Het volume van chirurgische ingrepen en de impact ervan op ... - KCE

92 Volume Outcome KCE reports 113
Number surgeons
Number stays
Table 5.43: Colon cancer surgery: Differences in case-mix and outcomes by
surgeon volume
Surgeon Volume
1-5/yr 6-10/yr 11-15/yr 16-20/yr > 20 /yr All
209 110 47 27 7 400
581 825 586 449 207 2648
Gender % male 52.5 48.2 48.8 50.6 53.1 50.1
Age
Mean 72.0 72.5 72.7 72.0 71.4 72.3
Std 12.3 10.7 10.8 10.9 11.5 11.2
Charlson ≥ 3 % 12.2 12.0 9.7 10.0 8.2 10.9
Charlson Mean 1.0 0.9 0.7 0.8 0.9 0.9
Std 1.4 1.4 1.3 1.3 1.3 1.4
Severity index (APR-DRG)
1 % 9.0 9.9 10.4 7.6 9.2 9.4
2 %
30.8 32.2 36.9 35.6 43.5 34.4
3 %
39.6 42.8 37.0 43.9 38.2 40.6
4 % 20.7 15.0 15.7 12.9 9.2 15.6
Principal diagnosis (MCD)
colon
rectosigmoid
% 93.6 94.1 97.1 96.0 92.8 94.9
junction % 6.4 5.9 2.9 4.0 7.2 5.1
LOS
Mean 20.6 19.6 18.6 17.0 14.8 18.8
Median 16.0 15.0 14.0 13.0 11.0 14.0
Std 14.9 15.0 14.1 11.8 11.4 14.1
In-hospital +
approximate 30day
mortality
2-year
% 7.2 6.3 4.3 5.1 1.9 5.5
mortality
Missing stage
% 30.8 29.6 26.6 26.1 24.6 28.2
BCR
Stage
% 31.2 28.5 21.7 20.7 30.0 26.4
I % 11.8 12.7 12.2 14.3 10.3 12.5
II % 40.3 37.6 43.6 41.6 43.4 40.7
III % 36.0 36.3 33.6 32.9 37.2 35.0
IV % 12.0 13.4 10.7 11.2 9.0 11.7