ArticleBMC public health2009
In-hospital mortality after stomach cancer surgery in Spain and relationship with hospital volume of interventions.
Article in BMC public health, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.
- Associations of Annual Hospital and Surgeon Volume with Patient Outcomes After Gastrectomy: A Systematic Review and Meta-analysis.Annals of surgical oncology · 2022Pooled it
- Pooled it
- Effect of hospital volume on gastric cancer resection outcome in Switzerland: 24-year nationwide retrospective analysis.BJS open · 2025Article
- Detection of the Frail Elderly at Risk of Postoperative Sepsis.International journal of environmental research and public health · 2022Article
- Population Health and Health Services: Old Challenges and New Realities in the COVID-19 Era.International journal of environmental research and public health · 2021Article
- Complex gastric surgery in Germany-is centralization beneficial? Observational study using national hospital discharge data.Langenbeck's archives of surgery · 2019Observational
- Are treatment outcomes in gastric cancer associated with either hospital volume or surgeon volume?Annals of gastroenterological surgery · 2017Article
- [Hospital volume effects in surgical treatment of gastric cancer : Results of a prospective multicenter observational study].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2017Observational
- Report from the 17th Annual Western Canadian Gastrointestinal Cancer Consensus Conference; Edmonton, Alberta; 11-12 September 2015.Current oncology (Toronto, Ont.) · 2016Article
- The positive impact of surgeon specialization on survival for gastric cancer patients after surgery with curative intent.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2015Article
- Gastric cancer at a university teaching hospital in northwestern Tanzania: a retrospective review of 232 cases.World journal of surgical oncology · 2012Article
- Mortality after esophageal and gastric cancer resection.World journal of surgery · 2012Article
- Severity of complications after gastrectomy in elderly patients with gastric cancer.World journal of surgery · 2012Article
- Management and outcome of gastric carcinoma in Zaria, Nigeria.African health sciences · 2011Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is no consensus about the possible relation between in-hospital mortality in surgery for gastric cancer and the hospital annual volume of interventions. The objectives were to identify factors associated to greater in-hospital mortality for surgery in gastric cancer and to analyze the possible independent relation between hospital annual volume and in-hospital mortality.
methodsWe performed a retrospective cohort study of all patients discharged after surgery for stomach cancer during 2001-2002 in four regions of Spain using the Minimum Basic Data Set for Hospital Discharges. The overall and specific in-hospital mortality rates were estimated according to patient and hospital characteristics. We adjusted a logistic regression model in order to calculate the in-hospital mortality according to hospital volume.
resultsThere were 3241 discharges in 144 hospitals. In-hospital mortality was 10.3% (95% CI 9.3-11.4). A statistically significant relation was observed among age, type of admission, volume, and mortality, as well as diverse secondary diagnoses or the type of intervention. Hospital annual volume was associated to Charlson score, type of admission, region, length of stay and number of secondary diagnoses registered at discharge. In the adjusted model, increased age and urgent admission were associated to increased in-hospital mortality. Likewise, partial gastrectomy (Billroth I and II) and simple excision of lymphatic structure were associated with a lower probability of in-hospital mortality. No independent association was found between hospital volume and in-hospital mortality
conclusionDespite the limitations of our study, our results corroborate the existence of patient, clinical, and intervention factors associated to greater hospital mortality, although we found no clear association between the volume of cases treated at a centre and hospital mortality.
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