Association between hospital volume and quality of gastric cancer surgery in the CRITICS trial
| Autor: | Yvette Claassen, J. L. Dikken, M. I. van Berge Henegouwen, W.M. Meershoek-Klein Kranenbarg, W.O. de Steur, Marcel Verheij, N.C.T. van Grieken, Anouk K. Trip, Henk Boot, E.P.M. Jansen, Hein Putter, C.J.H. van de Velde, Henk H. Hartgrink, J.W. van Sandick, J. P. B. M. Braak, Annemieke Cats |
|---|---|
| Přispěvatelé: | Surgery, AGEM - Re-generation and cancer of the digestive system, CCA - Cancer Treatment and Quality of Life, Pathology, CCA - Cancer Treatment and quality of life, Radiation Oncology |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Adenocarcinoma 03 medical and health sciences Postoperative Complications 0302 clinical medicine Gastrectomy Stomach Neoplasms medicine Humans Registries Lymph node Aged Netherlands Quality Indicators Health Care Quality of Health Care Aged 80 and over business.industry Stomach General surgery Induction chemotherapy Cancer Middle Aged medicine.disease Hospitals Cancer registry medicine.anatomical_structure 030220 oncology & carcinogenesis Lymph Node Excision Female 030211 gastroenterology & hepatology Surgery business Chemoradiotherapy Rare cancers Radboud Institute for Health Sciences [Radboudumc 9] |
| Zdroj: | Claassen, Y H M, van Sandick, J W, Hartgrink, H H, Dikken, J L, de Steur, W O, van Grieken, N C T, Boot, H, Cats, A, Trip, A K, Jansen, E P M, Meershoek-Klein Kranenbarg, W M, Braak, J P B M, Putter, H, van Berge Henegouwen, M I, Verheij, M & van de Velde, C J H 2018, ' Association between hospital volume and quality of gastric cancer surgery in the CRITICS trial ', British Journal of Surgery, vol. 105, no. 6, pp. 728-735 . https://doi.org/10.1002/bjs.10773 British Journal of Surgery British Journal of Surgery, 105(6), 728-735 British journal of surgery, 105(6), 728-735. John Wiley and Sons Ltd British Journal of Surgery, 105, 6, pp. 728-735 British Journal of Surgery, 105, 728-735 British Journal of Surgery, 105(6), 728-735. John Wiley and Sons Ltd |
| ISSN: | 0007-1323 |
| DOI: | 10.1002/bjs.10773 |
| Popis: | Background Studies investigating the association between hospital volume and quality of gastric cancer surgery are lacking. In the present study, the effect of hospital volume on quality of gastric cancer surgery was evaluated by analysing data from the CRITICS (ChemoRadiotherapy after Induction chemotherapy In Cancer of the Stomach) trial. Methods Patients who underwent gastrectomy with curative intent in the Netherlands were selected from the CRITICS trial database. Annual hospital volume of participating centres was derived from the Netherlands Cancer Registry. Hospital volume was categorized into very low (1–10 gastrectomies per year per institution), low (11–20), medium (21–30) and high (31 or more), and linked to the CRITICS database. Quality of surgery was analysed by surgicopathological compliance (removal of at least 15 lymph nodes), surgical compliance (removal of indicated lymph node stations) and the Maruyama Index. Postoperative morbidity and mortality were also compared between hospital categories. Results Between 2007 and 2015, 788 patients were included in the CRITICS study, of whom 494 were analysed. Surgicopathological compliance was higher (86·7 versus 50·4 per cent; P < 0·001), surgical compliance was greater (52·9 versus 19·8 per cent; P < 0·001) and median Maruyama Index was lower (0 versus 6; P = 0·006) in high-volume hospitals compared with very low-volume hospitals. There was no statistically significant difference in postoperative complications or mortality between the hospital volume categories. Conclusion Surgery performed in high-volume hospitals was associated with better surgical quality than surgery carried out in lower-volume hospitals. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text