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    Deaths rise with outpatient urologic surgeries

    As a number of common urologic surgeries have shifted from the inpatient to outpatient setting, potentially preventable deaths have increased following complications, the authors of a recently published study reported.

    However, the finding may suggest that urologists change not where procedures are done but how they are done, says one expert in the field.

    Related - Bowel perforation follows TCC surgery, leads to suit

    The study was led by researchers at Henry Ford Hospital in Detroit, who initially expected that improved mortality rates recently documented for surgery overall would also translate to commonly performed urologic surgeries. The opposite turned out to be true.

    The findings were published online in the BJU International (Aug. 19, 2014).

    Jesse D. Sammon, DODr. SammonThe study, which included researchers from Harvard Medical School and Harvard School of Public Health, the University of Montreal Health Center, and Yale University, also identified older, sicker, minority patients and those with public insurance as more likely to die after a potentially recognizable or preventable complication.

    “These high-risk patients are ideal targets for new health care initiatives aimed at improving process and results,” said lead author Jesse D. Sammon, DO, of Henry Ford’s Vattikuti Urology Institute in a news release.

     

     

    Next: "Heightened awareness" needed

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