Surgery for oesophageal cancer at Galway University Hospital 1993-2008.

Hdl Handle:
http://hdl.handle.net/10147/217663
Title:
Surgery for oesophageal cancer at Galway University Hospital 1993-2008.
Authors:
Chang, K H; McAnena, O J; Smith, M J; Salman, R R; Khan, M F; Lowe, D
Affiliation:
Department of Surgery, Galway University Hospital, National University of Ireland, Galway, Republic of Ireland. kahhoong_chang@yahoo.co.uk
Citation:
Surgery for oesophageal cancer at Galway University Hospital 1993-2008. 2010, 179 (4):521-7 Ir J Med Sci
Journal:
Irish journal of medical science
Issue Date:
Dec-2010
URI:
http://hdl.handle.net/10147/217663
DOI:
10.1007/s11845-010-0573-4
PubMed ID:
20848322
Abstract:
Surgical volume and outcome remain controversial in the management of oesophageal cancer.; To assess the outcome of oesophagectomy for cancer at Galway University Hospital (GUH).; Between 1994 and 2008, patients who underwent oesophagectomy were analysed.; During the study period, 126 oesophagectomies were performed for cancer. The average surgeon volume was 9 cases per year. The 30-day and overall in-hospital mortality rates were 6.3 and 7.9%, respectively. Restructuring of our critical care services has led to a reduction in 30-day mortality from 8.2 to 5.1%. The use of neoadjuvant chemoradiotherapy has increased from 17 to 35% during the study period. In patients who underwent resection, the 3 and 5-year overall survival rates were 45 and 29%, respectively.; Operative morbidity and mortality at GUH are comparable with worldwide outcomes. Improved resources and national restructuring of cancer services have significantly improved the quality of care and outcomes of patients.
Language:
en
MeSH:
Adenocarcinoma; Aged; Carcinoma, Squamous Cell; Chemotherapy, Adjuvant; Esophageal Neoplasms; Esophagectomy; Female; Health Policy; Hospital Mortality; Hospitals, University; Humans; Ireland; Kaplan-Meier Estimate; Male; Outcome Assessment (Health Care); Proportional Hazards Models; Radiotherapy, Adjuvant; Retrospective Studies; Survival Analysis
ISSN:
1863-4362
Ethical Approval:
N/A

Full metadata record

DC FieldValue Language
dc.contributor.authorChang, K H-
dc.contributor.authorMcAnena, O J-
dc.contributor.authorSmith, M J-
dc.contributor.authorSalman, R R-
dc.contributor.authorKhan, M F-
dc.contributor.authorLowe, D-
dc.date.accessioned2012-04-04T11:32:36Z-
dc.date.available2012-04-04T11:32:36Z-
dc.date.issued2010-12-
dc.identifier.citationSurgery for oesophageal cancer at Galway University Hospital 1993-2008. 2010, 179 (4):521-7 Ir J Med Sci-
dc.identifier.issn1863-4362-
dc.identifier.pmid20848322-
dc.identifier.doi10.1007/s11845-010-0573-4-
dc.identifier.urihttp://hdl.handle.net/10147/217663-
dc.description.abstractSurgical volume and outcome remain controversial in the management of oesophageal cancer.-
dc.description.abstractTo assess the outcome of oesophagectomy for cancer at Galway University Hospital (GUH).-
dc.description.abstractBetween 1994 and 2008, patients who underwent oesophagectomy were analysed.-
dc.description.abstractDuring the study period, 126 oesophagectomies were performed for cancer. The average surgeon volume was 9 cases per year. The 30-day and overall in-hospital mortality rates were 6.3 and 7.9%, respectively. Restructuring of our critical care services has led to a reduction in 30-day mortality from 8.2 to 5.1%. The use of neoadjuvant chemoradiotherapy has increased from 17 to 35% during the study period. In patients who underwent resection, the 3 and 5-year overall survival rates were 45 and 29%, respectively.-
dc.description.abstractOperative morbidity and mortality at GUH are comparable with worldwide outcomes. Improved resources and national restructuring of cancer services have significantly improved the quality of care and outcomes of patients.-
dc.language.isoen-
dc.rightsArchived with thanks to Irish journal of medical scienceen_GB
dc.subject.meshAdenocarcinoma-
dc.subject.meshAged-
dc.subject.meshCarcinoma, Squamous Cell-
dc.subject.meshChemotherapy, Adjuvant-
dc.subject.meshEsophageal Neoplasms-
dc.subject.meshEsophagectomy-
dc.subject.meshFemale-
dc.subject.meshHealth Policy-
dc.subject.meshHospital Mortality-
dc.subject.meshHospitals, University-
dc.subject.meshHumans-
dc.subject.meshIreland-
dc.subject.meshKaplan-Meier Estimate-
dc.subject.meshMale-
dc.subject.meshOutcome Assessment (Health Care)-
dc.subject.meshProportional Hazards Models-
dc.subject.meshRadiotherapy, Adjuvant-
dc.subject.meshRetrospective Studies-
dc.subject.meshSurvival Analysis-
dc.titleSurgery for oesophageal cancer at Galway University Hospital 1993-2008.en_GB
dc.contributor.departmentDepartment of Surgery, Galway University Hospital, National University of Ireland, Galway, Republic of Ireland. kahhoong_chang@yahoo.co.uk-
dc.identifier.journalIrish journal of medical science-
dc.type.qualificationlevelN/Aen
cr.approval.ethicalN/Aen
dc.description.provinceConnacht-
dc.description.provinceConnachten

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