Surgical outcomes following pancreatic resection at a low-volume community hospital: do all patients need to be sent to a regional cancer center?

American Journal of Surgery

Volumn 198, Issue 2, 2009, Pages 227-230

  Cunningham, John David ^a,b   O'Donnell, Nancy ^b   Starker, Paul ^a,b  

^a Colombia University College of Physicians and Surgeons ^*  (United States)

^b OVERLOOK HOSPITAL   (United States)

Author keywords

Pancreatic cancer; Regionalization of care; Surgical outcomes; Surgical volumes

Indexed keywords

ARTICLE; ATELECTASIS; CANCER REGISTRY; CLINICAL ARTICLE; CLOSTRIDIUM INFECTION; COMMUNITY HOSPITAL; CONTROLLED STUDY; GASTROINTESTINAL HEMORRHAGE; HEART INFARCTION; HUMAN; KIDNEY FAILURE; PANCREAS RESECTION; PANCREATICODUODENECTOMY; PNEUMONIA; PRIORITY JOURNAL; SEPSIS; STOMACH EMPTYING; TREATMENT OUTCOME; URINARY TRACT INFECTION;

AGED; AGED, 80 AND OVER; CANCER CARE FACILITIES; CHEMOTHERAPY, ADJUVANT; FEMALE; HOSPITALS, COMMUNITY; HUMANS; JAUNDICE; LENGTH OF STAY; MALE; MIDDLE AGED; NEW JERSEY; OUTCOME ASSESSMENT (HEALTH CARE); PANCREATECTOMY; PANCREATIC NEOPLASMS; PANCREATICODUODENECTOMY; POSTOPERATIVE COMPLICATIONS; RADIOTHERAPY, ADJUVANT; REGIONAL MEDICAL PROGRAMS; REGISTRIES; RETROSPECTIVE STUDIES;

EID: 67650751611     PISSN: 00029610     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.amjsurg.2008.10.023     Document Type: Article

References (13)

1. Kalser M.H., and Ellenberg S.S. Pancreatic cancer. Adjuvant combined radiation and chemotherapy following curative resection. Arch Surg 120 (1985) 899-903
2. Bilimoria K.Y., Bentrem D.J., Ko C.Y., et al. National failure to operate on early stage pancreatic cancer. Ann Surg 246 (2007) 173-180
3. Bilimoria K.Y., Bentrem D.J., Ko C.Y., et al. Multimodality therapy for pancreatic cancer in the U.S. Cancer 110 (2007) 227-234
4. Lieberman M.D., Kiburn H., Lindsey M., et al. Relation of perioperative deaths to hospital volume among patients undergoing pancreatic resection for malignancy. Ann Surg 222 (1995) 538-645
5. Sosa J.A., Bowman H.M., Gordon T.A., et al. Importance of hospital volume in the overall management of pancreatic cancer. Ann Surg 228 (1998) 429-438
6. van Heek N.T., Kuhlmann K.F.D., Scholten R.J., et al. Hospital volume and mortality after pancreatic resection. Ann Surg 242 (2005) 781-790
7. Fong Y., Gonen M., Rubin D., et al. Long-term survival is superior after resection for cancer in high-volume centers. Ann Surg 242 (2005) 540-547
8. Birkmeyer J.D. Should we regionalize major surgery?. Potential benefits and policy considerations. J Am Coll Surg 190 (2000) 341-350
9. Gordon T.A., Bowman H.M., Tielsch J.M., et al. Statewide regionalization of pancreaticoduodenectomy and its effect on in-hospital mortality. Ann Surg 228 (1998) 71-78
10. Gouma D.J., van Geenen C.I., van Gulik T.M., et al. Rates of complications and death after pancreaticoduodenectomy: risk factors and the impact of hospital volume. Ann Surg 232 (2000) 786-795
11. Rosemurgy A.S., Bloomston M., Serafini F.M., et al. Frequency with which surgeons undertake pancreaticoduodenectomy determines length of stay, hospital charges and in-hospital mortality. J Gastrointest Surg 5 (2001) 21-26
12. Kotwall C.A., Maxwell J.G., Brinker C.C., et al. National estimates of mortality rates for radical pancreaticoduodenectomy in 25,000 patients. Ann Surg Oncol 9 (2002) 847-854
13. Sener S.F., Fremgen A., Menck H.R., et al. Pancreatic cancer: a report of treatment and survival trends for 100,313 patients diagnosed from 1985-1995, using the national cancer database. J Am Coll Surg 189 (1999) 1-7