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 looked at thirty day mortality, ninety day mortality, and we've also looked at one year mortality for the people who have survived the first thirty days after the operation.
So what have you found?
The most important thing is that for high volume cancers like bowel cancer
We're not seeing variation across the state.
And so for patients, that means that we know that many patients are driving past two, three, five hospitals, each of which could deliver world's best outcomes.
Our initial analysis is by hospital.
And the reason for that is firstly the numbers are very small within the state already and we're having to aggregate over years in order to see any patterns that are that's in the rare
So in bowel cancer I think we need to make a distinction between colon cancer and rectal cancer.
Rectal cancers are difficult because they're physically more difficult to get to.
Our next process, which is going to happen over the next eighteen months, will be to look at rectal cancer in more detail.
And again, New South Wales is uniquely placed nationally to use its clinical cancer registry to understand that next process.
Just
Absolutely.
And New South Wales has had a registry, was the first in Australia, has had it for forty years, and importantly, uniquely has measured the extent of disease, that is, the spread of that cancer at diagnosis.
So we've got forty years of data there.
But seven years ago we made the key decision to augment that with key treatment data so that we could look at outcomes.
And that's where we're starting to see new.
New information that can guide the health system to improve care for patients.
We will have those data over the next eighteen months.
But the majority of the evidence is that
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