期刊
SURGICAL ONCOLOGY CLINICS OF NORTH AMERICA
卷 19, 期 2, 页码 371-+出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.soc.2009.11.011
关键词
Pancreatic cancer; Pancreatic surgery; Pancreatectomy; Volume-outcome; Regionalization; Quality improvement
资金
- John Gray Research Fellowship
- Daniel F. and Ada L. Rice Foundation
Variability exists in the quality of pancreatic cancer care provided in the United States. High-volume centers have been shown to have improved outcomes for pancreatectomy. Regionalization of pancreatic cancer care to high-volume centers has the potential to improve care and outcomes. Practical limitations such as overloading currently available high-volume centers, extending patient travel times, sharing patients within a multipayer health system, and incorporating patient preferences must be addressed for regionalization to become a reality. The benefits and limitations of regionalization of pancreatic cancer care are discussed in this review. To improve the overall quality of pancreatic cancer care at all hospitals in the United States, a combination of referral of patients with pancreatic cancer to high- and moderate-volume hospitals in conjunction with specific quality-improvement efforts at those institutions is proposed.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据