Is Centralization Needed for Esophageal and Gastric Cancer Patients With Low Operative Risk?: A Nationwide Study

OBJECTIVE:To investigate the impact of center volume on postoperative mortality (POM) according to patient condition. BACKGROUND:Centralization has been shown to improve POM in esophageal and, to a lesser extent, gastric cancer surgery; however, the benefit of centralization for patients with low op...

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Veröffentlicht in:	Annals of surgery 2016-11, Vol.264 (5), p.823-830
Hauptverfasser:	Pasquer, Arnaud, Renaud, Florence, Hec, Flora, Gandon, Anne, Vanderbeken, Marguerite, Drubay, Vincent, Caranhac, Gilbert, Piessen, Guillaume, Mariette, Christophe
Format:	Artikel
Sprache:	eng
Schlagworte:	Adolescent Adult Aged Aged, 80 and over Centralized Hospital Services Esophageal Neoplasms - mortality Esophageal Neoplasms - pathology Esophageal Neoplasms - surgery Female France - epidemiology Hospital Mortality Hospitals, High-Volume - statistics & numerical data Hospitals, Low-Volume - statistics & numerical data Humans Male Middle Aged Retrospective Studies Risk Factors Stomach Neoplasms - mortality Stomach Neoplasms - pathology Stomach Neoplasms - surgery Survival Rate Young Adult
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Zusammenfassung:	OBJECTIVE:To investigate the impact of center volume on postoperative mortality (POM) according to patient condition. BACKGROUND:Centralization has been shown to improve POM in esophageal and, to a lesser extent, gastric cancer surgery; however, the benefit of centralization for patients with low operative risk is questionable. METHODS:All consecutive patients who underwent esophageal or gastric cancer surgery between 2010 and 2012 in France were included (N = 11,196). The 30-day POM was compared in terms of the center volume (low
ISSN:	0003-4932 1528-1140
DOI:	10.1097/SLA.0000000000001768