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Bladder cancer specialist centres NSW

Criteria for a specialist bladder cancer centre

Surgery for bladder cancer is a complex procedure which requires a team of health care professionals with suitable experience performing this surgery and providing supportive care after surgery.[1-3]

Australian and international studies suggest that patient outcomes can be improved when bladder cancer surgery is performed in centres that do a high number of these procedures.[4-8] A cystectomy is surgery to remove the urinary bladder.[9] For these recommendations partial cystectomies are not counted.

It is recommended that specialist bladder cancer centres perform 6 cystectomies per year*

* This minimum suggested annual surgical caseload has been recommended based on international studies and local clinical advisory group endorsement.

Availability of a multidisciplinary cancer care team

Patients with bladder cancer may have one or more types of treatments, including surgery, chemotherapy, radiotherapy and immunotherapy.

The involvement of a multidisciplinary cancer care team is required.[3] This team brings together health care professionals from different specialties to discuss a patient’s cancer diagnosis and staging, and their treatment options. It also enhances communication and care co-ordination between the specialists involved in a patient’s care.

International studies show that patients overseen by a multidisciplinary cancer care team experience better outcomes after cancer treatment.[10-12]

Actions for Health Professionals

Actions for Health Professionals

Patient referral

Patients with a suspected or confirmed bladder cancer should be referred to a specialist who is a member of a multidisciplinary cancer care team, and practices at one of the specialist centres listed below.

Even if surgery does not seem likely at the time of referral, involvement of an appropriate a multidisciplinary team (MDT) early in the cancer journey is recommended to ensure optimal assessment, care, and outcomes.

The Canrefer website allows you to find cancer specialists who are MDT members, and has information about cancer services, optimal care pathways, and patient resources.

Smoking cessation support

Evidence suggests that tobacco cessation following cancer diagnosis improves survival. It also reduces treatment-related complications.[13–14] Health professionals should discuss tobacco use with all patients and provide appropriate cessation support.

List of public specialist centres for bladder cancer surgery

Local health district

Hospital

Annual average bladder resection caseload

Jan 2017 - Dec 2018

Hunter New England

John Hunter Hospital

8-10

Western Sydney

Westmead Hospital

8-10

Illawarra Shoalhaven

Wollongong Hospital

8-10

Mid North Coast

Port Macquarie Base Hospital

6-7

Nepean Blue Mountains

Nepean Hospital

6-7

South Western Sydney

Liverpool Hospital

6-7

Sydney

Royal Prince Alfred Hospital

6-7

Central Coast

Gosford Hospital

6-7

  • Surgical caseload data sourced from Admitted Patient, Emergency Department Attendance, and Deaths Register (APEDDR) via Secure Analytics for Population Health Research and Intelligence (SAPHaRI), Centre for Epidemiology and Evidence, NSW Ministry of Health.
  • In-scope diagnoses: C67
  • In-scope procedures: 37014-00
  • The annual average surgical caseload is based on a two-year average, to account for annual variations in surgical volumes.

*Figures pending consolidation

List of private specialist centres for bladder cancer surgery

Local health district

Hospital

Annual average bladder resection caseload

Jul 2016 - Jun 2018

St Vincent's Network

St Vincent's Private Hospital, Darlinghurst

8-10

Northern Sydney 

Macquarie University Hospital

8-10

South Eastern Sydney 

Hurstville Private  6-7

South Eastern Sydney 

St George Private Hospital 6-7
  • Surgical caseload data sourced from Admitted Patient, Emergency Department Attendance, and Deaths Register (APEDDR) via Secure Analytics for Population Health Research and Intelligence (SAPHaRI), Centre for Epidemiology and Evidence, NSW Ministry of Health.
  • In-scope diagnoses: C67
  • In-scope procedures: 37014-00
  • The annual average surgical caseload is based on a two-year average, to account for annual variations in surgical volumes.

References

  1. Cancer Council Australia. Bladder Cancer. 2018. [Available from: https://www.cancer.org.au/about-cancer/types-of-cancer/bladder-cancer.html]
  2. Cancer Council Australia. Understanding Bladder Cancer: A guide for people with cancer, their families and friends. Cancer Council Australia, Sydney. 2018.
  3. Cancer Australia. All about multidisciplinary care. 2014. [Available from: https://canceraustralia.gov.au/clinical-best-practice/multidisciplinary-care/all-about-multidisciplinary-care]
  4. Birkmeyer JD, et al. Hospital volume and late survival after cancer surgery. Ann Surg. 2007. 245(5):777.
  5. Gandaglia G, et al. High hospital volume reduces mortality after cystectomy. BJU Int. 2014. 114(1):5-6.
  6. Hollenbeck BK, et al. Volume, process of care, and operative mortality for cystectomy for bladder cancer. Urology. 2007. 69(5):871-5.
  7. Kulkarni GS, et al. Higher surgeon and hospital volume improves long‐term survival after radical cystectomy. Cancer. 2013. 119(19):3546-54.
  8. Karam-Hage M, et al. Tobacco use and cessation for cancer survivors: an overview for clinicians. CA Cancer J Clin. 2014. 64(4):272-90.
  9. Cancer Council Ausitralia. Bladder cancer. 2018. Available from [https://www.cancercouncil.com.au/bladder-cancer/muscle-invasive-treatment/surgery/]
  10. Patel MI, et al. Contemporary radical cystectomy outcomes in patients with invasive bladder cancer: a population‐based study. BJU Int. 2015. 116(S3):18-25.
  11. Sooriakumaran P, et al. The central urology multidisciplinary team–is it time to change the referral criteria? An audit of practice in a district general hospital in London. Ann R Coll Surg Engl. 2009. 91(8):700-2.
  12. Abdulrahman GO Jnr. The effect of multidisciplinary team care on cancer management. Pan Afr Med J. 2011. 9:20.
  13. Hounsome L, et al. An audit of urological MDT decision making in the South West of England. J Clin Urology. 2018. [epub ahead of print].
  14. Warren GW, et al. The biological and clinical effects of smoking by patients with cancer and strategies to implement evidence-based tobacco cessation support. Lancet Oncol. 2014. 15(12):e568-80.
  15. Florou AN, et al. Clinical significance of smoking cessation in subjects with cancer: a 30-year review. Respir Care. 2014. 59(12):1924-36.