Effect of centralization and regionalization of pancreatic surgery on resection rates and survival
| العنوان: | Effect of centralization and regionalization of pancreatic surgery on resection rates and survival |
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| المؤلفون: | Tara M. Mackay, I.H.J.T. de Hingh, Martijn W J Stommel, Pauline A. J. Vissers, Anouk E J Latenstein, V. E. de Meijer, L.G.M. van der Geest, Marc G. Besselink, C.H.J. van Eijck |
| المساهمون: | Surgery, Groningen Institute for Organ Transplantation (GIOT), Center for Liver, Digestive and Metabolic Diseases (CLDM) |
| المصدر: | British Journal of Surgery, 108, 826-833 The British journal of surgery, 108(7), 826-833. John Wiley & Sons Ltd. British Journal of Surgery, 108(7), 826-833. Wiley British Journal of Surgery, 108, 7, pp. 826-833 |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, IMPACT, 030230 surgery, DIAGNOSIS, Tumours of the digestive tract Radboud Institute for Health Sciences [Radboudumc 14], 03 medical and health sciences, All institutes and research themes of the Radboud University Medical Center, Pancreatectomy, 0302 clinical medicine, SDG 3 - Good Health and Well-being, medicine, Periampullary cancer, Humans, Prospective Studies, Aged, Neoplasm Staging, Netherlands, Aged, 80 and over, Proportional hazards model, business.industry, MORTALITY, Hazard ratio, Cancer, Odds ratio, Middle Aged, medicine.disease, CANCER, people.cause_of_death, Surgery, Cancer registry, Pancreatic Neoplasms, Survival Rate, medicine.anatomical_structure, General Surgery, 030220 oncology & carcinogenesis, VOLUME, Female, Pancreas, people, business, Cohort study |
| الوصف: | Background Centralization of pancreatic surgery in the Netherlands has been ongoing since 2011. The aim of this study was to assess how centralization has affected the likelihood of resection and survival of patients with non-metastatic pancreatic head and periampullary cancer, diagnosed in hospitals with and without pancreatic surgery services. Methods An observational cohort study was performed on nationwide data from the Netherlands Cancer Registry (2009–2017), including patients diagnosed with non-metastatic pancreatic head or periampullary cancer. The period of diagnosis was divided into three time intervals: 2009–2011, 2012–2014 and 2015–2017. Hospital of diagnosis was classified as a pancreatic or non-pancreatic surgery centre. Analyses were performed using multivariable logistic and Cox regression models. Results In total, 10 079 patients were included, of whom 3114 (30.9 per cent) were diagnosed in pancreatic surgery centres. Between 2009–2011 and 2015–2017, the number of patients undergoing resection increased from 1267 of 3169 (40.0 per cent) to 1705 of 3566 (47.8 per cent) (P for trend Conclusion After centralization of pancreatic surgery, the resection rate for patients with pancreatic head and periampullary cancer diagnosed in non-pancreatic surgery centres increased and became similar to that in pancreatic surgery centres. Overall survival remained higher in patients diagnosed in pancreatic surgery centres. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 0007-1323 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::13d8e81ff8b1bed4e02a2546dae84a73Test https://doi.org/10.1093/bjs/znaa146Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....13d8e81ff8b1bed4e02a2546dae84a73 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 00071323 |
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