"Never events" rare after bladder cancer surgery

"Never events" rare after bladder cancer surgery
"Never events", ten hospital-acquired conditions deemed by the Centers for Medicare and Medicaid Services as being reasonably preventable, are rare in patients with bladder cancer who have undergone radical cystectomy, according to a study published in the March issue of Urology.

(HealthDay)—"Never events", ten hospital-acquired conditions deemed by the Centers for Medicare and Medicaid Services as being reasonably preventable, are rare in patients with bladder cancer who have undergone radical cystectomy, according to a study published in the March issue of Urology.

Gregory A. Joice, from Columbia University in New York City, and colleagues determined the rate of never events, where hospitals would no longer be reimbursed for the additional care if a patient developed any of these conditions, in 61,142 patients with who had undergone radical cystectomy from 2002 to 2009.

The researchers found that 2.42 percent of patients developed any never event condition, with vascular-catheter infections being the most common at 1.25 percent. The risk of a never event was higher for blacks and for those with comorbidities. A never event increased the average hospital stay by 15 days, increased total costs by $37,000, and increased in-hospital mortality to 8.0 percent from 2.2 percent.

"Centers for and Services never events after radical cystectomy are rare events," Joice and colleagues conclude. "Vascular catheter infection and were most common and were the only events with rates > 0.1 percent."

More information: Abstract
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Prognosis after cystectomy not affected by smoking

Oct 15, 2012

(HealthDay)—Despite the link between cigarette smoking and the development of bladder cancer, the prognosis of people with bladder cancer after undergoing a cystectomy is not affected by cigarette smoking, ...

Post-radical cystectomy discharge patterns described

Mar 29, 2012

(HealthDay) -- In the past decade there has been a decrease in prolonged length of stay following radical cystectomy in the United States, while rates of transfer to a facility have remained stable, with insurance ...

Hospital stays shorter for prostatectomy, cystectomy

Jan 10, 2013

(HealthDay)—There were reductions in hospital stays for patients undergoing prostatectomy and cystectomy in 2004 to 2005, compared to those undergoing the procedures in 1992 to 1993, according to research ...

Similar oncologic efficacy for robotic, open cystectomy

Dec 21, 2012

(HealthDay)—For patients with bladder cancer undergoing radical cystectomy, a robotic approach seems to have the same oncologic efficacy as an open approach and demonstrates potential perioperative benefits, ...

Better short-Term outcomes for private prostatectomies

Mar 30, 2012

(HealthDay) -- For men undergoing radical prostatectomies (RPs), private health insurance coverage is linked with fewer complications, less in-hospital recovery time, and decreased mortality, compared to public ...

Recommended for you

Antidepressants show potential for postoperative pain

Aug 20, 2014

(Medical Xpress)—After a systematic review of clinical trials based on administering antidepressants for acute and chronic postsurgical pain, researchers have concluded that more trials are needed to determine ...

User comments