Article
Oncology
Karen M. Mulligan, Kate Glennon, Fionan Donohoe, Yvonne O'Brien, Brian C. Mc Donnell, Helena C. Bartels, Carolien Vermeulen, Tom Walsh, Conor Shields, Orla McCormack, John Conneely, William D. Boyd, Ruaidhri Mc Vey, Jurgen Mulsow, Donal J. Brennan
Summary: The implementation of a multidisciplinary team approach in surgery, combined with meticulous preoperative optimization, led to significantly improved rates of complete resection, especially in women undergoing primary cytoreductive surgery.
ANNALS OF SURGICAL ONCOLOGY
(2021)
Article
Surgery
Daan M. Voeten, Suzanne S. Gisbertz, Jelle P. Ruurda, Janneke A. Wilschut, Lorenzo E. Ferri, Richard van Hillegersberg, Mark I. van Berge Henegouwen
Summary: This study investigates volume-outcome trends in oncologic esophagectomy in the Netherlands, finding that high-volume centers tend to have better outcomes and reducing variation in care quality between different hospitals may improve national quality of care.
Article
Surgery
Alfredo Guglielmi, Marzia Tripepi, Laura Salmaso, Ugo Fedeli, Andrea Ruzzenente, Mario Saia
Summary: Hepatobiliary resections are complex surgical procedures, and high-volume centers have better outcomes compared to low-volume centers. A retrospective study in the Veneto region of Italy from 2010 to 2021 found that high-volume centers had significantly lower mortality rates after hepatobiliary surgery, indicating a correlation between high surgical volume and better outcomes.
UPDATES IN SURGERY
(2023)
Article
Oncology
Kristen E. Rhodin, Vignesh Raman, Austin Eckhoff, Annie Liu, John Creasy, Daniel P. Nussbaum, Dan G. Blazer
Summary: The study found that fragmented care for stage II/III gastric cancer patients is associated with poorer outcomes, including reduced preferred perioperative treatment and decreased survival rates. Factors associated with coordinated care include residence in metropolitan areas and treatment at academic and high-volume centers.
ANNALS OF SURGICAL ONCOLOGY
(2022)
Article
Surgery
Sidra N. Bonner, Andrew M. Ibrahim, Nick Kunnath, Justin B. Dimick, Hari Nathan
Summary: Receiving complex cancer surgery at high-quality hospitals was associated with reduced disparities between individuals living in the most and least deprived neighborhoods. Increasing accessibility to high-quality hospitals may improve surgical outcomes and mitigate social disparities.
Review
Medicine, General & Internal
Luigi Marano, Luigi Verre, Ludovico Carbone, Gianmario Edoardo Poto, Daniele Fusario, Dario Francesco Venezia, Natale Calomino, Karolina Kazmierczak-Siedlecka, Karol Polom, Daniele Marrelli, Franco Roviello, Johnn Henry Herrera Kok, Yogesh Vashist
Summary: Gastric cancer is the fifth most frequently diagnosed cancer, and surgery is the main treatment. Quality assurance and centralization of healthcare are still under international debate. The limitations of a single variable to define the ideal postoperative period and the importance of a multidimensional measure called textbook outcome are highlighted. Patients should have access to transparent and easily available hospital data for better decision-making.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Kristen E. Rhodin, Vignesh Raman, Christopher W. Jensen, Lillian Kang, Daniel P. Nussbaum, Betty C. Tong, Dan G. Blazer III, Thomas A. D'Amico
Summary: This study aimed to determine the impact of multi-institutional care on survival in patients with clinical stage II or III esophageal cancer. The results showed that there was no significant difference in survival between patients who received multi-institutional care and those who received care at a single institution. Therefore, for complex cancer care, patients may consider receiving part of their care closer to home, but traveling to surgical centers of excellence should be encouraged.
ANNALS OF THORACIC SURGERY
(2023)
Article
Surgery
Jana S. Hopstaken, Pauline A. J. Vissers, Rutger Quispel, Judith de Vos-Geelen, Lodewijk A. A. Brosens, Ignace H. J. T. de Hingh, Lydia G. Van der Geest, Marc G. Besselink, Kees J. H. M. van Laarhoven, Martijn W. J. Stommel
Summary: This study assessed the impact of network treatment on time to chemotherapy, completion of adjuvant chemotherapy, and survival in pancreatic cancer patients. The results showed that network treatment did not affect the timing of chemotherapy, completion of adjuvant chemotherapy, and overall survival. There were significant variations observed between different pancreatic cancer networks in terms of time to chemotherapy and completion of adjuvant chemotherapy.
Article
Oncology
Citadel J. Cabasag, Melina Arnold, Mark Rutherford, Aude Bardot, Jacques Ferlay, Eileen Morgan, Alana Little, Prithwish De, Elijah Dixon, Ryan R. Woods, Nathalie Saint-Jacques, Sue Evans, Gerda Engholm, Mark Elwood, Neil Merrett, David Ransom, Dianne L. O'Connell, Freddie Bray, Isabelle Soerjomataram
Summary: This study compares the net survival rates of pancreatic cancer across seven high-income countries at different ages and stages. The results show that the survival rates are generally low in these countries, with most patients being diagnosed at an advanced stage. The study highlights the importance of early diagnosis and treatment in improving pancreatic cancer prognosis.
BRITISH JOURNAL OF CANCER
(2022)
Article
Oncology
Pernilla Dahm-Kahler, Erik Holmberg, Mikael Holtenman, Angelique Floter Radestad, Christer Borgfeldt, Elisabet Hjerpe, Janusz Marcickiewicz, Maria Bjurberg, Bengt Tholander, Kristina Hellman, Preben Kjolhede, Thomas Hogberg, Per Rosenberg, Elisabeth Avall-Lundqvist, Karin Stalberg
Summary: Implementation of the first National Guidelines for Ovarian Cancer in Sweden improved surgical outcomes and survival in patients with stage IIIC-IV disease. The frequency of complete cytoreduction (R0), 5-year relative survival, and median survival all increased after the guidelines were implemented, but fewer patients underwent primary debulking surgery.
GYNECOLOGIC ONCOLOGY
(2021)
Article
Oncology
Phillip M. Kemp Bohan, Shu-Ching Chang, Gary L. Grunkemeier, Holly V. Spitzer, Elizabeth L. Carpenter, Alexandra M. Adams, Timothy J. Vreeland, Daniel W. Nelson
Summary: The study found that treatment at high-volume centers (HVC) and academic centers (AC) was associated with improved overall survival (OS) for patients with pancreatic adenocarcinoma (PAC). However, considering mediating variables reduced the magnitude of this benefit. Further research is needed to identify patients who would benefit most from selective referral to HVC or AC.
ANNALS OF SURGICAL ONCOLOGY
(2023)
Article
Oncology
Phillip M. Kemp Bohan, Shu-Ching Chang, Gary L. Grunkemeier, Holly V. Spitzer, Elizabeth L. Carpenter, Alexandra M. Adams, Timothy J. Vreeland, Daniel W. Nelson
Summary: This study examined the effects of hospital volume, facility type, and travel distance on overall survival in patients undergoing surgery for pancreatic adenocarcinoma. The results showed that treatment at high-volume centers or academic centers was associated with a lower risk of death, while travel distance did not impact overall survival. Mediating variables explained a portion of the survival benefit.
ANNALS OF SURGICAL ONCOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Sidra N. Bonner, Shukri H. A. Dualeh, Nicholas Kunnath, Justin B. Dimick, Rishindra Reddy, Andrew M. Ibrahim, Kiran Lagisetty
Summary: Recent research has raised concerns about health care segregation, the concentration of racial groups in a subset of hospitals, as a key contributor to persistent disparities in surgical care. However, the extent and effect of hospital-level segregation among patients undergoing lung cancer resection remains unclear.
ANNALS OF THORACIC SURGERY
(2023)
Article
Urology & Nephrology
Luka Flegar, K. Kraywinkel, A. Zacharis, C. Aksoy, R. Koch, N. Eisenmenger, C. Groeben, J. Huber
Summary: In Germany, three out of four patients with muscle-invasive bladder cancer (MIBC) undergo radical cystectomy (RC), and the proportion of patients over 75 years old is increasing. The combination of surgery and chemotherapy is increasingly used. Overall, there is a slight tendency towards centralization.
WORLD JOURNAL OF UROLOGY
(2022)
Article
Oncology
Maroin Kalifi, Sophie Deguelte, Matthieu Faron, Pauline Afchain, Louis de Mestier, Thierry Lecomte, Arnaud Pasquer, Fabien Subtil, Khalid Alghamdi, Gilles Poncet, Thomas Walter
Summary: In the surgical resection of SI-NETs, high-volume centers (hvCs) demonstrated significantly better surgical outcomes, suggesting the importance of centralization of surgical care for SI-NETs.
ANNALS OF SURGICAL ONCOLOGY
(2023)