Current Trends in Volume and Surgical Outcomes in Gastric Cancer

被引：51

作者：

Marano, Luigi ^{[1
]}

Verre, Luigi ^{[1
]}

Carbone, Ludovico ^{[1
]}

Poto, Gianmario Edoardo ^{[1
]}

Fusario, Daniele ^{[1
]}

Venezia, Dario Francesco ^{[1
]}

Calomino, Natale ^{[1
]}

Kazmierczak-Siedlecka, Karolina ^{[2
]}

Polom, Karol ^{[3
]}

Marrelli, Daniele ^{[1
]}

Roviello, Franco ^{[1
]}

Kok, Johnn Henry Herrera ^{[4
]}

Vashist, Yogesh ^{[5
]}

机构：

[1] Univ Siena, Dept Med Surg & Neurosci, I-53100 Siena, Italy

[2] Med Univ Gdansk, Dept Med Lab Diagnost Fahrenheit Biobank BBMRIpl, PL-80308 Gdansk, Poland

[3] Med Univ Gdansk, Dept Surg Oncol, PL-80308 Gdansk, Poland

[4] Complejo Asistencial Univ Leon, Dept Gen & Digest Surg, Leon 24071, Spain

[5] King Faisal Specialist Hosp & Res Ctr, Organ Transplant Ctr Excellence, Riyadh 11211, Saudi Arabia

来源：

JOURNAL OF CLINICAL MEDICINE | 2023年 / 12卷 / 07期

关键词：

gastric cancer; gastrectomy; hospital volume; surgical volume; centralization; textbook outcome; quality of care; healthcare; LONG-TERM SURVIVAL; IN-HOSPITAL MORTALITY; QUALITY-OF-CARE; SURGEON VOLUME; ESOPHAGOGASTRIC CANCER; OPERATIVE MORTALITY; CURATIVE TREATMENT; CLINICAL-RESEARCH; HEALTH-CARE; GASTRECTOMY;

D O I：

10.3390/jcm12072708

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Gastric cancer is ranked as the fifth most frequently diagnosed type of cancer. Complete resection with adequate lymphadenectomy represents the goal of treatment with curative intent. Quality assurance is a crucial factor in the evaluation of oncological surgical care, and centralization of healthcare in referral hospitals has been proposed in several countries. However, an international agreement about the setting of "high-volume hospitals" as well as "minimum volume standards" has not yet been clearly established. Despite the clear postoperative mortality benefits that have been described for gastric cancer surgery conducted by high-volume surgeons in high-volume hospitals, many authors have highlighted the limitations of a non-composite variable to define the ideal postoperative period. The textbook outcome represents a multidimensional measure assessing the quality of care for cancer patients. Transparent and easily available hospital data will increase patients' awareness, providing suitable elements for a more informed hospital choice.

引用

页数：16

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