Spontaneous regionalization of esophageal cancer surgery: an analysis of the National Cancer Database

Esophagectomy patients are up to three times more likely to die after surgery when cared for at low-volume hospitals (LVHs). Increased awareness by patients and clinicians of the hazards of esophagectomy at LVHs, may inspire a "spontaneous regionalization" away from LVHs, yet the extent to...

Full description

Saved in:
Bibliographic Details
Published in:Journal of thoracic disease 2018-03, Vol.10 (3), p.1721-1731
Main Authors: Arnold, Brian N, Chiu, Alexander S, Hoag, Jessica R, Kim, Clara H, Salazar, Michelle C, Blasberg, Justin D, Boffa, Daniel J
Format: Article
Language:English
Subjects:
Original
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Esophagectomy patients are up to three times more likely to die after surgery when cared for at low-volume hospitals (LVHs). Increased awareness by patients and clinicians of the hazards of esophagectomy at LVHs, may inspire a "spontaneous regionalization" away from LVHs, yet the extent to which this has taken place is unclear. Retrospective analysis of patients undergoing esophagectomy for esophageal cancer in the National Cancer Database (NCDB) across two eras: 2004-2006 (Era 1) and 2010-2012 (Era 2). Primary outcomes included the proportion of patients at high-volume hospitals (HVHs) (≥13/year per Leapfrog Group), adjusted, and unadjusted 90-day mortality. The NCDB captured 5,968 esophagectomy patients in Era 1 and 5,580 in Era 2, a 6.5% decrease (P
ISSN:2072-1439
2077-6624
DOI:10.21037/jtd.2018.02.12