A Population-Based Study Using Belgian Cancer Registry Data Supports Centralization of Esophageal Cancer Surgery in Belgium

Background Esophageal cancer surgery outcomes benefit from higher hospital volumes. Despite the evidence, organization of national health care often is complex and depends on various factors. The volume-outcome results of this population-based study supported national health policy measures regardin...

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Bibliographic Details
Published in:Annals of surgical oncology 2023-03, Vol.30 (3), p.1545-1553
Main Authors: van Walle, Lien, Silversmit, Geert, Depypere, Lieven, Nafteux, Philippe, Van Veer, Hans, Van Daele, Elke, Deswysen, Yannick, Xicluna, Jérôme, Debucquoy, Annelies, Van Eycken, Liesbet, Haustermans, Karin
Format: Article
Language:English
Subjects:
Belgium - epidemiology
Cancer
Cancer surgery
Esophageal cancer
Esophageal Neoplasms - surgery
Esophagus
Hospital Mortality
Hospitals
Hospitals, High-Volume
Hospitals, Low-Volume
Humans
Medicine
Medicine & Public Health
Mortality
Oncology
Patients
Population studies
Population-based studies
Registries
Regression analysis
Routinely Collected Health Data
Surgery
Surgical Oncology
Survival
Thoracic Oncology
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Summary:Background Esophageal cancer surgery outcomes benefit from higher hospital volumes. Despite the evidence, organization of national health care often is complex and depends on various factors. The volume-outcome results of this population-based study supported national health policy measures regarding concentration of esophageal resections in Belgium. Methods The Belgian Cancer Registry (BCR) database was linked to administrative data on cancer treatment. All Belgian patients with newly diagnosed esophageal cancer in 2008–2018 undergoing resection were allocated to the hospital at which surgery was performed. The study assessed hospital volume association with 90-day mortality and 5-year overall survival, classifying average annual hospital volume of resections as low (LV,
ISSN:1068-9265
1534-4681
DOI:10.1245/s10434-022-12938-7