Association between hospital volume and quality of gastric cancer surgery in the CRITICS trial

2018 ◽  
Vol 105 (6) ◽  
pp. 728-735 ◽  
Author(s):  
Y. H. M. Claassen ◽  
J. W. van Sandick ◽  
H. H. Hartgrink ◽  
J. L. Dikken ◽  
W. O. De Steur ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Hospital Volume ◽  
Cancer Surgery ◽  
Gastric Cancer Surgery

scholarly journals Effect of hospital volume on postoperative mortality and survival after oesophageal and gastric cancer surgery in the Netherlands between 1989 and 2009

2012 ◽  
Vol 48 (7) ◽  
pp. 1004-1013 ◽  
Author(s):  
Johan L. Dikken ◽  
Anneriet E. Dassen ◽  
Valery E.P. Lemmens ◽  
Hein Putter ◽  
Pieta Krijnen ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
The Netherlands ◽  
Hospital Volume ◽  
Postoperative Mortality ◽  
Cancer Surgery ◽  
Gastric Cancer Surgery

scholarly journals Changes of Quality of Life after Gastric Cancer Surgery

2012 ◽  
Vol 12 (3) ◽  
pp. 194 ◽  
Author(s):  
Horyon Kong ◽  
Oh Kyung Kwon ◽  
Wansik Yu
Keyword(s):  
Quality Of Life ◽  
Gastric Cancer ◽  
Cancer Surgery ◽  
Gastric Cancer Surgery

The influence of a composite hospital volume of upper gastrointestinal cancer resections on outcomes of gastric cancer surgery.

2016 ◽  
Vol 34 (7_suppl) ◽  
pp. 305-305 ◽  
Author(s):  
Linde A.D. Busweiler ◽  
Johan L. Dikken ◽  
Mark I. van Berge Henegouwen ◽  
Vincent K.Y. Ho ◽  
Daniel Henneman ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
The Netherlands ◽  
Hospital Volume ◽  
Cancer Surgery ◽  
Lymph Node Yield ◽  
Gastric Cancer Surgery ◽  
Volume Outcome ◽  
Gastric Cancer Patients ◽  
Complex Surgical Procedures ◽  
Upper Gastrointestinal

305 Background: There is a known volume-outcome association for complex surgial procedures such as oncologic gastric resections. The aim of this study was to describe the process of centralization for gastric cancer surgery in the Netherlands in relation to other types of upper gastrointestinal (GI) cancer resections and to investigate whether the quality of gastric cancer surgery is affected by the overall experience with those related complex surgical procedures. Methods: Data on all patients (n = 4251) who underwent surgical treatment for non metastatic invasive gastric cancer between 2005-2013 were obtained from the Netherlands Cancer Registry. Annual hospital volume categories were based on the overall volume of gastrectomies, esophagectomies and pancreatectomies together (composite hospital volume). Volume-outcome analyses were performed for lymph node yield, 30-day mortality, and overall survival. Results: The percentage of gastric cancer patients who underwent a resection in a hospital with a volume of at least 20 gastrectomies per year increased. At the same time, the percentage of gastric cancer patients who underwent surgery in hospitals with an annual composite hospital volume of at least 20 upper GI cancer resections, such as esophageal and pancreatic cancer resections, increased. A higher composite hospital volume was associated with a higher lymph node yield, a lower 30-day mortality, and an increased overall survival. Conclusions: In the Netherlands, an increasing proportion of gastric cancer resections is performed in hospitals that are high volume centers for esophagectomies and pancreatectomies for cancer. Experience with these complex surgical procedures has a favorable effect on the outcomes of gastric cancer surgery.

Application Value of Multivariate Integration Teaching Method in Improving Nurses’ Knowledge Level of Continuous Nursing After Gastric Cancer Surgery and Its Impaction Patients’ Negative Emotions, Quality of Life and Adverse Reactions

2021 ◽  
Vol 7 (5) ◽  
pp. 2718-2725
Author(s):  
Yuan Qian ◽  
Ling Hang ◽  
Hong Gu ◽  
Maozhen Hu ◽  
Yun Cheng ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Gastric Cancer ◽  
Negative Emotions ◽  
Cancer Surgery ◽  
Knowledge Level ◽  
Multivariate Integration ◽  
Gastric Cancer Surgery ◽  
Group A ◽  
Nurses Knowledge

To explore the application value of multivariate integration teaching method in improving nurses’ knowledge level of continuous nursing after gastric cancer surgery and its impact on patients’ negative emotions, quality of life and adverse reactions. 120 nurses were randomly divided into group A (n=60) and group B (n=60). After conducting the multivariate integration teaching to group A and the routine teaching to group B, each group was responsible for 60 gastric cancer patients admitted to our hospital from January 2019 to January 2020 to compare their knowledge level of continuous nursing after gastric cancer surgery and patients’ negative emotions, quality of life and adverse reaction rates (ARR). Compared with group B, trained nurses in group A had significantly higher knowledge level of continuous nursing after gastric cancer (P<0.001), and patients treated by nurses in group A had significantly lower negative emotion scores (P<0.001), higher quality of life scores (P<0.001) and lower ARR (P<0.05).Multivariate integration teaching method can effectively improve nurses’ knowledge level of continuous nursing after gastric cancer surgery, enhance their comprehensive nursing competence, and encourage them in providing continuous nursing with higher quality. Also, patients undergoing gastric cancer resection can, through communication with the trained nurses, enhance their self-nursing ability, alleviate negative emotions, and improve quality of life. Therefore, it should be promoted in clinical practice.

The influence of a composite hospital volume on outcomes for gastric cancer surgery: A Dutch population‐based study

2017 ◽  
Vol 115 (6) ◽  
pp. 738-745 ◽  
Author(s):  
Linde A. D. Busweiler ◽  
Johan L. Dikken ◽  
Daniel Henneman ◽  
Mark I. van Berge Henegouwen ◽  
Vincent K. Y. Ho ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Hospital Volume ◽  
Population Based ◽  
Cancer Surgery ◽  
Dutch Population ◽  
Population Based Study ◽  
Gastric Cancer Surgery

Improving the quality of surgery for gastric cancer—Are surgeons aware of the relevant quality indicators?

2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 4048-4048
Author(s):  
L. K. Helyer ◽  
C. O Brien ◽  
N. G. Coburn ◽  
C. J. Swallow
Keyword(s):  
Gastric Cancer ◽  
Quality Indicators ◽  
Frozen Section ◽  
Tumor Biology ◽  
Young Patients ◽  
Cancer Surgery ◽  
Proximal Margin ◽  
Gastric Cancer Surgery ◽  
Quality Of Surgery

4048 Background: Gastric cancer survival in the West is inferior to that achieved in Asian centers. While differences in tumor biology may play a role, poor quality surgery contributes to understaging. In our evaluation, adequate lymph node (LN) assessment (≥15) was achieved in only one third of patients and independently predicted survival across Surveillance, Epidemiology and End Results (SEER) regions (ASCO 2005, Abstract # 4004). The standard proximal margin of resection is recommended to be ≥5 cm; revision based on intraoperative frozen section is of benefit. We hypothesize that the majority of surgeons performing gastric cancer surgery in a North American setting are unaware of the recommended standards. Methods: Using the Ontario College of Physicians and Surgeons registry, surgeons who potentially include gastric cancer surgery in their scope of practice were identified. A questionnaire was mailed to 559, 55% responded. 203surgeons reported managing gastric cancer. Results were evaluated by chi-square and logistic regression; p<0.05 was considered significant. Results: 86% of respondents were male; 59% in urban non-academic practice, and 30% in academic. 42% of surgeons operate on 2–5 cases/yr and 18 % on >5. One third of surgeons identified ≤ 4 cm to be the desired proximal margin. Frozen section is used by 52% to evaluate proximal margin status. 20% were unsure of the number of LN needed to accuratly stage, the median number reported by the remainder was 10 (range 0 - 30). 99% refer for adjuvant therapy. This was less likely for patients in poor medical condition, poor nutritional status, or age >70 years. Young patients, those with bulky LN or positive margins were more likely to be referred. Overall, only 16 of 203identified the need for both a ≥5 cm proximal margin and ≥15LN; this was too small a group to analyze for demographic associations. Surgeons who do >5 gastric resections/yr were more likely to report performing a D2 resection (p = 0.008). Conclusions: The majority of surgeons operating on gastric cancer in Ontario did not identify standard quality indicators of gastric cancer surgery. A continuing medical education program should be designed to address the knowledge gap, aiming to improve the quality of surgery and outcome of multidisciplinary management. No significant financial relationships to disclose.

scholarly journals Finnish National Esophago-Gastric Cancer Cohort (FINEGO) for studying outcomes after oesophageal and gastric cancer surgery: a protocol for a retrospective, population-based, nationwide cohort study in Finland

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e024094 ◽  
Author(s):  
Joonas H Kauppila ◽  
Pasi Ohtonen ◽  
Tuomo J Karttunen ◽  
Arto Kokkola ◽  
Simo Laine ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Population Based ◽  
Poor Quality ◽  
Cancer Surgery ◽  
High Morbidity ◽  
Gastric Cancer Surgery ◽  
Improved Outcomes ◽  
Secondary Endpoints

IntroductionSurgery for oesophageal and gastric cancers is associated with high morbidity, mortality and poor quality of life postoperatively. The Finnish National Esophago-Gastric Cancer Cohort has been established with the aim of identifying factors that could contribute to improved outcomes in oesophago-gastric cancer.Methods and analysisAll patients with oesophageal and gastric cancer diagnosed in Finland between 1987 and 2015 will be identified from the Finnish national registries. The Finnish Cancer Registry and Finnish Patient Registry will be used to identify patients that fulfil the inclusion criteria for the study: (1) diagnosis of oesophageal, gastro-oesophageal junction, or gastric cancer, (2) any surgical treatment for the diagnosed cancer and (3) age of 18 or over at the time of diagnosis. Clinical variables and complication information will be retrieved in extensive data collection from the medical records of the relevant Finnish hospitals and complete follow-up for vital status from Statistics Finland. Primary endpoint is overall all-cause mortality and secondary endpoints include complications, reoperations, medication use and sick leaves. Sub-studies will be implemented within the cohort to investigate specific populations undergoing oesophageal and gastric cancer surgery. The initial estimated sample size is 1800 patients with surgically treated oesophageal cancer and 7500 patients with surgically treated gastric cancer.Ethics and disseminationThe study has been approved by the Ethical Committee in Northern Ostrobothnia, Finland and The National Institute for Health and Welfare, Finland. Study findings will be disseminated via presentations at conferences and publications in peer-reviewed journals.

W1661 The Effect of an Increasing Body Mass Index on Health Related Quality of Life Following Esophago-Gastric Cancer Surgery

2010 ◽  
Vol 138 (5) ◽  
pp. S-898
Author(s):  
Jiten Kalyan ◽  
Daniel Wallace ◽  
Edward Cheong ◽  
Jane Tallett ◽  
Michael Rhodes ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Gastric Cancer ◽  
Body Mass Index ◽  
Body Mass ◽  
Cancer Surgery ◽  
Health Related Quality ◽  
Gastric Cancer Surgery ◽  
Related Quality ◽  
Health Related
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