PowerPoint Presentation - Prostate Cancer Outcomes by Race &Treatment Site

Does Where You Get Treatment really make a difference?
¢Mortality in General:
lVolume seems to make a difference
¥Supported by lit reviewof 135 studies
¥Cohort study using SEERdata
¢Mortality After Prostate Cancer
lVolume seems to make a difference
lReview of 101,604 Medicare claims data
lNationwide Inpatient Sample
¥Prostatectomies between1989-1995
Halm,E.A., C. Lee, and M.R. Chassin, Is volumerelated to outcome in health care? A systematic
reviewand methodologic critique of the literature. Ann Intern Med, 2002. 137(6): p. 511-20.
Yao, S.L.and G. Lu-Yao, Population-based study ofrelationships between hospital volume
ofprostatectomies, patient outcomes, and length of hospital stay. J Natl Cancer Inst, 1999. 91(22): p. 1950-6.