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)
Hauptverfasser: 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
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container_issue 9
container_start_page
container_title Diseases of the esophagus
container_volume 37
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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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. 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source Oxford University Press Journals All Titles (1996-Current); MEDLINE; SWEPUB Freely available online
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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