Specialist centres improve outcomes

Rare or complex diseases can be treated more successfully in dedicated centres specialising in the treatment of these conditions, according to the latest research. Taking pituitary surgery as an example, a large peer-reviewed study published in Clinical Endocrinology indicates that the move in the late 1990s to concentrate treatment in specialist centres has resulted in a significant increase in success rates, better outcomes for patients and potential savings for the NHS.

Researchers, led by Prof. John Wass at The Churchill Hospital, Oxford, examined which factors were important in predicting the success rates of surgery for a rare pituitary condition called acromegaly. Patients receiving surgery in 2000 or later were significantly more likely to make a full recovery.

Average success rates were 53% in 2000- 2004 compared to 39% in 1995-1999. The recent overall improvement in surgical results coincides with a national trend (from 1999 onwards) to concentrate pituitary surgery in regional centres of expertise where patients are seen by skilled surgeons with experience in treating this rare condition.

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