Surgical workload and outcome after resection for carcinoma of the oesophagus and cardia

Research output: Contribution to journalArticle

Standard

Surgical workload and outcome after resection for carcinoma of the oesophagus and cardia. / Gillison, EW; Powell, Dorothy; McConkey, Christopher; Spychal, Robert.

In: British Journal of Surgery, Vol. 89, No. 3, 01.03.2002, p. 344-348.

Research output: Contribution to journalArticle

Harvard

APA

Vancouver

Author

Gillison, EW ; Powell, Dorothy ; McConkey, Christopher ; Spychal, Robert. / Surgical workload and outcome after resection for carcinoma of the oesophagus and cardia. In: British Journal of Surgery. 2002 ; Vol. 89, No. 3. pp. 344-348.

Bibtex

@article{3922a4c392474047969aca29b9695895,
title = "Surgical workload and outcome after resection for carcinoma of the oesophagus and cardia",
abstract = "BACKGROUND: Performing cancer surgery in high-volume centres may lead to improved outcomes. This study explored the relationship between annual workload and outcome following resection for carcinoma of the oesophagus and cardia. METHODS: The study was a retrospective case-note review of 1125 patients who had surgery for cardio-oesophageal cancer in the West Midlands region of England. Outcome measures were 30-day mortality and long-term survival. RESULTS: The overall 30-day mortality rate was 10.0 per cent with a median survival of 14 months and a 5-year survival rate of 17.2 per cent. Increasing age, advanced stage of disease and emergency resection independently affected outcome adversely. Forty-one infrequent operators (fewer than four resections per year) performed 146 resections (13.0 per cent), 18 intermediate operators (between four and 11 resections per year) performed 488 resections (43.4 per cent) and five frequent operators (12 or more resections per year) performed 491 resections (43.6 per cent). The 30-day mortality rate was greatest in the infrequent group (15.1 per cent) compared with both the intermediate group (6.6 per cent; adjusted odds 0.40, P = 0.004) and the frequent group (11.8 per cent; odds 0.73, P = 0.28). There were no differences in survival rates between the groups, and no difference in outcome between high- and low-volume hospitals. CONCLUSION: In this unselected population-based series there was little evidence of a trend of improving 30-day mortality rate with increasing workload, or between workload and long-term survival.",
author = "EW Gillison and Dorothy Powell and Christopher McConkey and Robert Spychal",
year = "2002",
month = mar,
day = "1",
doi = "10.1046/j.0007-1323.2001.02015.x",
language = "English",
volume = "89",
pages = "344--348",
journal = "British Journal of Surgery",
issn = "0007-1323",
publisher = "Wiley",
number = "3",

}

RIS

TY - JOUR

T1 - Surgical workload and outcome after resection for carcinoma of the oesophagus and cardia

AU - Gillison, EW

AU - Powell, Dorothy

AU - McConkey, Christopher

AU - Spychal, Robert

PY - 2002/3/1

Y1 - 2002/3/1

N2 - BACKGROUND: Performing cancer surgery in high-volume centres may lead to improved outcomes. This study explored the relationship between annual workload and outcome following resection for carcinoma of the oesophagus and cardia. METHODS: The study was a retrospective case-note review of 1125 patients who had surgery for cardio-oesophageal cancer in the West Midlands region of England. Outcome measures were 30-day mortality and long-term survival. RESULTS: The overall 30-day mortality rate was 10.0 per cent with a median survival of 14 months and a 5-year survival rate of 17.2 per cent. Increasing age, advanced stage of disease and emergency resection independently affected outcome adversely. Forty-one infrequent operators (fewer than four resections per year) performed 146 resections (13.0 per cent), 18 intermediate operators (between four and 11 resections per year) performed 488 resections (43.4 per cent) and five frequent operators (12 or more resections per year) performed 491 resections (43.6 per cent). The 30-day mortality rate was greatest in the infrequent group (15.1 per cent) compared with both the intermediate group (6.6 per cent; adjusted odds 0.40, P = 0.004) and the frequent group (11.8 per cent; odds 0.73, P = 0.28). There were no differences in survival rates between the groups, and no difference in outcome between high- and low-volume hospitals. CONCLUSION: In this unselected population-based series there was little evidence of a trend of improving 30-day mortality rate with increasing workload, or between workload and long-term survival.

AB - BACKGROUND: Performing cancer surgery in high-volume centres may lead to improved outcomes. This study explored the relationship between annual workload and outcome following resection for carcinoma of the oesophagus and cardia. METHODS: The study was a retrospective case-note review of 1125 patients who had surgery for cardio-oesophageal cancer in the West Midlands region of England. Outcome measures were 30-day mortality and long-term survival. RESULTS: The overall 30-day mortality rate was 10.0 per cent with a median survival of 14 months and a 5-year survival rate of 17.2 per cent. Increasing age, advanced stage of disease and emergency resection independently affected outcome adversely. Forty-one infrequent operators (fewer than four resections per year) performed 146 resections (13.0 per cent), 18 intermediate operators (between four and 11 resections per year) performed 488 resections (43.4 per cent) and five frequent operators (12 or more resections per year) performed 491 resections (43.6 per cent). The 30-day mortality rate was greatest in the infrequent group (15.1 per cent) compared with both the intermediate group (6.6 per cent; adjusted odds 0.40, P = 0.004) and the frequent group (11.8 per cent; odds 0.73, P = 0.28). There were no differences in survival rates between the groups, and no difference in outcome between high- and low-volume hospitals. CONCLUSION: In this unselected population-based series there was little evidence of a trend of improving 30-day mortality rate with increasing workload, or between workload and long-term survival.

UR - http://www.scopus.com/inward/record.url?scp=0036125208&partnerID=8YFLogxK

U2 - 10.1046/j.0007-1323.2001.02015.x

DO - 10.1046/j.0007-1323.2001.02015.x

M3 - Article

C2 - 11872061

VL - 89

SP - 344

EP - 348

JO - British Journal of Surgery

JF - British Journal of Surgery

SN - 0007-1323

IS - 3

ER -