Evidence map›Paper›PMID 38777899›Full record

ArticleAnnals of surgical oncology2024

Overall Volume of Upper Gastrointestinal Surgery Positively Impacts Gastric Cancer Outcomes at Centers with Low Gastrectomy Volume.

Kelsey S Romatoski, Susanna W L de Geus, Bharath Miriyam, Sophie H Chung, Kelly Kenzik, Marianna V Papageorge, Gordana Rasic, Sing Chau Ng, Jennifer F Tseng, Teviah E Sachs

Abstract read
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In one paragraph

Article in Annals of surgical oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Risk Prediction Models for Gastric Cancer: A Scoping Review.Journal of multidisciplinary healthcare · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Kelsey S RomatoskiDepartment of Surgery, Section of Surgical Oncology, Boston Medical Center, Boston, MA, USA.
Susanna W L de GeusDepartment of Surgery, Section of Surgical Oncology, Boston Medical Center, Boston, MA, USA.
Bharath MiriyamDepartment of Surgery, Section of Surgical Oncology, Boston Medical Center, Boston, MA, USA.
Sophie H ChungDepartment of Surgery, Section of Surgical Oncology, Boston Medical Center, Boston, MA, USA.
Kelly KenzikDepartment of Surgery, Section of Surgical Oncology, Boston Medical Center, Boston, MA, USA.
Marianna V PapageorgeDepartment of Surgery, Section of Surgical Oncology, Boston Medical Center, Boston, MA, USA.
Gordana RasicDepartment of Surgery, Section of Surgical Oncology, Boston Medical Center, Boston, MA, USA.
Sing Chau NgDepartment of Surgery, Section of Surgical Oncology, Boston Medical Center, Boston, MA, USA.
Jennifer F TsengBoston University, Chobanian & Avedisian School of Medicine, Boston, MA, USA.
Teviah E SachsDepartment of Surgery, Section of Surgical Oncology, Boston Medical Center, Boston, MA, USA. Teviah.Sachs@bmc.org.ORCID http://orcid.org/0000-0002-8560-3606

Funding

Health Resources Services Administration's National Research Service Award T32HP10028
6 · The paper itself

Abstract

backgroundThe relationship between hospital volume and surgical mortality is well documented. However, complete centralization of surgical care is not always feasible. The present study investigates how overall volume of upper gastrointestinal surgery at hospitals influences patient outcomes following resection for gastric adenocarcinoma. PATIENTS AND

methodsNational Cancer Database (2010-2019) patients with pathologic stage 1-3 gastric adenocarcinoma who underwent gastrectomy were identified. Three cohorts were created: low-volume hospitals (LVH) for both gastrectomy and overall upper gastrointestinal operations, mixed-volume hospital (MVH) for low-volume gastrectomy but high-volume overall upper gastrointestinal operations, and high-volume gastrectomy hospitals (HVH). Chi-squared tests were used to analyze sociodemographic factors and surgical outcomes and Kaplan-Meier method for survival analysis.

resultsIn total, 26,398 patients were identified (LVH: 20,099; MVH: 539; HVH: 5,760). The 5-year survival was equivalent between MVH and HVH for all stages of disease (MVH: 56.0%, HVH 55.6%; p = 0.9866) and when stratified into early (MVH: 69.9%, HVH: 65.4%; p = 0.1998) and late stages (MVH: 24.7%, HVH: 32.0%; p = 0.1480), while LVH had worse survival. After matching patients, postoperative outcomes were worse for LVH, but there was no difference between MVH and HVH in terms of adequate lymphadenectomy, margin status, readmission rates, and 90-day mortality rates.

conclusionsDespite lower gastrectomy volume for cancer, postoperative gastrectomy outcomes at centers that perform a high number of upper gastrointestinal cancer surgeries were similar to hospitals with high gastrectomy volume. These hospitals offer a blueprint for providing equivalent outcomes to high volume centers while enhancing availability of quality cancer care.

Indexed as

AdenocarcinomaGastrectomyHospitals, High-VolumeHospitals, Low-VolumeStomach NeoplasmsAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedPostoperative ComplicationsPrognosisRetrospective StudiesSurvival RateDisparitiesGastric adenocarcinomaHospital volume

Identifiers

PMID38777899

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.