Quality Over Volume: Modeling Centralization of Gastric Cancer Resections in Italy.

ABSTRACT:

Background

The correlation between hospital volume and postoperative outcomes has led to the centralization of complex procedures in several countries. However, the results reported in relation to gastric cancer (GC) are contradictory. This study aimed to analyze GC surgical volumes and 30-day postoperative mortality in Italy and to provide a simulation for modeling centralization of GC resections based on district case volumes.

Methods

A national registry was used to identify all GC resections, record mortality rates, and track the national in-border GC resection health travel. Hospitals were grouped according to caseload. Centralization of all GC procedures performed within the same district was modeled. The outcome measures were a minimal volume of 25 GC resections/year a

SUBMITTER: Lorenzon L 

PROVIDER: S-EPMC8980598 | biostudies-literature | 2022 Mar

REPOSITORIES: biostudies-literature