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

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50 Volume Outcome <strong>KCE</strong> reports 113<br />

Figure 5.1: Oes<strong>op</strong>hageal cancer surgery: Volume per hospital<br />

X means stage not known.<br />

Figure 5.2: Oes<strong>op</strong>hageal cancer surgery: Volume per surgeon<br />

X means stage not known.<br />

5.2.5 Definition of outcomes<br />

5.2.5.1 Mortality<br />

Because of errors in the MCD (discussed in section 4.2.4.2 page 41), in-hospital<br />

mortality was not congruous with approximate 30-day mortality. We therefore merged<br />

both sources of information into one outcome measure i.e. “in-hospital and<br />

approximate 30-day mortality”. Note that the 30-day mortality is an approximation i.e.<br />

minimum 1 day and maximum 60 days, as explained in Chapter 2 (see section 2.3.2.2,<br />

page 15).<br />

Table 5.8 shows that in-hospital and approximate 30-day mortality was 9.1% after<br />

oes<strong>op</strong>hagectomy for cancer. Mortality at two years was 44.7%. Median survival time was<br />

29 months (not shown in Table 5.8).

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