Current Month 2005
Article Features
  Antibody Combined with Cancer Drug Shows Promise Against Breast Tumors
Discovery Blocks Breast Cancer Growth, Stimulates Immunity
Women Overestimate Breast Cancer Risk
New Study Links Breast Density to Breast Cancer Risk
Possible Treatment Found for "Chemobrain"
Study Finds Exercise, Weight Control Help Reduce Breast Cancer Risk
Exercise Can Help Repair Chemotherapy-Damaged Immune Systems in Breast Cancer Survivors
Physical Activity Associated with Improved Survival for Women with Breast Cancer
Patients With Suspicious Axillary Breast Lymph Nodes Should Undergo Fine-Needle Aspiration, Study Says
Hormone Levels Associated With Breast Cancer Risk in Premenopausal Women
Studies on HRT for Breast Cancer Patients Can Give False Hopes
Arm Swelling Common Among Young Breast Cancer Patients
Some Male Breast Cancer Patients May Have Unnecessary Radiotherapy
Study Questions Performance of Microarray Data in Predicting Response to Tamoxifen
MRI Can Help Predict Breast Cancer Recurrence
Study Examines NSAID Use and Breast Cancer Risk
Obese Women with Breast Cancer May Be Undertreated
Home-Based Intervention Increases Physical Activity in Breast Cancer Survivors
Shorter Course of Radiotherapy Effective for Palliation of Painful Bone Metastases
Study Examines Effect of Increasing the Recall Rate in Breast Screening Program
The Link Between Passive and Active Smoking and Breast Cancer


Cancer Patients Do Better with High-Volume Surgeons, Hospitals

Patients with certain complex cancers fare better under the care of doctors and hospitals that do the most of that kind of surgery, a new review of studies finds.

The exact reasons for the better outcomes are unclear, according to an article in the British Journal of Surgery, but the correlation between high volume and better outcomes, especially in pancreatic, esophageal, gastric and rectal cancers, was consistent across most studies.

Previous studies have shown similar results in patients treated for heart attacks, breast cancer and other diseases; those hospitals that treat a higher volume of chronically ill patients have lower mortality rates. Again, the reasons for the disparities in outcomes are unclear. Although some researchers postulate that "practice make perfect," other experts believe that physicians tend to refer their sickest patients to medical centers that have an outstanding reputation.

"All studies showed either an inverse relationship, of variable magnitude, between provider volume and mortality," according to authors S.D. Killeen and colleagues of the Cork University Hospital and University College in Ireland. "The majority of clinical studies revealed a statistically significant correlation between volume and outcome; no study demonstrated the opposite relationship."

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