Impact of centralization of pancreatic cancer surgery on resection rates and survival

Background Centralization of pancreatic surgery has been shown to reduce postoperative mortality. It is unknown whether resection rates and survival have also improved. The aim of this study was to analyse the impact of nationwide centralization of pancreatic surgery on resection rates and long‐term...

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Bibliographic Details
Published in:British journal of surgery 2014-07, Vol.101 (8), p.1000-1005
Main Authors: Gooiker, G. A., Lemmens, V. E. P. P., Besselink, M. G., Busch, O. R., Bonsing, B. A., Molenaar, I. Q., Tollenaar, R. A. E. M., de Hingh, I. H. J. T., Wouters, M. W. J. M.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Cancer Care Facilities - organization & administration
Female
Hospitals, High-Volume - utilization
Hospitals, Low-Volume - utilization
Humans
Male
Middle Aged
Netherlands - epidemiology
Pancreatic cancer
Pancreatic Neoplasms - mortality
Pancreatic Neoplasms - surgery
Pancreaticoduodenectomy - mortality
Referral and Consultation
Registries
Surgicenters - organization & administration
Survival Rate
Treatment Outcome
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Summary:Background Centralization of pancreatic surgery has been shown to reduce postoperative mortality. It is unknown whether resection rates and survival have also improved. The aim of this study was to analyse the impact of nationwide centralization of pancreatic surgery on resection rates and long‐term survival. Methods All patients diagnosed in the Netherlands between 2000 and 2009 with cancer of the pancreatic head were identified in the Netherlands Cancer Registry. Changes in referral pattern, resection rates and survival after pancreatoduodenectomy were analysed. Multivariable regression analysis was used to assess the impact of hospital volume (20 or more procedures per year) on survival after resection. Results Between 2000 and 2009, 11 160 patients were diagnosed with cancer of the pancreatic head. The resection rate increased from 10·7 per cent in 2000–2004 to 15·3 per cent in 2005–2009 (P 
ISSN:0007-1323
1365-2168
DOI:10.1002/bjs.9468