ArticleInternational journal of surgical oncology2015
Influence of Individual Surgeon Volume on Oncological Outcome of Colorectal Cancer Surgery.
Article in International journal of surgical oncology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Three timepoint perioperative CEA levels are a prognostic factor for recurrence after adjuvant chemotherapy in patients with Stage II and III colorectal cancer.Annals of gastroenterological surgery · 2025Article
- Exploring 6 years of colorectal cancer surgery in rural Italy: insights from 648 consecutive patients unveiling successes and challenges.Updates in surgery · 2024Article
- Does Fragmentation of Care in Locally Advanced Rectal Cancer Increase Patient Mortality?Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Article
- Canadian taTME expert collaboration (CaTaCO) position statement.Surgical endoscopy · 2020Article
- Better survival for patients with colon cancer operated on by specialized colorectal surgeons - a nationwide population-based study in Sweden 2007-2010.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2019Article
- Colorectal cancer screening behaviors of general surgeons and first-degree family members: a survey-based study.BMC gastroenterology · 2019Article
- How Is Rectal Cancer Managed: a Survey Exploring Current Practice Patterns in Canada.Journal of gastrointestinal cancer · 2019Article
- Health Care Policy and Outcomes after Colon and Rectal Surgery: What Is the Bigger Picture?-Cost Containment, Incentivizing Value, Transparency, and Centers of Excellence.Clinics in colon and rectal surgery · 2019Review
- With widespread adoption of MIS colectomy for colon cancer, does hospital type matter?Surgical endoscopy · 2019Article
- Transanal total mesorectal excision (taTME) in a single-surgeon setting: refinements of the technique during the learning phase.Techniques in coloproctology · 2018Article
- Minimum Volume Discussion in the Treatment of Colon and Rectal Cancer: A Review of the Current Status and Relevance of Surgeon and Hospital Volume regarding Result Quality and the Impact on Health Economics.Visceral medicine · 2017Review
- Laparoscopic intersphincteric resection: indications and results.Updates in surgery · 2016Article
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Authors and funding
4 authors.
Funding
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Abstract
backgroundSurgery performed by a high-volume surgeon improves short-term outcomes. However, not much is known about long-term effects. Therefore we performed the current study to evaluate the impact of high-volume colorectal surgeons on survival.
methodsWe conducted a retrospective analysis of our prospectively collected colorectal cancer database between 2004 and 2011. Patients were divided into two groups: operated on by a high-volume surgeon (>25 cases/year) or by a low-volume surgeon (<25 cases/year). Perioperative data were collected as well as follow-up, recurrence rates, and survival data.
results774 patients underwent resection for colorectal malignancies. Thirteen low-volume surgeons operated on 453 patients and 4 high-volume surgeons operated on 321 patients. Groups showed an equal distribution for preoperative characteristics, except a higher ASA-classification in the low-volume group. A high-volume surgeon proved to be an independent prognostic factor for disease-free survival in the multivariate analysis (P = 0.04). Although overall survival did show a significant difference in the univariate analysis (P < 0.001) it failed to reach statistical significance in the multivariate analysis (P = 0.09).
conclusionsIn our study, a higher number of colorectal cases performed per surgeon were associated with longer disease-free survival. Implementing high-volume surgery results in improved long-term outcome following colorectal cancer.
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