Browse > Article
http://dx.doi.org/10.5230/jgc.2017.17.e31

Does Hospital Volume Really Affect the Surgical and Oncological Outcomes of Gastric Cancer in Korea?  

Kim, Eun Young (Department of Surgery, Bucheon St. Mary's Hospital, The Catholic University of Korea College of Medicine)
Song, Kyo Young (Department of Surgery, Bucheon St. Mary's Hospital, The Catholic University of Korea College of Medicine)
Lee, Junhyun (Department of Surgery, Bucheon St. Mary's Hospital, The Catholic University of Korea College of Medicine)
Publication Information
Journal of Gastric Cancer / v.17, no.3, 2017 , pp. 246-254 More about this Journal
Abstract
Purpose: The significance of hospital volume remains inconsistent and controversial. In particular, few studies have examined whether hospital volume is associated with the outcome of gastrectomy for gastric cancer in East Asia. This study examined the effect of hospital volume on the short-term surgical and long-term oncological outcomes of patients undergoing curative gastrectomy for gastric cancer. Materials and Methods: Between 2009 and 2011, 1,561 patients underwent curative gastrectomy for gastric cancer at Seoul St. Mary's Hospital (n=1,322) and Bucheon St. Mary's Hospital (n=239). We defined Seoul St. Mary's Hospital as a high-volume center and Bucheon St. Mary's Hospital as a low-volume center. Results: The extent of resection, rate of combined resection, tumor stage, operating time, and hospital stay did not differ significantly between the 2 hospitals. In addition, the hospital volume was not significantly associated with the 30-day morbidity and mortality. When the overall and disease-free survival rates of the patients were stratified according to stage, hospital volume was not significantly associated with prognosis at any stage. Conclusions: Hospital volume might not be a decisive factor with respect to the surgical and oncological outcomes of patients if well-trained surgeons perform gastrectomy for gastric cancer.
Keywords
Hospital size; Prognosis; Gastrectomy; Stomach neoplasms;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Torre LA, Bray F, Siegel RL, Ferlay J, Lortet-Tieulent J, Jemal A. Global cancer statistics, 2012. CA Cancer J Clin 2015;65:87-108.   DOI
2 Kim M, Park J, Kim SG, Choi S, Yoon S, Lee S. Feasibility of gastric cancer surgery at low volume hospitals. J Gastric Cancer 2010;10:234-240.   DOI
3 Luft HS, Bunker JP, Enthoven AC. Should operations be regionalized? The empirical relation between surgical volume and mortality. 1979. Clin Orthop Relat Res 2007;457:3-9.   DOI
4 Institute of Medicine, National Research Council National Cancer Policy Board (US); Hewitt M, Petitti D, eds. Interpreting the Volume-Outcome Relationship in the Context of Cancer Care. Washington, D.C.: National Academy Press, 2001.
5 Finks JF, Osborne NH, Birkmeyer JD. Trends in hospital volume and operative mortality for high-risk surgery. N Engl J Med 2011;364:2128-2137.   DOI
6 Murata A, Muramatsu K, Ichimiya Y, Kubo T, Fujino Y, Matsuda S. Influence of hospital volume on outcomes of laparoscopic gastrectomy for gastric cancer in patients with comorbidity in Japan. Asian J Surg 2015;38:33-39.   DOI
7 Ichikawa D, Komatsu S, Kubota T, Okamoto K, Deguchi K, Tamai H, et al. Effect of hospital volume on long-term outcomes of laparoscopic gastrectomy for clinical stage I gastric cancer. Anticancer Res 2013;33:5165-5170.
8 Yun YH, Kim YA, Min YH, Park S, Won YJ, Kim DY, et al. The influence of hospital volume and surgical treatment delay on long-term survival after cancer surgery. Ann Oncol 2012;23:2731-2737.   DOI
9 Kuwabara K, Matsuda S, Fushimi K, Ishikawa KB, Horiguchi H, Fujimori K. Hospital volume and quality of laparoscopic gastrectomy in Japan. Dig Surg 2009;26:422-429.   DOI
10 Nakajima T. Gastric cancer treatment guidelines in Japan. Gastric Cancer 2002;5:1-5.
11 Japanese Gastric Cancer Association. Japanese gastric cancer treatment guidelines 2010 (ver. 3). Gastric Cancer 2011;14:113-123.   DOI
12 Birkmeyer JD, Warshaw AL, Finlayson SR, Grove MR, Tosteson AN. Relationship between hospital volume and late survival after pancreaticoduodenectomy. Surgery 1999;126:178-183.   DOI
13 Clavien PA, Barkun J, de Oliveira ML, Vauthey JN, Dindo D, Schulick RD, et al. The Clavien-Dindo classification of surgical complications: five-year experience. Ann Surg 2009;250:187-196.   DOI
14 Birkmeyer JD, Siewers AE, Finlayson EV, Stukel TA, Lucas FL, Batista I, et al. Hospital volume and surgical mortality in the United States. N Engl J Med 2002;346:1128-1137.   DOI
15 Sosa JA, Bowman HM, Gordon TA, Bass EB, Yeo CJ, Lillemoe KD, et al. Importance of hospital volume in the overall management of pancreatic cancer. Ann Surg 1998;228:429-438.   DOI
16 Hata T, Motoi F, Ishida M, Naitoh T, Katayose Y, Egawa S, et al. Effect of hospital volume on surgical outcomes after pancreaticoduodenectomy: a systematic review and meta-analysis. Ann Surg 2016;263:664-672.   DOI
17 Yao SL, Lu-Yao G. Population-based study of relationships between hospital volume of prostatectomies, patient outcomes, and length of hospital stay. J Natl Cancer Inst 1999;91:1950-1956.   DOI
18 Ellison LM, Heaney JA, Birkmeyer JD. The effect of hospital volume on mortality and resource use after radical prostatectomy. J Urol 2000;163:867-869.   DOI
19 Wilt TJ, Shamliyan TA, Taylor BC, MacDonald R, Kane RL. Association between hospital and surgeon radical prostatectomy volume and patient outcomes: a systematic review. J Urol 2008;180:820-828.   DOI
20 Anderson O, Ni Z, Moller H, Coupland VH, Davies EA, Allum WH, et al. Hospital volume and survival in oesophagectomy and gastrectomy for cancer. Eur J Cancer 2011;47:2408-2414.   DOI
21 Lundstrom NR, Berggren H, Bjorkhem G, Jogi P, Sunnegardh J. Centralization of pediatric heart surgery in Sweden. Pediatr Cardiol 2000;21:353-357.   DOI
22 Coupland VH, Lagergren J, Luchtenborg M, Jack RH, Allum W, Holmberg L, et al. Hospital volume, proportion resected and mortality from oesophageal and gastric cancer: a population-based study in England, 2004-2008. Gut 2013;62:961-966.   DOI
23 Damhuis RA, Meurs CJ, Dijkhuis CM, Stassen LP, Wiggers T. Hospital volume and post-operative mortality after resection for gastric cancer. Eur J Surg Oncol 2002;28:401-405.   DOI
24 Enzinger PC, Benedetti JK, Meyerhardt JA, McCoy S, Hundahl SA, Macdonald JS, et al. Impact of hospital volume on recurrence and survival after surgery for gastric cancer. Ann Surg 2007;245:426-434.   DOI
25 Ajani JA, Bentrem DJ, Besh S, D'Amico TA, Das P, Denlinger C, et al. Gastric cancer, version 2.2013: featured updates to the NCCN Guidelines. J Natl Compr Canc Netw 2013;11:531-546.   DOI