Navigation Links
Centralization to fewer surgeons results in better survival after esophageal cancer surgery
Date:1/7/2013

Patients who undergo surgery for oesophageal cancer have a much greater chance of long term survival if the operation is carried out by a surgeon who has performed this particular operation many times before. This according to a new, large-scale study conducted by researchers at Karolinska Institutet in Sweden, and published in the Journal of Clinical Oncology. In their article, the researchers conclude that oesophageal cancer surgery should be concentrated or centralised to fewer surgeons.

Surgery is the most widely established curative treatment for oesophageal cancer. However, it is a major operation and only a third of patients who undergo it survive for five or more years afterwards. The purpose of the present study was to ascertain the relation between hospital and surgeon volume and long-term survival in patients who underwent surgery for oesophageal cancer.

Earlier studies have shown that the surgeon's and the hospital's annual operation volume both affect short-term survival (1-3 months post-surgery), but there are few patients who die so soon afterwards. The few studies that have examined operation volume in relation to long-term survival have given conflicting results, while many lack information on other key prognostic factors, including tumour stage.

The study that is now published in the Journal of Clinical Oncology is the most comprehensive of its kind in the subject. It included all 1,335 patients operated on for oesophageal cancer in Sweden between 1987 and 2005 with follow-ups up to January 2011. Survival analysis was used to study the effect of annual hospital volume, annual surgeon volume and surgeon experience measured as cumulative surgeon volume as regards survival following oesophageal cancer surgery. The analyses were adjusted for all established prognostic factors.

The study's main finding is that patients operated on by surgeons with a high annual and total volume had 22 per cent lower long-term mortality than patients operated on by surgeons with a low annual and total operation volume. The hospital's annual volume, however, had no independent impact on long-term survival. From this, the researchers conclude that oesophageal cancer surgery should be concentrated to fewer surgeons, giving them the opportunity to maintain a high annual volume for this major, complicated procedure.


'/>"/>

Contact: Press Office
pressinfo@ki.se
46-852-486-077
Karolinska Institutet
Source:Eurekalert

Related medicine news :

1. People with diabetes in Ontario getting fewer government-funded eye exams, new study finds
2. Outsourced radiologists perform better reading for fewer hospitals
3. Veggies and Cheese as Filling as Chips For Kids, With Fewer Calories
4. Fewer Children Injured From Swallowing Caustic Chemicals: Study
5. Smoke-free laws lead to fewer hospitalizations and deaths
6. HF patients treated by a cardiologist, rather than hospitalist, have fewer readmissions
7. Fewer U.S. Kids Dying of Diabetes: CDC
8. Seeing fewer older people in the street may lead low-income adults to fast-track their lives
9. Expanding Medicaid to low-income adults leads to improved health, fewer deaths
10. Obese appendectomy patients have fewer complications with minimally invasive operations
11. E-Records Linked to Fewer Malpractice Claims
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/24/2016)... ... May 24, 2016 , ... The old expression “a ... problem. A common injury that’s often misunderstood, whiplash should be swiftly diagnosed and treated ... orthopedic spine surgeon at Atlantic Spine Center . , So named because ...
(Date:5/24/2016)... ... May 24, 2016 , ... After graduating from Cornell, author Joshua Alexander ... hospitals, on medication, living on Social Security disability and staying in a group home. ... Beat It!” (published by Balboa Press), Alexander shares how he was finally able to ...
(Date:5/24/2016)... ... May 24, 2016 , ... Dignity Health has announced it will be opening ... is licensed under Dignity Health Arizona General Hospital, which opened last year in the ... said that the new facility will complement Dignity Health’s existing hospitals’ emergency departments. ...
(Date:5/24/2016)... ... May 24, 2016 , ... ... imaging; multiplex immunoassays are widely used for cell and protein analysis. Keeping updated ... their quality and efficiency in these areas. , LabRoots introduces a new ...
(Date:5/23/2016)... , ... May 23, 2016 , ... ... retirement community, dedicated its new $11.5 million, 64-room assisted living center. After 18 ... and ribbon cutting. , The new building provides the latest in assisted ...
Breaking Medicine News(10 mins):
(Date:5/24/2016)... Een app die artsen over ... patiënten kunnen behandelen, hun kennis kunnen delen en van ... nieuwe en revolutionaire MDLinking App, ontwikkeld door een internationale ... Hans Flu en oncologisch chirurg dr. Gijs van ... wordt op dinsdag 24 mei officieel gepresenteerd op het ...
(Date:5/23/2016)... Diplomat Pharmacy, Inc. (NYSE: DPLO) announced today the ... The hands-on learning experience is a 12-week summer program, ... Fellowship and Internship programs bring participants ... interns are provided optional housing free of charge through ... the Riverfront Residence Hall to foster communication and collaboration ...
(Date:5/23/2016)... , May 23, 2016 ... Devices, Diagnostics and Monitoring, and Vision Care ... Which areas are going to grow at the fastest ... revenues to 2026, assessing data, trends, opportunities and prospects. ... charts, and graphs. Discover the most lucrative areas in ...
Breaking Medicine Technology: