Endoscopic submucosal dissection for gastric cancer: the influence of hospital volume on complications and length of stay

Surgical Endoscopy
Atsuhiko MurataShinya Matsuda

Abstract

Little information is available about the relationship between hospital volume and the clinical outcome of endoscopic submucosal dissection (ESD) for gastric cancer. The purpose of this study was to investigate the influence of hospital volume on clinical outcomes of ESD using a national administrative database. A total of 27,385 patients treated with ESD for gastric cancer were referred to 867 hospitals between 2009 and 2011 in Japan. We collected patients' data from the administrative database to compare ESD-related complications and length of stay (LOS) in relation to hospital volume. Hospital volume was categorized into three groups based on the number of cases treated over the study period: low-volume hospitals (LVHs, <50 cases), medium-volume hospitals (MVHs, 50-100 cases), and high-volume hospitals (HVHs, >100 cases). These analyses were performed for each location of gastric cancer [upper (cardia and fundus), middle (body), and lower third (antrum and pylorus)]. Significant differences in ESD-related complications among the three hospital volume categories were observed for upper gastric cancer (6.5 % in LVHs vs. 5.2 % in MVHs vs. 3.4 % in HVHs; p = 0.017). Multiple logistic regression revealed that HVHs were significan...Continue Reading

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Citations

Apr 2, 2015·Surgical Endoscopy·Yoshitaka ToyomasuHiroyuki Kuwano
Aug 25, 2015·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Atsuhiko MurataShinya Matsuda
Aug 11, 2015·Hepatobiliary & Pancreatic Diseases International : HBPD INT·Atsuhiko MurataShinya Matsuda
Jan 18, 2015·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Atsuhiko MurataShinya Matsuda
Dec 18, 2014·International Journal of Clinical Pharmacy·Atsuhiko MurataShinya Matsuda
Oct 28, 2016·Circulation Journal : Official Journal of the Japanese Circulation Society·Koshi Nakamura
Mar 5, 2015·Clinical and Applied Thrombosis/hemostasis : Official Journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis·Atsuhiko MurataShinya Matsuda
Mar 20, 2015·GE Portuguese Journal of Gastroenterology·Francisco Ribeiro-MourãoPedro Pimentel-Nunes

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