Leadership

  • A/Prof Ian Fraser
  • A/Prof Nathan Lawrentschuk
  • Dr Anastasia Chrysostomou
  • Dr Jason Chuen
  • Dr Siddharth Rajakumar
  • Mr Daniel Moon
  • Mr Noel R Atkinson

Highlights

Epworth HealthCare performed the first robotic-assisted procedure in Australia in 2003, and now performs over 1000 robotic procedures per year. This revolutionary technology offers advanced key-hole surgery with 3D, high definition digital vision and wristed instruments, enabling a surgeon to perform complex surgery through only a small number of 5-10mm incisions. Robotic surgery is currently performed at Epworth in the following areas:

  • Cardiac surgery
  • Colorectal surgery
  • ENT
  • Gastric surgery
  • Gynaecology
  • Urology

Our performance

Prostate cancer is the most commonly diagnosed form of cancer and the second leading cause of male cancer deaths for Australian males. Men presenting with localised prostate cancer have numerous treatment options.

The Prostate Cancer Registry (PCR) was established at Monash University to monitor and allow benchmarking of quality of care by institutions and individual surgeons and radiation oncologists in the care of prostate cancer patients.

Epworth participates in the PCR in order to monitor our quality of care. The PCR monitors ten indicators of care. Many of these indicators allow comparison of hospital results with acceptable levels of care.

Epworth has contributed a total of 5741 patients to the PCR since its inception, making it the largest contributor of cases by any institution.

Results from Epworth Hospitals were consistently better or at the average standard.

Surgical margin outcomes of Robotic Radical Prostatectomy are a good indicator of the quality of surgery. A positive margin is when cancer is up to the edge of where the prostate has been cut out. A positive surgical margin therefore may indicate that cancer has been left behind. The long term outcome for these patients is not as positive as when the surgical margin is negative. So, the lower the surgical margin the better.

Epworth Freemasons consistently achieved a very low positive margin rate in all three categories of low, intermediate and high risk cancer

Epworth Richmond had excellent low positive margin rates in intermediate and high risk cancer.

Epworth Eastern also achieved low positive margin rates in all three categories.

Two of the potential negative outcomes for Robotic Radical Prostatectomy for Robotic Radical Prostatectomy for Cancer of the Prostate are issues with continence and erections post operatively. In all cases the outcomes of the Epworth Hospitals are either below or at the average standard.

Epworth Freemasons achieved a low incidence of both urinary bother and sexual bother post operatively.

Epworth Richmond achieved similarly a low incidence of both urinary and sexual bother.

Epworth Eastern achieved a low urinary bother rating and a satisfactory sexual bother outcome.

One of the major concerns after Radiation therapy for Prostate Cancer is an irradiation effect of the bowel (rectum). This can lead to bothersome bowel symptoms. All three Epworth hospitals carrying out radiation therapy achieved a low or satisfactory outcome.

Overall, Epworth Hospitals achieved a very high standard of outcome, a terrific indicator of the quality of care provided.

The chart shows a funnel of expected performance. Unit results are displayed as dots with the aim being to fall within the funnel. Further examination is required where a dot falls outside the funnel.

Activity

FY 2018

 

 

Services

Admissions

Bed days

Endocrinology

254

914

Nephrology

14,642

4,493

Urology

12,862

16,829

Vascular surgery

2,968

10,163

Condition treated

Endocrinology

  • Diabetes
  • Growth disorders
  • Hormonal conditions
  • Pituitary disorders
  • Polycystic ovary syndrome
  • Reproductive endocrinology
  • Thyroid conditions

Vascular

  • Abdominal aortic aneurysm
  • Acute limb ischaemia
  • Aortic dissection
  • Carotid stenosis
  • Peripheral arterial occlusive disease
  • Varicose veins

Nephrology

  • Acute renal failure
  • Chronic kidney disease
  • Electrolyte disturbances
  • Hematuria
  • Hypertension
  • Kidney disease
  • Kidney stones
  • Proteinuria

Urology

  • Benign prostate enlargement
  • Bladder cancer
  • Bladder dysfunction
  • Bladder stones
  • Erectile dysfunction
  • Kidney cancer
  • Kidney stone disease
  • Prostate cancer
  • Testicular cancer
  • Urinary incontinence

Services

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