Volume- or outcome-based referral to improve quality of care for esophageal cancer surgery in The Netherlands
Article first published online: 22 MAY 2009
Copyright © 2009 Wiley-Liss, Inc.
Journal of Surgical Oncology
Special Issue: Seminars in Surgical Oncology: Outcomes
Volume 99, Issue 8, pages 481–487, 15 June 2009
How to Cite
Wouters, M.W.J.M., Krijnen, P., Le Cessie, S., Gooiker, G.A., Guicherit, O.R., Marinelli, A.W.K.S., Kievit, J. and Tollenaar, R.A.E.M. (2009), Volume- or outcome-based referral to improve quality of care for esophageal cancer surgery in The Netherlands. J. Surg. Oncol., 99: 481–487. doi: 10.1002/jso.21191
- Issue published online: 22 MAY 2009
- Article first published online: 22 MAY 2009
- Manuscript Accepted: 2 OCT 2008
- Manuscript Received: 29 SEP 2008
- outcomes assessment;
Recently, in The Netherlands esophageal resections for cancer are banned from hospitals with an annual volume less than 10. In this study we evaluate the validity of this specific volume cut-off, based on a review of the literature and an analysis of the available data on esophagectomies in our country. In addition, we compare the expected benefits of volume-based referral to the results of a regional centralization process based on differences in outcome (outcome-based referral). J. Surg. Oncol. 2009;99:481–487. © 2009 Wiley-Liss, Inc.