David Currow
speaker
123 appearances
1 recordings
1 series
first heard Sep 2012
last heard Sep 2012
David Currow’s voice in public audio — every appearance, attributed to the second.
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Appearances
We've been measuring for the first time surgical outcomes in New South Wales in a way that hasn't been available to us before.
Let's take the example of esophage or cancer.
Relatively rare cancer.
We perform less than 100 procedures a year with curative intent.
And our data shows that we've got more than 25 hospitals doing those procedures.
We're seeing variations from teams that do a very small number to those that do a larger number.
And some of those variations are pretty important variations for patients.
So tell me how you studied this?
What we've done for the first time is linked data.
We've linked the data from the population cancer registry, the admitted patient data set, which covers
Well what range of cancers did you look?
We've looked at a number of cancers, but we started with rare and complex cancers.
Esophageal cancer is a relatively rare cancer, but it's one of the most major procedures you can do to another human being and have them come out well at the other end.
Pancreas cancer is known for its complications after the operation.
The pancreas digests things and it causes a lot of problems in the post operative period.
We've also compared that to cancers that are relatively frequently encountered, such as bowel cancer.
And importantly in bowel cancer we're not seeing that sort of variation.
We've looked at breast cancer but we don't expect to see those sort of problems with breast cancer, because breast cancer doesn't enter a major body cavity, doesn't like bowel or esophageal cancer, have to have us joining pieces of plumbing together.
And what outcomes were you looking at?
We've looked at length of stay, greater than twenty-one days, readmission to hospital within twenty-eight days.
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