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Hospital volume and 90-day mortality risk after RC
TOPIC PAPER
Hospital volume and 90-day mortality risk after radical cystectomy: a population-based cohort study
Michael P. Porter, John L. Gore and Jonathan L. Wright
http://www.springerlink.com/content/t31512275580k345/
Cynthia Kinsella
T2 g3 CIS 8/04
Clinical Trial
Chemotherapy & Radiation 10/04-12/04
Chemotherapy 3/05-5/05
BCG 9/05-1-06
RC w/umbilical Indiana pouch 5/06
Left Nephrectomy 1/09
President American Bladder Cancer Society14 Replies-
LOL Rocky!
Must be nice living right there!Mike
Age 54
10/31/06 dx CIS (TisG3) non-invasive (at 47)
9/19/08 TURB/TUIP dx Invasive T2G3
10/8/08 RC neobladder(at 49)
2/15/13 T4G3N3M1 distant metastases(at 53)
9/2013 finished chemo -cancer free again
1/2014 ct scan results….distant mets
2/2014 ct result…spread to liver, kidneys, and lymph system
My opinions are my own and do not reflect the opinion of ABLCS or anyone else. I am not a doctor nor do I play one on TV.
Thanks Cynthia for the article’
Mike, What else is a person to do in the winter besides ski ?
Isn’t that Why God created it? lol! I thought I was going to kill myself the other day racing my sixty some year old brother in law down the slopes ! I only live a couple of miles from the ski resort and have a pass so I get to go every morning. Rocky
ps I almost beat him ,but weight whens over guts any time !! lol
Humpy,
I just lost a post on another thread. I think I may have fat fingered it. I reposted and not problem.
Lee
Cynthia Thanks for the link.
I’m 70, retired heat/air contractor. After 4 months of keymo ileal conduit (IC) surgery removed bladder & prostate May 2010
Humpy,
I bet somebody didn’t get the intended humor and did a “report to moderator” thing or something.
I’ve always said there needs to be a “sarcasm font” and your smiley at the end of the sentence (I thought) left no doubt about what you meant.
I also agree wholeheartedly with your other comments (2,3, and the followup line).
Mike
Age 54
10/31/06 dx CIS (TisG3) non-invasive (at 47)
9/19/08 TURB/TUIP dx Invasive T2G3
10/8/08 RC neobladder(at 49)
2/15/13 T4G3N3M1 distant metastases(at 53)
9/2013 finished chemo -cancer free again
1/2014 ct scan results….distant mets
2/2014 ct result…spread to liver, kidneys, and lymph system
My opinions are my own and do not reflect the opinion of ABLCS or anyone else. I am not a doctor nor do I play one on TV.
I said:
1) Mike, grow up, and act your age :)
2) I am living proof of a high volume doctor
3) Rick (Hox) is living proof of a low volume doctor.It still breaks my heart as to all the trouble Rick had/has.
Age 54
T1NOMX,Grade 3 Urothelial CIS (Carcinoma in Situ)
Neobladder 5/19/2009
Prostate Capsule Sparing
U of M Hospital, Ann Arbor, Michigan
Humpy if your post is not there please try reposting. Technology is not perfect.
Cynthia Kinsella
T2 g3 CIS 8/04
Clinical Trial
Chemotherapy & Radiation 10/04-12/04
Chemotherapy 3/05-5/05
BCG 9/05-1-06
RC w/umbilical Indiana pouch 5/06
Left Nephrectomy 1/09
President American Bladder Cancer Society
Hmmmmm my post was removed………
Age 54
T1NOMX,Grade 3 Urothelial CIS (Carcinoma in Situ)
Neobladder 5/19/2009
Prostate Capsule Sparing
U of M Hospital, Ann Arbor, Michigan
We neobladder folks gotsta do what we gotsta do! ;)
Age 54
10/31/06 dx CIS (TisG3) non-invasive (at 47)
9/19/08 TURB/TUIP dx Invasive T2G3
10/8/08 RC neobladder(at 49)
2/15/13 T4G3N3M1 distant metastases(at 53)
9/2013 finished chemo -cancer free again
1/2014 ct scan results….distant mets
2/2014 ct result…spread to liver, kidneys, and lymph system
My opinions are my own and do not reflect the opinion of ABLCS or anyone else. I am not a doctor nor do I play one on TV.
Yes, Mike. Skiing season won’t last long so better get it in while you can!! Soon you will have to go back to SCUBA diving!!
SA
Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society
Forum Moderator
Just one more reason (if anyone really needed one) to get to the best doctor’s at the best hospitals that do high volumes of cystectomies.
As we’ve seen from other studies, the number of complications is also lower when going to doctor’s who do high volumes of cystectomies.
Thanks for posting this Cynthia!
I haven’t been around for a while because I’ve been so busy with work and last weekend was another ski weekend!
Mike
Age 54
10/31/06 dx CIS (TisG3) non-invasive (at 47)
9/19/08 TURB/TUIP dx Invasive T2G3
10/8/08 RC neobladder(at 49)
2/15/13 T4G3N3M1 distant metastases(at 53)
9/2013 finished chemo -cancer free again
1/2014 ct scan results….distant mets
2/2014 ct result…spread to liver, kidneys, and lymph system
My opinions are my own and do not reflect the opinion of ABLCS or anyone else. I am not a doctor nor do I play one on TV.
To all those that read through the posts here just starting out, read this article that Cynthia provided the link for!
All my doctors really pushed on how many radical cystectomy’s a doctor does a year. Higher number equals better outcomes. My oncologist basically said to ask them how many they did in the last year, and if it was less than fifty, thank them for their time and move on. RC is no place for compromise.
Bill
5.24.10 Final staging T2G3 7.28.10 Started Gemcitabine, Cisplatin neoadjunctive chemotherapy
11.2.10 RC with NEO 11.18.11 First year CT shows possible liver tumor
12.8.11 Confirmation of TCC BC mets to the liver 6.27.12 Final round of Dose Dense MVAC
7.26.12 Final scans showed no tumor or no metabolic response10.18.12 Wife leaves, now a single dad
10.31.12 New scans show metastic return to liver 2.4.13 New scans for treatment, no other sites found
2.20.13 New chemo regiment started, will run at least 12 weeks
Cynthia – Thanks for sharing. Interesting. I’ll have to send Dr. Wright a note – I’m on a once yearly schedule with him now so I have to look for reasons to stay in touch. Given my history with him, however, I don’t think he’ll forget me. :laugh:
Melodie, Indy Pouch, U.W.Medical Center, Seattle, Dr. Paul H. Lange & Jonathan L. Wright
Wow, Cynthia. You have been reading some interesting literature lately!
THIS one should be obligatory reading for anyone who is facing cystectomy.
Sara Anne
Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society
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