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

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<strong>KCE</strong> Reports 113 Volume Outcome 49<br />

Table 5.6: Oes<strong>op</strong>hageal cancer surgery: Pati<strong>en</strong>t and tumour characteristics<br />

Number Perc<strong>en</strong>t<br />

Age (years)<br />

mean/median 63.9/65<br />

Std 10.2<br />

Total 343<br />

Sex<br />

Male 275 80.17<br />

Female 68 19.83<br />

Total 343<br />

Tumour location<br />

Oes<strong>op</strong>hagus 190 69.3<br />

Cardia 84 30.7<br />

Total 274<br />

Tumour histology<br />

Squamous Cell Carcinoma 75 27.4<br />

Ad<strong>en</strong>ocarcinoma 184 67.1<br />

Other 15 5.5<br />

Total 274<br />

Tumour stage<br />

I 51 22.1<br />

II 75 32.5<br />

III 86 37.3<br />

IV 19 8.2<br />

Total 231<br />

5.2.4 Definition of <strong>volume</strong><br />

As shown in Table 5.7, these 343 procedures were performed in 72 c<strong>en</strong>tres by 99<br />

surgeons (some surgeons <strong>op</strong>erate in more than 1 hospital). Three quarters of the<br />

hospitals performed 4 procedures or less. Four hospitals and six surgeons had an annual<br />

<strong>volume</strong> higher than 10 procedures (see Figure 5.1 and Figure 5.2).<br />

Table 5.7: Oes<strong>op</strong>hageal cancer surgery: Summary measures of <strong>volume</strong> per<br />

hospital and per surgeon<br />

25th 50th 75th<br />

Number mean min Pctl Pctl Pctl Max<br />

Hospitals 72 4.8 1.0 1.0 2.5 4.0 70.0<br />

Surgeons* 99 3.1 1.0 1.0 1.0 3.0 41.0<br />

* For 34 procedures (9.9%) the information on surgeon ID was missing.

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