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Spontaneous regionalization of esophageal cancer surgery: an analysis of the National Cancer Database

   
@article{JTD19543,
	author = {Brian N. Arnold and Alexander S. Chiu and Jessica R. Hoag and Clara H. Kim and Michelle C. Salazar and Justin D. Blasberg and Daniel J. Boffa},
	title = {Spontaneous regionalization of esophageal cancer surgery: an analysis of the National Cancer Database},
	journal = {Journal of Thoracic Disease},
	volume = {10},
	number = {3},
	year = {2018},
	keywords = {},
	abstract = {Background: Esophagectomy patients are up to three times more likely to die after surgery when cared for at low-volume hospitals (LVHs). Increased awareness by patients and clinicians of the hazards of esophagectomy at LVHs, may inspire a “spontaneous regionalization” away from LVHs, yet the extent to which this has taken place is unclear. 
Methods: Retrospective analysis of patients undergoing esophagectomy for esophageal cancer in the National Cancer Database (NCDB) across two eras: 2004–2006 (Era 1) and 2010–2012 (Era 2). Primary outcomes included the proportion of patients at high-volume hospitals (HVHs) (≥13/year per Leapfrog Group), adjusted, and unadjusted 90-day mortality. 
Results: The NCDB captured 5,968 esophagectomy patients in Era 1 and 5,580 in Era 2, a 6.5% decrease (P},
	issn = {2077-6624},	url = {https://jtd.amegroups.org/article/view/19543}
}