Western European Variation in the Organization of Esophageal Cancer Surgical Care
Abstract 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...
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Veröffentlicht in: | Diseases of the esophagus 2024-08, Vol.37 (9) |
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creator | Visser, Maurits R Voeten, Daan M Gisbertz, Suzanne S Ruurda, Jelle P Achiam, Michael P Nilsson, Magnus Markar, Sheraz R Pera, Manuel Rosati, Riccardo Piessen, Guillaume Nafteux, Philippe Gutschow, Christian A Grimminger, Peter P Räsänen, Jari V Reynolds, John V Johannessen, Hans-Olaf Vieira, Pedro Weitzendorfer, Michael Kechagias, Aristotelis van Berge Henegouwen, Mark I van Hillegersberg, Richard |
description | Abstract
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. |
doi_str_mv | 10.1093/dote/doae033 |
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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.</description><identifier>ISSN: 1120-8694</identifier><identifier>ISSN: 1442-2050</identifier><identifier>EISSN: 1442-2050</identifier><identifier>DOI: 10.1093/dote/doae033</identifier><identifier>PMID: 38670807</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>Cross-Sectional Studies ; Esophageal Neoplasms - surgery ; Esophagectomy - statistics & numerical data ; Europe ; Humans ; Male ; Original ; Surgeons - statistics & numerical data ; Surveys and Questionnaires</subject><ispartof>Diseases of the esophagus, 2024-08, Vol.37 (9)</ispartof><rights>The Author(s) 2024. Published by Oxford University Press on behalf of International Society for Diseases of the Esophagus. 2024</rights><rights>The Author(s) 2024. Published by Oxford University Press on behalf of International Society for Diseases of the Esophagus.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c342t-c147a70be9ad1eeab019d61d8351ece95d5a8a9c312a6c662fb8bf56885e5df83</cites><orcidid>0000-0002-5677-1264 ; 0000-0002-1859-9213</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,550,776,780,881,1578,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38670807$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:158201261$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Visser, Maurits R</creatorcontrib><creatorcontrib>Voeten, Daan M</creatorcontrib><creatorcontrib>Gisbertz, Suzanne S</creatorcontrib><creatorcontrib>Ruurda, Jelle P</creatorcontrib><creatorcontrib>Achiam, Michael P</creatorcontrib><creatorcontrib>Nilsson, Magnus</creatorcontrib><creatorcontrib>Markar, Sheraz R</creatorcontrib><creatorcontrib>Pera, Manuel</creatorcontrib><creatorcontrib>Rosati, Riccardo</creatorcontrib><creatorcontrib>Piessen, Guillaume</creatorcontrib><creatorcontrib>Nafteux, Philippe</creatorcontrib><creatorcontrib>Gutschow, Christian A</creatorcontrib><creatorcontrib>Grimminger, Peter P</creatorcontrib><creatorcontrib>Räsänen, Jari V</creatorcontrib><creatorcontrib>Reynolds, John V</creatorcontrib><creatorcontrib>Johannessen, Hans-Olaf</creatorcontrib><creatorcontrib>Vieira, Pedro</creatorcontrib><creatorcontrib>Weitzendorfer, Michael</creatorcontrib><creatorcontrib>Kechagias, Aristotelis</creatorcontrib><creatorcontrib>van Berge Henegouwen, Mark I</creatorcontrib><creatorcontrib>van Hillegersberg, Richard</creatorcontrib><title>Western European Variation in the Organization of Esophageal Cancer Surgical Care</title><title>Diseases of the esophagus</title><addtitle>Dis Esophagus</addtitle><description>Abstract
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.</description><subject>Cross-Sectional Studies</subject><subject>Esophageal Neoplasms - surgery</subject><subject>Esophagectomy - statistics & numerical data</subject><subject>Europe</subject><subject>Humans</subject><subject>Male</subject><subject>Original</subject><subject>Surgeons - statistics & numerical data</subject><subject>Surveys and Questionnaires</subject><issn>1120-8694</issn><issn>1442-2050</issn><issn>1442-2050</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>TOX</sourceid><sourceid>EIF</sourceid><sourceid>D8T</sourceid><recordid>eNp9kU2P1DAMhiMEYj_gxhn1BgcKTpOm6Qmh0bAgrbRCfB0jN3VnAp2kJC0Ifj1ZOqzYC5fYsR-_sfIy9ojDcw6teNGHmfKBBELcYadcyqqsoIa7OecVlFq18oSdpfQFgDdC6fvsRGjVgIbmlL37TGmm6IvtEsNE6ItPGB3OLvjC-WLeU3EVd-jdr7UWhmKbwrTHHeFYbNBbisX7Je6c_XOP9IDdG3BM9PAYz9nH19sPmzfl5dXF282ry9IKWc2l5bLBBjpqsedE2AFve8V7LWpOltq6r1FjawWvUFmlqqHT3VArrWuq-0GLc1auuukHTUtnpugOGH-agM4cS19zRkYryWWb-ZcrnzsH6i35OeJ4a-x2x7u92YXvhnOhQCueFZ4eFWL4tuR_MweXLI0jegpLMgJk00qoBGT02YraGFKKNNy8w8Fc22aubTNH2zL--N_dbuC_PmXgyQqEZfq_1G_hwKSw</recordid><startdate>20240829</startdate><enddate>20240829</enddate><creator>Visser, Maurits R</creator><creator>Voeten, Daan M</creator><creator>Gisbertz, Suzanne S</creator><creator>Ruurda, Jelle P</creator><creator>Achiam, Michael P</creator><creator>Nilsson, Magnus</creator><creator>Markar, Sheraz R</creator><creator>Pera, Manuel</creator><creator>Rosati, Riccardo</creator><creator>Piessen, Guillaume</creator><creator>Nafteux, Philippe</creator><creator>Gutschow, Christian A</creator><creator>Grimminger, Peter P</creator><creator>Räsänen, Jari V</creator><creator>Reynolds, John V</creator><creator>Johannessen, Hans-Olaf</creator><creator>Vieira, Pedro</creator><creator>Weitzendorfer, Michael</creator><creator>Kechagias, Aristotelis</creator><creator>van Berge Henegouwen, Mark I</creator><creator>van Hillegersberg, Richard</creator><general>Oxford University Press</general><scope>TOX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D8T</scope><scope>ZZAVC</scope><orcidid>https://orcid.org/0000-0002-5677-1264</orcidid><orcidid>https://orcid.org/0000-0002-1859-9213</orcidid></search><sort><creationdate>20240829</creationdate><title>Western European Variation in the Organization of Esophageal Cancer Surgical Care</title><author>Visser, Maurits R ; 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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.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>38670807</pmid><doi>10.1093/dote/doae033</doi><orcidid>https://orcid.org/0000-0002-5677-1264</orcidid><orcidid>https://orcid.org/0000-0002-1859-9213</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Cross-Sectional Studies Esophageal Neoplasms - surgery Esophagectomy - statistics & numerical data Europe Humans Male Original Surgeons - statistics & numerical data Surveys and Questionnaires |
title | Western European Variation in the Organization of Esophageal Cancer Surgical Care |
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