisation of cancer services vindicated

机译:中央集权的癌症服务了

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Mayer and colleagues evaluated the relation between volume and mortality for radical cystectomy in England.1 Their finding-that patients undergoing surgery in medium volume hospitals have a poorer outcome than those in low volume hospitals-contrasts with most published data.Aweakness Of Mayerand colleagues' study is , that they report only short term outcomes after radical cystectomy-namely, in-hospitaland 30 day mortality. Mortality after cystectomy has been reported to rise significantly beyond 30 days.To evaluate whether hospital volume influences longerterm outcomes after cystectomy, we identified patients undergoing radical cystectomy, again within the hospital episode statistics database, but slightly more recently (2002-3 and 2007-8).
机译:梅尔和他的同事们评价的关系体积和死亡率之间的激进胆囊切除术England.1他们的发现接受手术的患者中体积医院有一个贫穷的结果比低体积hospitals-contrasts大多数出版数据。他们报告后短期结果激进的cystectomy-namely, in-hospitaland 30天死亡率。据报道,大幅上升超过30天。评估医院是否体积的影响longerterm胆囊切除术后的结果,我们确定的患者胆囊切除术,又在医院集统计数据库,但是最近有点(2002 - 3和2007 - 8)。

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