The influence of a composite hospital volume on outcomes for gastric cancer surgery: A Dutch population‐based study

2017 ◽  
Vol 115 (6) ◽  
pp. 738-745 ◽  
Author(s):  
Linde A. D. Busweiler ◽  
Johan L. Dikken ◽  
Daniel Henneman ◽  
Mark I. van Berge Henegouwen ◽  
Vincent K. Y. Ho ◽  
...  
2012 ◽  
Vol 48 (7) ◽  
pp. 1004-1013 ◽  
Author(s):  
Johan L. Dikken ◽  
Anneriet E. Dassen ◽  
Valery E.P. Lemmens ◽  
Hein Putter ◽  
Pieta Krijnen ◽  
...  

2016 ◽  
Vol 34 (7_suppl) ◽  
pp. 305-305 ◽  
Author(s):  
Linde A.D. Busweiler ◽  
Johan L. Dikken ◽  
Mark I. van Berge Henegouwen ◽  
Vincent K.Y. Ho ◽  
Daniel Henneman ◽  
...  

305 Background: There is a known volume-outcome association for complex surgial procedures such as oncologic gastric resections. The aim of this study was to describe the process of centralization for gastric cancer surgery in the Netherlands in relation to other types of upper gastrointestinal (GI) cancer resections and to investigate whether the quality of gastric cancer surgery is affected by the overall experience with those related complex surgical procedures. Methods: Data on all patients (n = 4251) who underwent surgical treatment for non metastatic invasive gastric cancer between 2005-2013 were obtained from the Netherlands Cancer Registry. Annual hospital volume categories were based on the overall volume of gastrectomies, esophagectomies and pancreatectomies together (composite hospital volume). Volume-outcome analyses were performed for lymph node yield, 30-day mortality, and overall survival. Results: The percentage of gastric cancer patients who underwent a resection in a hospital with a volume of at least 20 gastrectomies per year increased. At the same time, the percentage of gastric cancer patients who underwent surgery in hospitals with an annual composite hospital volume of at least 20 upper GI cancer resections, such as esophageal and pancreatic cancer resections, increased. A higher composite hospital volume was associated with a higher lymph node yield, a lower 30-day mortality, and an increased overall survival. Conclusions: In the Netherlands, an increasing proportion of gastric cancer resections is performed in hospitals that are high volume centers for esophagectomies and pancreatectomies for cancer. Experience with these complex surgical procedures has a favorable effect on the outcomes of gastric cancer surgery.


2018 ◽  
Vol 105 (6) ◽  
pp. 728-735 ◽  
Author(s):  
Y. H. M. Claassen ◽  
J. W. van Sandick ◽  
H. H. Hartgrink ◽  
J. L. Dikken ◽  
W. O. De Steur ◽  
...  

2011 ◽  
Vol 110 (2) ◽  
pp. 226-232 ◽  
Author(s):  
Catharina A. Goossens-Laan ◽  
Otto Visser ◽  
Maarten C.C.M. Hulshof ◽  
Michel W. Wouters ◽  
J. L. H. Ruud Bosch ◽  
...  

2016 ◽  
Vol 114 (8) ◽  
pp. 1009-1015 ◽  
Author(s):  
Johannes A. Govaert ◽  
Marc J.P.M. Govaert ◽  
Marta Fiocco ◽  
Wouter A. van Dijk ◽  
Rob A.E.M. Tollenaar ◽  
...  

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