What question did this study set out to answer?

To evaluate the relationship between hospital procedural volume and in-hospital mortality following esophagectomy.

January 1, 2001CancerOpen Access

Hospital volume and hospital mortality for esophagectomy

View Full Paper

Ask AI

Bookmark

Why the study?

Does performing esophagectomy in high volume centers reduce hospital mortality compared to low or medium volume centers?

Population

Patients undergoing esophagectomy in the Netherlands between 1993 and 1998 based on data from the Dutch…

Comparison

Esophagectomy performed in high volume centers. vs Esophagectomy performed in low volume centers…

Design

Cohort

Follow-up

In-hospital

Authors

JLJ. Jan B. van LanschotBrigham and Women's Hospital JHJan B.F. HulscherUniversity Medical Center Groningen CBChristianne J. BuskensAmsterdam Neuroscience

Discussion

Member takes

Implication

Supports volume-based centralization for esophagectomy; extends observational data but remains hypothesis-generating.

Key Points

To evaluate the relationship between hospital procedural volume and in-hospital mortality following esophagectomy.
Analyzed nationwide data from the Dutch National Medical Registry and the Dutch Network and National Database for Pathology between 1993 and 1998.
Categorized surgical centers by annual procedural volume: low (1–10 resections/year), medium (11–20 resections/year), and high (>50 resections/year) across an annual national total of approximately 310 esophagectomies.
In-hospital mortality was 12.1% in low-volume centers, 7.5% in medium-volume centers, and 4.9% in high-volume centers (P < 0.001).
Low-volume hospitals performed 52% of all resections across 43–55 centers, whereas high-volume hospitals performed 42% across just two centers.
High-volume centers maintained the lowest mortality rates despite treating patients with slightly more advanced tumor stages.

Structured PICO

Does performing esophagectomy in high volume centers reduce hospital mortality compared to low or medium volume centers?

Population

Patients undergoing esophagectomy in the Netherlands between 1993 and 1998 based on data from the Dutch National Medical Registry and the Dutch Network and National Database for Pathology.

Intervention

Esophagectomy performed in high volume centers (> 50 resections a year).

Comparator

Esophagectomy performed in low volume centers (1-10 resections a year) and medium volume centers (11-20 resections a year).

Outcome

Hospital mortalityhard clinical

Centralization of esophagectomies in high-volume centers is associated with significantly lower hospital mortality.

Limitations

Hospital mortality is not the only measure for quality of care

Cite This Study

Lanschot et al. (2001) studied this question.

synapsesocial.com/papers/6a74fd900081fe7b05dbfa60 https://doi.org/10.1002/1097-0142(20010415)91:8<1574::aid-cncr1168>3.0.co;2-2

View Full Paper

Ask AI

Bookmark

Hospital volume and hospital mortality for esophagectomy

Discussion

Member takes

Implication

Key Points

Structured PICO

Limitations

Cite This Study

Hospital volume and hospital mortality for esophagectomy

Discussion

Member takes

Implication

Key Points

Structured PICO

Limitations

Cite This Study

Also Consider

Also Consider