No Difference in Overall Survival Between Hospital Volumes for Patients With Colorectal Cancer in The Netherlands

BACKGROUND:High-volume hospitals have been associated with improved patient outcomes for tumors with a relatively low incidence that require complex surgeries, such as esophageal and pancreatic cancer. The volume-outcome association for colorectal cancer is under debate. OBJECTIVE:This study investi...

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Veröffentlicht in:	Diseases of the colon & rectum 2016-10, Vol.59 (10), p.943-952
Hauptverfasser:	Bos, Amanda C. R K, van Erning, Felice N, Elferink, Marloes A G, Rutten, Harm J, van Oijen, Martijn G H, de Wilt, Johannes H W, Lemmens, Valery E. P P
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Aged, 80 and over Colectomy - adverse effects Colectomy - methods Colectomy - statistics & numerical data Colorectal Neoplasms - epidemiology Colorectal Neoplasms - pathology Colorectal Neoplasms - surgery Female Hospital Mortality Hospitals, High-Volume - statistics & numerical data Hospitals, Low-Volume - statistics & numerical data Humans Male Middle Aged Neoplasm Staging Netherlands - epidemiology Outcome and Process Assessment (Health Care) Postoperative Complications - classification Postoperative Complications - epidemiology Survival Analysis
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Zusammenfassung:	BACKGROUND:High-volume hospitals have been associated with improved patient outcomes for tumors with a relatively low incidence that require complex surgeries, such as esophageal and pancreatic cancer. The volume-outcome association for colorectal cancer is under debate. OBJECTIVE:This study investigated whether hospital volume for colorectal cancer is associated with surgical care characteristics and 5-year overall survival. DESIGN:This is a population-based study. SETTING:Data were gathered from the Netherlands Cancer Registry. Hospitals were grouped by volume for colon (
ISSN:	0012-3706 1530-0358
DOI:	10.1097/DCR.0000000000000660