Peter Vedsted

High lung cancer surgical procedure volume is associated with shorter length of stay and lower risks of re-admission and death: National cohort analysis in England

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

Standard

High lung cancer surgical procedure volume is associated with shorter length of stay and lower risks of re-admission and death : National cohort analysis in England. / Møller, Henrik; Riaz, Sharma P; Holmberg, Lars et al.

I: European journal of cancer (Oxford, England : 1990), Bind 64, 09.2016, s. 32-43.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

Harvard

Møller, H, Riaz, SP, Holmberg, L, Jakobsen, E, Lagergren, J, Page, R, Peake, MD, Pearce, N, Purushotham, A, Sullivan, R, Vedsted, P & Luchtenborg, M 2016, 'High lung cancer surgical procedure volume is associated with shorter length of stay and lower risks of re-admission and death: National cohort analysis in England', European journal of cancer (Oxford, England : 1990), bind 64, s. 32-43. https://doi.org/10.1016/j.ejca.2016.05.021

APA

Møller, H., Riaz, S. P., Holmberg, L., Jakobsen, E., Lagergren, J., Page, R., Peake, M. D., Pearce, N., Purushotham, A., Sullivan, R., Vedsted, P., & Luchtenborg, M. (2016). High lung cancer surgical procedure volume is associated with shorter length of stay and lower risks of re-admission and death: National cohort analysis in England. European journal of cancer (Oxford, England : 1990), 64, 32-43. https://doi.org/10.1016/j.ejca.2016.05.021

CBE

Møller H, Riaz SP, Holmberg L, Jakobsen E, Lagergren J, Page R, Peake MD, Pearce N, Purushotham A, Sullivan R, et al. 2016. High lung cancer surgical procedure volume is associated with shorter length of stay and lower risks of re-admission and death: National cohort analysis in England. European journal of cancer (Oxford, England : 1990). 64:32-43. https://doi.org/10.1016/j.ejca.2016.05.021

MLA

Vancouver

Møller H, Riaz SP, Holmberg L, Jakobsen E, Lagergren J, Page R et al. High lung cancer surgical procedure volume is associated with shorter length of stay and lower risks of re-admission and death: National cohort analysis in England. European journal of cancer (Oxford, England : 1990). 2016 sep.;64:32-43. https://doi.org/10.1016/j.ejca.2016.05.021

Author

Møller, Henrik ; Riaz, Sharma P ; Holmberg, Lars et al. / High lung cancer surgical procedure volume is associated with shorter length of stay and lower risks of re-admission and death : National cohort analysis in England. I: European journal of cancer (Oxford, England : 1990). 2016 ; Bind 64. s. 32-43.

Bibtex

@article{4bc3fe19102c45b7b66910bc547614ac,
title = "High lung cancer surgical procedure volume is associated with shorter length of stay and lower risks of re-admission and death: National cohort analysis in England",
abstract = "It is debated whether treating cancer patients in high-volume surgical centres can lead to improvement in outcomes, such as shorter length of hospital stay, decreased frequency and severity of post-operative complications, decreased re-admission, and decreased mortality. The dataset for this analysis was based on cancer registration and hospital discharge data and comprised information on 15,738 non-small-cell lung cancer patients resident and diagnosed in England in 2006-2010 and treated by surgical resection. The number of lung cancer resections was computed for each hospital in each calendar year, and patients were assigned to a hospital volume quintile on the basis of the volume of their hospital. Hospitals with large lung cancer surgical resection volumes were less restrictive in their selection of patients for surgical management and provided a higher resection rate to their geographical population. Higher volume hospitals had shorter length of stay and the odds of re-admission were 15% lower in the highest hospital volume quintile compared with the lowest quintile. Mortality risks were 1% after 30 d and 3% after 90 d. Patients from hospitals in the highest volume quintile had about half the odds of death within 30 d than patients from the lowest quintile. Variations in outcomes were generally small, but in the same direction, with consistently better outcomes in the larger hospitals. This gives support to the ongoing trend towards centralisation of clinical services, but service re-organisation needs to take account of not only the size of hospitals but also referral routes and patient access.",
keywords = "cohort study, epidemiology, lung cancer, procedure volume, surgery",
author = "Henrik M{\o}ller and Riaz, {Sharma P} and Lars Holmberg and Erik Jakobsen and Jesper Lagergren and Richard Page and Peake, {Michael D} and Neil Pearce and Arnie Purushotham and Richard Sullivan and Peter Vedsted and Margreet Luchtenborg",
note = "Copyright {\textcopyright} 2016. Published by Elsevier Ltd.",
year = "2016",
month = sep,
doi = "10.1016/j.ejca.2016.05.021",
language = "English",
volume = "64",
pages = "32--43",
journal = "European Journal of Cancer",
issn = "0959-8049",
publisher = "Pergamon",

}

RIS

TY - JOUR

T1 - High lung cancer surgical procedure volume is associated with shorter length of stay and lower risks of re-admission and death

T2 - National cohort analysis in England

AU - Møller, Henrik

AU - Riaz, Sharma P

AU - Holmberg, Lars

AU - Jakobsen, Erik

AU - Lagergren, Jesper

AU - Page, Richard

AU - Peake, Michael D

AU - Pearce, Neil

AU - Purushotham, Arnie

AU - Sullivan, Richard

AU - Vedsted, Peter

AU - Luchtenborg, Margreet

N1 - Copyright © 2016. Published by Elsevier Ltd.

PY - 2016/9

Y1 - 2016/9

N2 - It is debated whether treating cancer patients in high-volume surgical centres can lead to improvement in outcomes, such as shorter length of hospital stay, decreased frequency and severity of post-operative complications, decreased re-admission, and decreased mortality. The dataset for this analysis was based on cancer registration and hospital discharge data and comprised information on 15,738 non-small-cell lung cancer patients resident and diagnosed in England in 2006-2010 and treated by surgical resection. The number of lung cancer resections was computed for each hospital in each calendar year, and patients were assigned to a hospital volume quintile on the basis of the volume of their hospital. Hospitals with large lung cancer surgical resection volumes were less restrictive in their selection of patients for surgical management and provided a higher resection rate to their geographical population. Higher volume hospitals had shorter length of stay and the odds of re-admission were 15% lower in the highest hospital volume quintile compared with the lowest quintile. Mortality risks were 1% after 30 d and 3% after 90 d. Patients from hospitals in the highest volume quintile had about half the odds of death within 30 d than patients from the lowest quintile. Variations in outcomes were generally small, but in the same direction, with consistently better outcomes in the larger hospitals. This gives support to the ongoing trend towards centralisation of clinical services, but service re-organisation needs to take account of not only the size of hospitals but also referral routes and patient access.

AB - It is debated whether treating cancer patients in high-volume surgical centres can lead to improvement in outcomes, such as shorter length of hospital stay, decreased frequency and severity of post-operative complications, decreased re-admission, and decreased mortality. The dataset for this analysis was based on cancer registration and hospital discharge data and comprised information on 15,738 non-small-cell lung cancer patients resident and diagnosed in England in 2006-2010 and treated by surgical resection. The number of lung cancer resections was computed for each hospital in each calendar year, and patients were assigned to a hospital volume quintile on the basis of the volume of their hospital. Hospitals with large lung cancer surgical resection volumes were less restrictive in their selection of patients for surgical management and provided a higher resection rate to their geographical population. Higher volume hospitals had shorter length of stay and the odds of re-admission were 15% lower in the highest hospital volume quintile compared with the lowest quintile. Mortality risks were 1% after 30 d and 3% after 90 d. Patients from hospitals in the highest volume quintile had about half the odds of death within 30 d than patients from the lowest quintile. Variations in outcomes were generally small, but in the same direction, with consistently better outcomes in the larger hospitals. This gives support to the ongoing trend towards centralisation of clinical services, but service re-organisation needs to take account of not only the size of hospitals but also referral routes and patient access.

KW - cohort study

KW - epidemiology

KW - lung cancer

KW - procedure volume

KW - surgery

U2 - 10.1016/j.ejca.2016.05.021

DO - 10.1016/j.ejca.2016.05.021

M3 - Journal article

C2 - 27328450

VL - 64

SP - 32

EP - 43

JO - European Journal of Cancer

JF - European Journal of Cancer

SN - 0959-8049

ER -