Patterns of Care, Utilization, and Outcomes of Treatments for Localized Prostate Cancer
Annual rept. 1 May 2011-30 Apr 2012
BRIGHAM AND WOMENS HOSPITAL BOSTON MA
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The purpose of the research is to characterize patterns of care, utilization, outcomes and costs of treatments for localized prostate cancer such as surgery, intensity modulated radiation therapy IMRT, and brachytherapy. In particular, the research characterizes the patterns of care, utilization and outcomes of robotic-assisted laparoscopic radical prostatectomy RALP, minimally invasive radical prostatectomy MIRP versus open retropubic radical prostatectomy RRP. MIRP has fewer peri-operative complications and shorter lengths of stay compared to RRP. Additionally, there are volume outcomes effects in which there are fewer complications and cost savings associated with higher RALP hospital volume. Factors associated with the rapid adoption of MIRP include higher RALP hospital volume, patient race and seeking a second opinion and younger surgeon age. Finally, certificate of need programs do not appear effective as a control measure in attenuating IMRT utilization and costs.
- Anatomy and Physiology
- Medicine and Medical Research