Western European Variation in the Organization of Esophageal Cancer Surgical Care.

Autor:	Visser MR; Department of Surgery, University Medical Center Utrecht, Utrecht, the Netherlands.; Scientific Bureau, Dutch Institute for Clinical Auditing, Leiden, the Netherlands., Voeten DM; Department of Surgery, Amsterdam UMC location University of Amsterdam, Amsterdam, the Netherlands.; Cancer Treatment and Quality of Life, Cancer Center Amsterdam, Amsterdam, the Netherlands., Gisbertz SS; Department of Surgery, Amsterdam UMC location University of Amsterdam, Amsterdam, the Netherlands.; Cancer Treatment and Quality of Life, Cancer Center Amsterdam, Amsterdam, the Netherlands., Ruurda JP; Department of Surgery, University Medical Center Utrecht, Utrecht, the Netherlands., Achiam MP; Department of Surgery and Transplantation, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark., Nilsson M; Department of Upper Gastrointestinal Diseases, Karolinska University Hospital and Department of Clinical Science Technology and Interventions, Stockholm, Sweden., Markar SR; Nuffield Department of Surgical Sciences, University of Oxford, Oxford, UK., Pera M; Section of Gastrointestinal Surgery, Hospital del Mar, Department of Surgery, Universitat Autònoma de Barcelona, Hospital del Mar Medical Research Institute (IMIM), Barcelona, Spain., Rosati R; Department of Gastrointestinal Surgery, IRCCS San Raffaele Scientific Institute, Milan, Italy., Piessen G; Department of Digestive and Oncological Surgery, Claude Huriez University Hospital, Lille, France., Nafteux P; Department of Thoracic Surgery, University Hospitals Leuven, Leuven, Belgium., Gutschow CA; Department of Surgery and Transplantation, University Hospital Zurich, Zurich, Switzerland., Grimminger PP; Department of General, Visceral and Transplant Surgery, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany., Räsänen JV; Department of General Thoracic and Esophageal Surgery, Heart and Lung Centre, Helsinki University Hospital, Helsinki, Finland., Reynolds JV; Trinity St. James's Cancer Institute, St. James's Hospital, Dublin, Ireland., Johannessen HO; Department of Gastroenterological Surgery, Oslo University Hospital, Oslo, Norway., Vieira P; Digestive Cancer Unit, Champalimaud Clinical Centre - Champalimaud Foundation, Lisbon, Portugal., Weitzendorfer M; Department of Surgery, Paracelsus Medical University Salzburg, Salzburg, Austria., Kechagias A; Department of Surgery, Athens Metropolitan Hospital, Athens, Greece., van Berge Henegouwen MI; Department of Surgery, Amsterdam UMC location University of Amsterdam, Amsterdam, the Netherlands.; Cancer Treatment and Quality of Life, Cancer Center Amsterdam, Amsterdam, the Netherlands., van Hillegersberg R; Department of Surgery, University Medical Center Utrecht, Utrecht, the Netherlands.
Jazyk:	angličtina
Zdroj:	Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus [Dis Esophagus] 2024 Aug 29; Vol. 37 (9).
DOI:	10.1093/dote/doae033
Abstrakt:	Reasons for structural and outcome differences in esophageal cancer surgery in Western Europe remain unclear. This questionnaire study aimed to identify differences in the organization of esophageal cancer surgical care in Western Europe. A cross-sectional international questionnaire study was conducted among upper gastrointestinal (GI) surgeons from Western Europe. One surgeon per country was selected based on scientific output and active membership in the European Society for Diseases of the Esophagus or (inter)national upper GI committee. The questionnaire consisted of 51 structured questions on the structural organization of esophageal cancer surgery, surgical training, and clinical audit processes. Between October 2021 and October 2022, 16 surgeons from 16 European countries participated in this study. In 5 countries (31%), a volume threshold was present ranging from 10 to 26 annual esophagectomies, in 7 (44%) care was centralized in designated centers, and in 4 (25%) no centralizing regulations were present. The number of centers performing esophageal cancer surgery per country differed from 4 to 400, representing 0.5-4.9 centers per million inhabitants. In 4 countries (25%), esophageal cancer surgery was part of general surgical training and 8 (50%) reported the availability of upper GI surgery fellowships. A national audit for upper GI surgery was present in 8 (50%) countries. If available, all countries use the audit to monitor the quality of care. Substantial differences exist in the organization and centralization of esophageal cancer surgical care in Western Europe. The exchange of experience in the organizational aspects of care could further improve the results of esophageal cancer surgical care in Europe. (© The Author(s) 2024. Published by Oxford University Press on behalf of International Society for Diseases of the Esophagus.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu