The Influence of Hospital Volume on Circumferential Resection Margin Involvement: Results of the Dutch Surgical Colorectal Audit

Annals of Surgery
Lieke GietelinkDutch Surgical Colorectal Cancer Audit Group

Abstract

This population-based study evaluates the association between hospital volume and CRM (circumferential resection margin) involvement, adjusted for other confounders, in rectal cancer surgery. A low hospital volume (<20 cases/year) was independently associated with a higher risk of CRM involvement (odds ratio=1.54; 95% CI: 1.12-2.11). To evaluate the association between hospital volume and CRM (circumferential resection margin) involvement in rectal cancer surgery. To guarantee the quality of surgical treatment of rectal cancer, the Association of Surgeons of the Netherlands has stated a minimal annual volume standard of 20 procedures per hospital. The influence of hospital volume has been examined for different outcome variables in rectal cancer surgery. Its influence on the pathological outcome (CRM) however remains unclear. As long-term outcomes are best predicted by the CRM status, this parameter is of essential importance in the debate on the justification of minimal volume standards in rectal cancer surgery. Data from the Dutch Surgical Colorectal Audit (2011-2012) were used. Hospital volume was divided into 3 groups, and baseline characteristics were described. The influence of hospital volume on CRM involvement was analy...Continue Reading

References

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Citations

Jul 28, 2016·The Journal of Surgical Research·Sarah J AtkinsonIan M Paquette
Mar 24, 2018·ANZ Journal of Surgery·Celia KeaneIan Bissett
Sep 9, 2017·International Journal of Colorectal Disease·Frederik H W JonkerUNKNOWN Dutch Snapshot Research Group
Feb 2, 2018·Journal of Gastrointestinal Cancer·A CrawfordA Caycedo-Marulanda
Aug 10, 2019·Surgical Innovation·Cloë Lean SparreboomJohan F Lange
Mar 25, 2018·World Journal of Surgery·Julia T van GroningenUNKNOWN Dutch Surgical Colorectal Cancer Audit Group and the Co-operating General Hospitals
Nov 7, 2019·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·R DeteringUNKNOWN Swedish ColoRectal Cancer Registry and the Dutch ColoRectal Audit
May 16, 2020·Frontiers in Oncology·Zhaomin Xu, Fergal J Fleming
Jun 7, 2020·Surgical Endoscopy·Antonio Caycedo-MarulandaSebastien Drolet
Oct 7, 2020·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·Johannes DiersArmin Wiegering

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Methods Mentioned

BETA
surgical resection

Software Mentioned

R
PASW Statistics

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