PubHawk
BJU Int February 2018 PMID 28594471

Centralisation of radical cystectomies for bladder cancer in England, a decade on from the 'Improving Outcomes Guidance': the case for super centralisation.

Mehran Afshar, Henry Goodfellow, Francesca Jackson-Spence, Felicity Evison, John Parkin, Richard T Bryan, Helen Parsons, Nicholas D James, Prashant Patel

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Mentions

6
Peak: 3 in Jan 2020
across 3 sources since Feb 2018

Extended reach

13,228
potential audience

Total likes

4

Video views

336

Mentions per month

Feb 2018 – Jan 2020

Where it's discussed

  • X / Twitter3 posts
  • Blogs2 articles
  • YouTube1 videos

AI synopsis

What people are saying

Several discussions highlight the association between high-volume centers and better outcomes, with phrases like 'halving adverse events' emphasizing the significance of the findings. The tone conveys support and curiosity, with users contemplating the causal relationship, which underscores the perceived policy impact of the publication.

AgreementStrong agreement

The discussions strongly support the findings that high-volume centralization improves patient outcomes, as evidenced by the emphasis on reduced adverse events and mortality rates.

InterestModerate interest

The discussions demonstrate moderate interest by focusing on the benefits and uncertainties of centralization, such as whether the causality is clear.

EngagementModerate engagement

Comments reflect some engagement through sharing opinions and highlighting key issues like cause and effect, although they lack in-depth analysis.

ImpactHigh impact

The discussions suggest that the publication could influence policy and clinical practices by emphasizing the importance of centralization and volume thresholds.

Abstract in brief

  • The study examines the impact of centralizing radical cystectomy (RC) surgeries for bladder cancer in England, showing that since the introduction of the Improving Outcomes Guidance (IOG) in 2002, adherence to guidelines has improved and postoperative outcomes, including mortality rates, have also gotten better.
  • Centralized surgeries performed according to IOG guidelines resulted in lower mortality rates, shorter hospital stays, and fewer complications and reinterventions compared to non-guideline practices.
  • Increased annual case volumes at hospitals were linked to lower mortality risks, with each additional surgery reducing the odds of death at 30 days and one year, indicating that higher-volume centers tend to deliver better outcomes.]
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Top posts

Most liked on X and Bluesky
jim catto
@JimCatto · X

@UroDocKotwal @UroDocAsh @EUplatinum High volume centralisation in the NHS is associated with halving states of adverse events. Cause or affect - not known. But certainly feels better https://t.co/OUPL3RXDps.

Jan 15, 2020 · 4 likes · 2 shares · 6,786 followers View post →
Jeremy Teoh
@jteoh_hk · X

RT @JimCatto: @UroDocKotwal @UroDocAsh @EUplatinum High volume centralisation in the NHS is associated with halving states of adverse event…

Jan 16, 2020 · 2 shares · 5,530 followers View post →

All mentions

Jeremy Teoh
@jteoh_hk · X

RT @JimCatto: @UroDocKotwal @UroDocAsh @EUplatinum High volume centralisation in the NHS is associated with halving states of adverse event…

Jan 16, 2020 · 2 shares · 5,530 followers View post →
Sanjeev Kotwal MD FRCS(Urol) FEBU
@UroDocKotwal · X

RT @JimCatto: @UroDocKotwal @UroDocAsh @EUplatinum High volume centralisation in the NHS is associated with halving states of adverse event…

Jan 15, 2020 · 2 shares · 564 followers View post →
jim catto
@JimCatto · X

@UroDocKotwal @UroDocAsh @EUplatinum High volume centralisation in the NHS is associated with halving states of adverse events. Cause or affect - not known. But certainly feels better https://t.co/OUPL3RXDps.

Jan 15, 2020 · 4 likes · 2 shares · 6,786 followers View post →