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https://hdl.handle.net/2440/60032
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Type: | Journal article |
Title: | Systematic review of the impact of volume of oesophagectomy on patient outcome |
Author: | Lauder, C. Marlow, N. Maddern, G. Barraclough, B. Collier, N. Dickinson, I. Fawcett, J. Graham, J. |
Citation: | ANZ Journal of Surgery, 2010; 80(5):317-323 |
Publisher: | Blackwell Science Asia |
Issue Date: | 2010 |
ISSN: | 1445-1433 1445-2197 |
Statement of Responsibility: | Christopher I. W. Lauder, Nicholas E. Marlow, Guy J. Maddern, Bruce Barraclough, Neil A. Collier, Ian C. Dickinson, Jonathon Fawcett and John C. Graham |
Abstract: | Purpose: This systematic review aims to assess whether overall survival, mortality, morbidity, length of stay and cost of performing oesophagectomy are related to surgical volume. Methods: A systematic search strategy from 1997 until December 2006 was used to retrieve relevant studies. Inclusion of articles was established through application of a predetermined protocol, independent assessment by two reviewers and a final consensus decision. Results: A total of 55 studies were identified of which 27 studies, representing 68 882 patients, met the inclusion criteria. Twenty-one of these solely examined hospital volume, 5 examined both hospital and surgeon volume, and 1 examined surgeon volume in isolation. All but one of the studies were retrospective in nature, and because of the heterogeneity of the literature, no meta-analysis could be performed. Of the studies exploring the relationship between hospital volume and mortality, 20 reported a statistically significant benefit to large volume centres. Five of six included studies showed significant evidence for a reduced mortality risk with greater surgeon volume. Conclusions: Based on the evidence from these retrospective studies, oesophagectomy performed in high volume centres would appear to be associated with better outcome compared with low volume centres. |
Keywords: | centralization hospital volume oesophagectomy surgical volume systematic review |
Rights: | © 2010 The Authors. Journal compilation © 2010 Royal Australasian College of Surgeons |
DOI: | 10.1111/j.1445-2197.2010.05276.x |
Published version: | http://dx.doi.org/10.1111/j.1445-2197.2010.05276.x |
Appears in Collections: | Aurora harvest Surgery publications |
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