Featured Research

from universities, journals, and other organizations

Kidney Cancer Surgery Often Determined By Surgeons' Practice Style, Not Medical Factors, Study Shows

Date:
March 10, 2008
Source:
Wiley-Blackwell
Summary:
A new study reveals that the type of surgery a patient with kidney cancer receives depends more on the surgeon's preference than on the patient's tumor size, demographic characteristics, or general medical health.

A new study reveals that the type of surgery a patient with kidney cancer receives depends more on the surgeon's preference than on the patient's tumor size, demographic characteristics, or general medical health. The findings indicate that patients with kidney cancer often may not be receiving the most appropriate surgical care.

Related Articles


Open radical nephrectomy is the standard surgical treatment for patients with localized kidney cancer, but partial nephrectomy and laparoscopic surgery have emerged as attractive alternatives that are less invasive but equally effective. However, many physicians have not adopted these surgical techniques despite their benefits.

To investigate the potential barriers to adoption of partial nephrectomy and renal laparoscopy, David Miller, MD of the University of California Los Angeles and colleagues reviewed data from the National Cancer Institute's Surveillance, Epidemiology and End Results (SEER) program and the Centers for Medicare and Medicaid Services (CMS). They identified 5,483 Medicare beneficiaries diagnosed between 1997 and 2002 with localized kidney cancer, determined the type of surgery received by each patient, and identified the primary surgeon for each case.

The researchers assessed the use of radical nephrectomy, partial nephrectomy, and laparoscopy among these patients, noting surgeon- and patient-based factors that may have contributed to decisions about which type of surgery was used. A total of 611 patients underwent partial nephrectomies and 4,872 underwent radical nephrectomies, 515 of which were performed laparoscopically. After taking into consideration factors including patient demographics, comorbidity, tumor size, and volume of surgeries done by each surgeon, there was considerable variation among surgeons in the type of surgery they performed--an 18.1% variance for partial nephrectomy and a 37.4% variance for laparoscopy. Factors based on surgeons' practice style contributed more to these variances than did patient characteristics.

The authors concluded that "for many older patients with kidney cancer, the surgery provided may depend more on their surgeon's practice style than on the characteristics of the patient and his or her disease." They added that "the timely dismantling of residual barriers to surgeons' adoption of partial nephrectomy and laparoscopy is an important step toward improving the quality of care provided to patients with kidney cancer."

Article: "Diffusion of Surgical Innovation Among Patients With Kidney Cancer." David C. Miller, Christopher S. Saigal, Mousumi Banerjee, Jan Hanley, Mark S. Litwin, and the Urologic Diseases in America project. CANCER; Published Online: March 10, 2008 (DOI: 10.1002/cncr.23372); Print Issue Date: April 15, 2008.


Story Source:

The above story is based on materials provided by Wiley-Blackwell. Note: Materials may be edited for content and length.


Cite This Page:

Wiley-Blackwell. "Kidney Cancer Surgery Often Determined By Surgeons' Practice Style, Not Medical Factors, Study Shows." ScienceDaily. ScienceDaily, 10 March 2008. <www.sciencedaily.com/releases/2008/03/080310092353.htm>.
Wiley-Blackwell. (2008, March 10). Kidney Cancer Surgery Often Determined By Surgeons' Practice Style, Not Medical Factors, Study Shows. ScienceDaily. Retrieved November 27, 2014 from www.sciencedaily.com/releases/2008/03/080310092353.htm
Wiley-Blackwell. "Kidney Cancer Surgery Often Determined By Surgeons' Practice Style, Not Medical Factors, Study Shows." ScienceDaily. www.sciencedaily.com/releases/2008/03/080310092353.htm (accessed November 27, 2014).

Share This


More From ScienceDaily



More Health & Medicine News

Thursday, November 27, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Pet Dogs to Be Used in Anti-Ageing Trial

Pet Dogs to Be Used in Anti-Ageing Trial

Reuters - Innovations Video Online (Nov. 26, 2014) — Researchers in the United States are preparing to discover whether a drug commonly used in human organ transplants can extend the lifespan and health quality of pet dogs. Video provided by Reuters
Powered by NewsLook.com
Today's Prostheses Are More Capable Than Ever

Today's Prostheses Are More Capable Than Ever

Newsy (Nov. 26, 2014) — Advances in prosthetics are making replacement body parts stronger and more lifelike than they’ve ever been. Video provided by Newsy
Powered by NewsLook.com
From Popcorn To Vending Snacks: FDA Ups Calorie Count Rules

From Popcorn To Vending Snacks: FDA Ups Calorie Count Rules

Newsy (Nov. 25, 2014) — The US FDA is announcing new calorie rules on Tuesday that will require everywhere from theaters to vending machines to include calorie counts. Video provided by Newsy
Powered by NewsLook.com
Daily Serving Of Yogurt Could Reduce Risk Of Type 2 Diabetes

Daily Serving Of Yogurt Could Reduce Risk Of Type 2 Diabetes

Newsy (Nov. 25, 2014) — Need another reason to eat yogurt every day? Researchers now say it could reduce a person's risk of developing type 2 diabetes. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:

Strange & Offbeat Stories

 

Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins