What question did this study set out to answer?

To assess whether individual surgeon case volume of oesophagectomy for cancer impacts the risk of in-hospital mortality and long-term survival.

May 18, 2007European Journal of Cardio-Thoracic Surgery

A surgeon's case volume of oesophagectomy for cancer strongly influences the operative mortality rate

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To assess whether individual surgeon case volume of oesophagectomy for cancer impacts the risk of in-hospital mortality and long-term survival.
Retrospective single-institution study analyzing 195 patients undergoing oesophageal cancer resection across nine surgeons between January 1994 and December 2005.
Surgeons were categorized into high-volume (mean 11 resections/year, n=2) and low-volume (mean 4 resections/year, n=7) groups, evaluating in-hospital mortality with multivariate logistic regression and long-term survival with Kaplan-Meier curves.
Operative mortality was significantly lower among high-volume surgeons compared to low-volume surgeons (4% [n=118] vs 17% [n=77]; p=0.001), representing a relative risk of death of 4.59 (95% CI 1.57–13.46; p<0.001) for procedures by low-volume surgeons.
In-hospital mortality remained significantly higher with low-volume surgeons after adjusting separately for age (OR 4.60; 95% CI 1.55–13.60; p=0.006), tumor stage (OR 3.76; 95% CI 1.24–11.45; p=0.02), and tumor type (OR 3.87; 95% CI 1.29–11.60; p=0.016), whereas long-term survival did not differ significantly between groups (log-rank p=0.48).

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Implication

Cohort study reveals lower operative mortality following oesophagectomy by high-volume surgeons in oesophageal cancer, indicating substantial benefits from centralized specialist surgical care.

Cite This Study

Migliore et al. (2007) studied this question.

synapsesocial.com/papers/6a87e66ae020ff8fb7061aed https://doi.org/10.1016/j.ejcts.2007.04.014

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Implication

Cohort study reveals lower operative mortality following oesophagectomy by high-volume surgeons in oesophageal cancer, indicating substantial benefits from centralized specialist surgical care.

A surgeon's case volume of oesophagectomy for cancer strongly influences the operative mortality rate

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Discussion

Implication

Cite This Study

A surgeon's case volume of oesophagectomy for cancer strongly influences the operative mortality rate

Key Points

Discussion

Implication

Cite This Study

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