Does Hospital Volume Really Affect the Surgical and Oncological Outcomes of Gastric Cancer in Korea?
Journal of Gastric Cancer
;
: 246-254, 2017.
Artigo
em Inglês
| WPRIM
| ID: wpr-169129
ABSTRACT
PURPOSE:
The significance of hospital volume remains inconsistent and controversial. In particular, few studies have examined whether hospital volume is associated with the outcome of gastrectomy for gastric cancer in East Asia. This study examined the effect of hospital volume on the short-term surgical and long-term oncological outcomes of patients undergoing curative gastrectomy for gastric cancer. MATERIALS ANDMETHODS:
Between 2009 and 2011, 1,561 patients underwent curative gastrectomy for gastric cancer at Seoul St. Mary's Hospital (n=1,322) and Bucheon St. Mary's Hospital (n=239). We defined Seoul St. Mary's Hospital as a high-volume center and Bucheon St. Mary's Hospital as a low-volume center.RESULTS:
The extent of resection, rate of combined resection, tumor stage, operating time, and hospital stay did not differ significantly between the 2 hospitals. In addition, the hospital volume was not significantly associated with the 30-day morbidity and mortality. When the overall and disease-free survival rates of the patients were stratified according to stage, hospital volume was not significantly associated with prognosis at any stage.CONCLUSIONS:
Hospital volume might not be a decisive factor with respect to the surgical and oncological outcomes of patients if well-trained surgeons perform gastrectomy for gastric cancer.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Prognóstico
/
Neoplasias Gástricas
/
Mortalidade
/
Intervalo Livre de Doença
/
Ásia Oriental
/
Cirurgiões
/
Seul
/
Gastrectomia
/
Tamanho das Instituições de Saúde
/
Coreia (Geográfico)
Tipo de estudo:
Estudo prognóstico
Limite:
Humanos
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
Journal of Gastric Cancer
Ano de publicação:
2017
Tipo de documento:
Artigo
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