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Review
. 2023 Apr 4;12(7):2708.
doi: 10.3390/jcm12072708.

Current Trends in Volume and Surgical Outcomes in Gastric Cancer

Luigi Marano  1 , Luigi Verre  1 , Ludovico Carbone  1 , Gianmario Edoardo Poto  1 , Daniele Fusario  1 , Dario Francesco Venezia  1 , Natale Calomino  1 , Karolina Kaźmierczak-Siedlecka  2 , Karol Polom  3 , Daniele Marrelli  1 , Franco Roviello  1 , Johnn Henry Herrera Kok  4 , Yogesh Vashist  5
Affiliations
Review

Current Trends in Volume and Surgical Outcomes in Gastric Cancer

Luigi Marano et al. J Clin Med. .

Abstract

Gastric cancer is ranked as the fifth most frequently diagnosed type of cancer. Complete resection with adequate lymphadenectomy represents the goal of treatment with curative intent. Quality assurance is a crucial factor in the evaluation of oncological surgical care, and centralization of healthcare in referral hospitals has been proposed in several countries. However, an international agreement about the setting of "high-volume hospitals" as well as "minimum volume standards" has not yet been clearly established. Despite the clear postoperative mortality benefits that have been described for gastric cancer surgery conducted by high-volume surgeons in high-volume hospitals, many authors have highlighted the limitations of a non-composite variable to define the ideal postoperative period. The textbook outcome represents a multidimensional measure assessing the quality of care for cancer patients. Transparent and easily available hospital data will increase patients' awareness, providing suitable elements for a more informed hospital choice.

Keywords: centralization; gastrectomy; gastric cancer; healthcare; hospital volume; quality of care; surgical volume; textbook outcome.

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Conflict of interest statement

The authors declare no conflict of interest.

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