The Association of Textbook Outcome and Long-Term Survival After Esophagectomy for Esophageal Cancer.

The Annals of Thoracic Surgery
Marianne C KalffSuzanne S Gisbertz

Abstract

Esophagectomy is the key component of curative esophageal cancer treatment. Textbook outcome is a composite measure describing an optimal perioperative course, including variables related to radical resection, including at least 15 lymph nodes, and an uncomplicated postoperative course without hospital readmission. This study assessed clinicopathologic predictors of textbook outcome and the association of textbook outcome with survival in 2 tertiary referral centers. All patients with esophageal cancer who underwent esophagectomy with gastric tube reconstruction and curative intent between 2007 and 2016 were included. Patients with carcinoma in situ and patients undergoing a salvage or nonelective procedure were excluded. The primary end point was the association of textbook outcome of esophageal cancer surgery with long-term survival. Secondary end points were clinicopathologic predictors of textbook outcome. In total, 1065 patients were included, of whom 327 achieved textbook outcome (30.7%). Squamous cell carcinoma (odds ratio [OR], 0.56; 95% confidence interval [CI], 0.39 to 0.80), hybrid approach (OR, 0.30; 95% CI, 0.10 to 0.89), and American Society of Anesthesiologists (ASA) class II or higher predicted worse textbook ra...Continue Reading

References

Nov 22, 2002·The New England Journal of Medicine·Jan B F HulscherJ Jan B van Lanschot
Dec 16, 2004·World Journal of Surgery·Christophe MarietteJean Pierre Triboulet
Jun 23, 2005·World Journal of Surgical Oncology·Ines GockelTheodor Junginger
Aug 21, 2007·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·David P KelsenUNKNOWN USA Intergroup
Jul 30, 2009·Annals of Surgery·Pierre A ClavienMasatoshi Makuuchi
Jun 1, 2012·The New England Journal of Medicine·P van HagenUNKNOWN CROSS Group
Feb 13, 2015·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Abhishek SundaramSumeet K Mittal
Feb 28, 2017·The British Journal of Surgery·L A D BusweilerUNKNOWN Dutch Upper Gastrointestinal Cancer Audit (DUCA) group
Apr 28, 2017·Annals of Cardiothoracic Surgery·Thomas W RiceEugene H Blackstone
Dec 6, 2017·Annals of Surgery·Donald E LowB P L Wijnhoven
Feb 22, 2018·The British Journal of Surgery·R T van der KaaijJ W van Sandick
May 14, 2019·Journal of Thoracic Disease·Laura F C Fransen, Misha D P Luyer

❮ Previous
Next ❯

Citations

Mar 22, 2021·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·Marianne C KalffSuzanne S Gisbertz

❮ Previous
Next ❯

Related Concepts

Related Feeds

Carcinoma, Squamous Cell

Basal cell carcinoma is a form of malignant skin cancer found on the head and neck regions and has low rates of metastasis. Discover the latest research on basal cell carcinoma here.

Related Papers

Medical & Biological Illustration
H HallW F Jackson
McGill Medical Journal
H F MOSELEY
Practical Procedures & Aesthetic Dentistry : PPAD
Bernard Touati
© 2021 Meta ULC. All rights reserved