Radical cystectomy (rCx) for MIBC is the only curative therapeutic option.
Standardized preoperative protocols such as ERAS help shorten recovery time and reduce postoperative complication rates.
But is there something missing? Can we do something different or even better?
İts really difficult to make a standardization such as rad. Cystetectomy opr.
Morbidity of Radical Cystectomy can be decreased by 40% if you choose to go to a high-volume center. But centralizing care to the inflection point (50/yr), where the effect of increasing volume does not increase benefit will severely decrease access to care. Please read one of our papers at https://t.co/ClT87LfJtD
There is Need to share practices from high volume centers in collaboratives like MUSIC Urology.
Radical surgeries carries many of complications that make the patients and surgeons think twice before underwent in this way. it needs a highly qualified centers otherwise the surgery will end the patient's life before the disease do.
What is the threshold at which you define a hospital as "high volume" for a certain procedure? Is the relationship linear? Two of our published papers show that the relationship is not linear, and there is a plateauing at a certain point where the effect of increasing hospital volume does not lead to incremental decrease in complications. A difference between a hospital volume of 20 and 40 cases an year is not the same as a difference between 40 and 60 cases.
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