Letters
Volume-mortality for cystectomy
Centralisation of cancer services vindicated
BMJ 2010; 340 doi: https://doi.org/10.1136/bmj.c3336 (Published 22 June 2010) Cite this as: BMJ 2010;340:c3336
- Paul J Cathcart, academic clinical lecturer in urology1,
- Jan van der Meulen, professor of clinical epidemiology and director2,
- Mark Emberton, reader in interventional oncology and clinical director3,
- John Kelly, chair of uro-oncology and chair, NCRI Bladder Clinical Studies Group4
- 1University College London Hospital and Clinical Effectiveness Unit, Royal College of Surgeons of England, London WC2A 3PE
- 2Health Services Research Unit, London School of Hygiene and Tropical Medicine and Clinical Effectiveness Unit, Royal College of Surgeons of England, London WC2A 3PE
- 3Royal Free and University College London School of Medicine, University College London and Clinical Effectiveness Unit, Royal College of Surgeons of England, London WC1E 6AU
- 4University College London Hospital and Division of Surgery and Interventional Science, UCL Medical School, University College London, London WC1E 6AU
- pjcathcart{at}hotmail.com
Mayer and colleagues evaluated the relation between volume and mortality for radical cystectomy in England.1 Their finding—that patients undergoing surgery in medium volume hospitals have a poorer outcome than those in low volume hospitals—contrasts with most published data.2 3
A weakness of Mayer and colleagues’ study is …
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