Centralizing Esophagectomy to Improve Outcomes and Enhance Clinical Research: Invited Expert Review.

Centralizing Esophagectomy to Improve Outcomes and Enhance Clinical Research: Invited Expert Review. Ann Thorac Surg. 2018 May 05;: Authors: Chang AC Abstract Since the 1970s studies have demonstrated a strong association between operative volume and outcomes such as mortality and complications particularly for complex cancer resections such as esophagectomy. The denouement has been to suggest that this operation should be directed towards specialized centers of esophageal cancer care, with operative volume thresholds being the primary basis for evidence-based hospital referral. In this article, early efforts to centralize esophagectomy as reported from other countries such as England, Canada and the Netherlands, as well as the potential impact on access to care from instituting such policies in the United States are reviewed. PMID: 29738757 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Ann Thorac Surg Source Type: research