Surgical procedures for melanoma in public and private New South Wales hospitals, 2001-2002.


BACKGROUND:Evidence suggests that there is considerable variation in the types of procedures used to treat cancer. This variation may result in suboptimal or cost-ineffective care. The present study examined the variation in surgical treatment of melanoma before the establishment of a Melanoma Network that could promote more uniform high-quality care in New South Wales (NSW). The variations in the use of surgical procedures for melanoma by NSW Area Health Service of patient residence were examined. METHODS:Data in the Health Information Exchange of NSW Health collected on procedures carried out on patients with a diagnosis of melanoma in NSW public and private hospitals from 1 July 2001 to 30 June 2002 were examined. Data were aggregated by Area Health Services of patient residence. These data were compared with the numbers of new cases of melanoma notified to the NSW Central Cancer Registry in the same areas in 2001-2002. Excision of skin lesions, skin grafting and numbers and types of lymph node procedures were examined. RESULTS:During the study period, the Central Cancer Registry reported that there were 3085 notifications of melanoma, whereas hospital inpatient data recorded that 6864 procedures were carried out for patients with a melanoma diagnosis in NSW public and private hospitals. Sixty-seven per cent of procedures were carried out in private hospitals. A total of 852 skin grafting procedures were recorded. Of these, 60% were carried out in private hospitals. The average proportion of skin grafts associated with excisions in NSW was 30% (range, 0-53%). Eight hundred and fifty-eight lymph node procedures were recorded for 747 NSW residents. These were biopsies, excisions or both. Forty per cent were carried out in private hospitals. The average proportion of new cases of melanoma associated with a lymph node procedure in NSW was 28% (range, 0-47%). CONCLUSION:Most of the inpatient procedures for patients with melanoma were carried out in private hospitals. The proportions of new cases that underwent skin grafting after excision, or underwent lymph node dissection, varied more than fivefold from one Area Health Service to another. This may indicate variations in casemix, variations in clinical practice or both.


ANZ J Surg


ANZ journal of surgery


Barton MB,Gabriel GS,Frommer MS,Holt PE,Thompson JF




Has Abstract


2006-05-01 00:00:00














  • Surgical treatment of hepatic haemangiomas: a 15-year experience.

    abstract:BACKGROUND:Hepatic haemangiomas are congenital vascular malformations. They are the most common benign tumours of the liver and are often asymptomatic. Spontaneous or traumatic rupture, intratumoral bleeding, consumption coagulopathy and rapid growth are the mandatory surgical indications. We present our experience ove...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Gourgiotis S,Moustafellos P,Zavos A,Dimopoulos N,Vericouki C,Hadjiyannakis EI

    更新日期:2006-09-01 00:00:00

  • Timeliness and outcomes of carotid endarterectomy for symptomatic carotid artery stenosis: a single centre audit.

    abstract:BACKGROUND:For patients presenting with symptomatic internal carotid artery stenosis, carotid endarterectomy (CEA) surgery is recommended to be performed generally within a 48-hr to 14-day window. This study aimed to assess timeliness of delivery, and outcomes, of CEA surgery in a tertiary vascular centre. METHOD:Pati...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Lim ETA,Laws PE,Beresford TP,Khanafer AMA,Roake JA

    更新日期:2020-03-01 00:00:00

  • Fine-needle aspiration cytology of thyroid nodules: how useful is it?

    abstract:BACKGROUND:Thyroid nodules are common and the principal method of diagnosis is fine-needle aspiration cytology (FNAC). METHODS:To determine the value of FNAC in the diagnosis of thyroid nodules, thyroid cytology of 253 patients with definitive histology after surgery was analyzed from 1992 to 2002. FNAC was correlated...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Morgan JL,Serpell JW,Cheng MS

    更新日期:2003-07-01 00:00:00

  • Surgery: no profession for a lady.

    abstract::There are currently over 700 active female Fellows of the Royal Australasian College of Surgeons, accounting for just less than 10% of the surgical workforce. The first female Fellow of the College was Lillian Violet Cooper, of Queensland, who was admitted to Fellowship on 17 June 1927. Over the following half century...

    journal_title:ANZ journal of surgery

    pub_type: 历史文章,杂志文章,评审


    authors: Neuhaus SJ

    更新日期:2016-01-01 00:00:00

  • Intraoperative nerve monitoring in endocrine surgery: prevalence and reasons for its use in Australia and New Zealand.

    abstract:BACKGROUND:Intraoperative nerve monitoring (IONM) has increasingly been used in thyroid surgery by general, endocrine and head and neck surgeons. The purpose of this paper was to explore the prevalence and reasons for the usage of IONM in endocrine surgery in Australia and New Zealand. METHODS:A survey was sent to gen...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Leong DCW,Lo J,Ryan S,Nguyen H,Lisewski D

    更新日期:2020-05-01 00:00:00

  • Caseload distribution of general surgeons in regional Australia: is there a role for a rural surgery sub-specialization?

    abstract:BACKGROUND:Rural and regional Australia presents a unique challenge in the delivery of surgical services by virtue of its geographical vastness and low population density. While up to 33% of Australians live in rural or regional areas, only 14.8% of surgeons work in a rural or regional area. Data regarding the caseload...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Bappayya S,Chen F,Alderuccio M,Schwalb H

    更新日期:2019-06-01 00:00:00

  • Sensation recovery improved by great auricular nerve preservation in parotidectomy: a prospective double-blind study.

    abstract:BACKGROUND:The great auricular nerve (GAN) is frequently sacrificed during parotidectomy and causes sensory disturbance of the auricle. Our study is to investigate whether GAN preservation can improve the sensory recovery. METHODS:Patients undergoing superficial or total conservative parotidectomy for benign tumours w...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Suen DT,Chow TL,Lam CY,Wong ES,Lam SH

    更新日期:2007-05-01 00:00:00

  • Does knee position during wound closure alter patella height following total knee arthroplasty?

    abstract:BACKGROUND:Patella infera is a known complication of total knee arthroplasty, and the method of soft tissue closure is a possible contributing factor. The aim of our study was to evaluate the effect of knee position during surgical closure of capsule, subcutaneous tissue and skin on patella tendon length after total kn...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Clark S,Tee L,Sutherland A

    更新日期:2019-03-01 00:00:00

  • Usefulness of fluorodeoxyglucose positron emission tomography in malignancy of pulmonary artery mimicking pulmonary embolism.

    abstract:BACKGROUND:The role of (18) F-fluorodeoxyglucose positron emission tomography/computed tomography ((18) F-FDG PET/CT) in evaluating pulmonary artery lesions has not yet been established. The purpose of this study is to evaluate the usefulness of (18) F-FDG PET/CT imaging in differentiating malignant from benign pulmona...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Lee EJ,Moon SH,Choi JY,Lee KS,Choi YS,Choe YS,Lee KH,Kim BT

    更新日期:2013-05-01 00:00:00

  • Review of knee arthroscopic practice and coding at a major metropolitan centre.

    abstract:BACKGROUND:Arthroscopic knee surgery has been a topic of significant controversy in recent orthopaedic literature. Multiple studies have used administrative (Victorian Admitted Episodes Dataset and Centre for Health Record Linkage) data to identify trends in practice. This study explored the usage and reporting of arth...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审


    authors: Lisik JP,Dowsey MM,Petterwood J,Choong PFM

    更新日期:2017-05-01 00:00:00

  • Ward safety checklist in the acute surgical unit.

    abstract:BACKGROUND:Deficiencies in daily ward rounds are increasingly identified. A ward safety checklist has recently been devised to improve the fast-paced surgical ward round. METHODS:Over 2 weeks the morning post-take surgical ward round was evaluated using the ward safety checklist. In order to avoid the Hawthorne effect...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Blucher KM,Dal Pra SE,Hogan J,Wysocki AP

    更新日期:2014-10-01 00:00:00

  • Study of the early management of acute pancreatitis.

    abstract:BACKGROUND:Acute pancreatitis (AP) is a common acute surgical presentation with evidence-based guidelines for early management. The aim of this study was to assess the compliance to the published guidelines in patients presenting with AP in Western Sydney. METHODS:A retrospective case note audit was conducted for all ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Nesvaderani M,Eslick GD,Faraj S,Vagg D,Cox MR

    更新日期:2017-10-01 00:00:00

  • Impact of COVID-19-related social restrictions on orthopaedic trauma in a level 1 trauma centre in Sydney: the first wave.

    abstract:BACKGROUND:The coronavirus disease 2019 (COVID-19) pandemic has affected communities worldwide. This study examines the impact that public health measures to control viral spread have had on orthopaedic trauma presenting to an Australian level 1 trauma centre. We hypothesized that the volume of orthopaedic trauma in th...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Probert AC,Sivakumar BS,An V,Nicholls SL,Shatrov JG,Symes MJ,Ellis AM

    更新日期:2020-10-13 00:00:00

  • Use of the ligaSure vessel sealing system in laparoscopic adrenalectomy.

    abstract::Laparoscopic adrenalectomy is the operation of choice for benign adrenal lesions. During laparoscopic surgery, vessels are usually ligated with diathermy, ligaclips, staplers or ultrasonic coagulators. Use of the electrothermal bipolar vessel sealer (LigaSure; Valleylab, Boulder, CO, USA) has recently been described i...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Soon PS,Yeh MW,Sywak MS,Sidhu SB

    更新日期:2006-09-01 00:00:00

  • Achieving quality in colonoscopy: bowel preparation timing and colon cleanliness.

    abstract:BACKGROUND:Colonoscopy is considered the gold standard for investigation of large bowel pathology. Numerous factors influence the efficacy of bowel preparation for colonoscopy. Inadequate bowel preparation can lead to missed pathology. Timing of fasting and bowel preparation, timing of procedure and possibly patient bo...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,随机对照试验


    authors: Athreya PJ,Owen GN,Wong SW,Douglas PR,Newstead GL

    更新日期:2011-04-01 00:00:00

  • Splenic autotransplantation: a systematic review.

    abstract:BACKGROUND:Splenectomy is a surgical procedure indicated in a variety of medical conditions including trauma. Post-operatively, there is a lifelong risk of developing overwhelming sepsis from encapsulated bacteria, most commonly due to Streptococcus pneumoniae. Splenic autotransplantation has been proposed as a method ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审


    authors: Surendran A,Smith M,Houli N,Usatoff V,Spelman D,Choi J

    更新日期:2020-04-01 00:00:00

  • Use of trastuzumab in Australia and New Zealand: results from the National Breast Cancer Audit.

    abstract:BACKGROUND:Trastuzumab increases disease-free and overall survival in HER-2-positive, early breast cancer. In 2007, the National Breast and Ovarian Cancer Centre recommended that patients with HER-2 positive cancers (node positive or node negative tumours >1 cm) be offered adjuvant trastuzumab with chemotherapy. The ai...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Whitfield R,Kollias J,De Silva P,Zorbas H,Maddern G

    更新日期:2012-04-01 00:00:00

  • The Auburn Elective Surgery Pilot Project.

    abstract:BACKGROUND:The aim of this project was to increase rates of day surgery, reduce elective surgical waiting lists, give patients a guaranteed date of surgery and improve operating theatre utilization. The guiding principle behind the project was to treat the administration of elective surgery as a separate business unit,...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Singh N,Brooke-Cowden GL,Whitehurst C,Smith D,Senior J

    更新日期:2005-09-01 00:00:00

  • An in-vivo paradigm for the evaluation of stimulating electrodes for use with a visual prosthesis.

    abstract:BACKGROUND:Electrical stimulation of the visual cortex with surface electrodes is able to elicit basic visual perceptions in blind patients. The development of a visual prosthesis for the blind will require an in-vivo model for the optimization of cortical neurostimulation with multielectrode arrays. METHODS:In anaest...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Chowdhury V,Morley JW,Coroneo MT

    更新日期:2004-05-01 00:00:00

  • Measurement of rotational deformity: using a smartphone application is more accurate than conventional methods.

    abstract:BACKGROUND:We assessed the accuracy of three different methods measuring the angle between two fixed Kirschner wires for the potential purpose of determining correction during rotational osteotomy of long bones. METHODS:Thirty-one orthopaedic consultants and registrars were prospectively asked to measure the angle bet...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Graham D,Suzuki A,Reitz C,Saxena A,Kuo J,Tetsworth K

    更新日期:2013-12-01 00:00:00

  • Many faces of pancreaticobiliary reflux.

    abstract::Pancreaticobiliary reflux may occur either as a result of an anatomically abnormal pancreaticobiliary junction or because of a functionally impaired sphincter despite a normal radiological appearance. It is associated with a wide spectrum of biliary diseases, including gall bladder and bile duct carcinoma. Pancreatico...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审


    authors: Williams NE,Gundara JS,Hugh TJ,Samra JS

    更新日期:2012-06-01 00:00:00

  • Single-stage laparoscopic cholecystectomy and intraoperative endoscopic retrograde cholangiopancreatography: is this strategy feasible in Australia?

    abstract::Currently in Australasia, concomitant cholecystolithiasis and choledocholithiasis are usually managed with two procedures: laparoscopic cholecystectomy (LC) and pre or postoperative endoscopic retrograde cholangiopancreatography (ERCP). This approach exposes the patient to the risk of complications from the common bil...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审


    authors: March B,Burnett D,Gani J

    更新日期:2016-11-01 00:00:00

  • Acute and chronic pseudo-obstruction: a current update.

    abstract::Acute colonic pseudo-obstruction (ACPO) and chronic intestinal pseudo-obstruction (CIPO) are distinct clinical entities in which patients present similarly with symptoms of a mechanical obstruction without an occlusive lesion. Unfortunately, they also share the issues related to a delay in diagnosis, including inappro...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审


    authors: Bernardi MP,Warrier S,Lynch AC,Heriot AG

    更新日期:2015-10-01 00:00:00

  • Reconstruction of limited parotidectomy defects using the dermofat graft.

    abstract:BACKGROUND:Removal of part or all of the parotid gland may leave a visible contour defect and may also be associated with complications such as Frey's syndrome. These aesthetic and functional issues can be addressed using dermofat graft reconstruction. The aim of this study is to assess patient satisfaction and complic...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Pham M,Eviston TJ,Clark JR

    更新日期:2017-12-01 00:00:00

  • Parathyroid hormone venous sampling prior to reoperation for primary hyperparathyroidism.

    abstract:BACKGROUND:The surgical cure rate for primary hyperparathyroidismis greater than 95%. For those who have recurrent or persistent disease, preoperative localization improves reoperation success rates. Selective parathyroid venous sampling (SPVS) for intact parathyroid hormone is particularly useful when non-invasive loc...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Estella E,Leong MS,Bennett I,Hartley L,Wetzig N,Archibald CA,Harper JS,Cuneo RC

    更新日期:2003-10-01 00:00:00

  • Effects of early antiplatelet therapy after splenectomy with gastro-oesophageal devascularization.

    abstract:BACKGROUND:This study aimed to explore the effects of early antiplatelet therapy (APT) for portal vein thrombosis (PVT) in patients with cirrhotic portal hypertension after splenectomy with gastro-oesophageal devascularization. METHODS:We retrospectively analysed 139 patients who underwent splenectomy with gastro-oeso...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Zhou JB,Luo BY,Liu CW,Zhu F

    更新日期:2018-10-01 00:00:00

  • Investigations and time trends in loop ileostomy reversals following anterior resections: a single Australian institution seven-years' experience.

    abstract:BACKGROUND:Currently no consensus exists regarding what pre-reversal investigations are required to assess integrity of the rectal anastomosis. The objective of this study was to compare pre-reversal assessments of anastomotic integrity and to evaluate trends that might have influenced timings for reversal. METHODS:Fr...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Taylor D,Besson A,Faragher IG,Chan STF,Yeung JM

    更新日期:2020-12-09 00:00:00

  • National Referral Prioritization tool for first specialist assessment: results of a pilot study in orthopaedic surgery.

    abstract:BACKGROUND:Most public hospitals are receiving more referrals for first specialist assessment than they have capacity to see. Traditional priority categories are too broad for effective discrimination. In New Zealand (NZ) explicit prioritization is required by legislation and supported by the Medical Council of NZ. A n...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Gwynne-Jones DP,Wilson R,McEwan C

    更新日期:2020-09-01 00:00:00

  • Management of recurrent bleeding after pancreatoduodenectomy.

    abstract:BACKGROUND:Re-bleeding after management of a first haemorrhage following pancreatic surgery is an ever-present danger and often presents diagnostic and management dilemmas. METHODS:All cases of post-pancreatectomy haemorrhage (PPH) following pancreatoduodenectomy were identified from a tertiary referral, clinical data...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Staerkle RF,Gundara JS,Hugh TJ,Maher R,Steinfort B,Samra JS

    更新日期:2018-05-01 00:00:00

  • Endoscopic cyst-gastrostomy for pancreatic pseudocysts: refining the indications.

    abstract:BACKGROUND:Pseudocysts are a common consequence of acute pancreatitis and require intervention if symptomatic. Endoscopic management is emerging as a safe and effective alternative to surgery, although its use is not yet widespread. METHODS:We describe our experience of 10 consecutive unselected patients who underwent...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Due SL,Wilson TG,Chung A,Chen JW

    更新日期:2016-05-01 00:00:00