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Surgical Proficiency in the Era of Centralization

Surgical Proficiency in the Era of Centralization � � VOLUME 34 NUMBER 32 NOVEMBER 10, 2016 C O RRESPONDE NCE JOURNAL OF CLINICAL ONCOLOGY likely to attain and maintain a higher standard of practice than Surgical Proficiency in the Era of a surgeon who attains 15 resections over several years. Cen- tralization of esophagectomy, which has long been advocated, Centralization should ensure that surgeons are performing the procedure regularly in high-volume units, and this should impact pro- TO THE EDITOR: The recent study by Markar et al sought to foundly on both short- and long-term outcomes. In the United determine at what point surgical proficiency was obtained when Kingdom, a minimum of 60 resections per center per year has performing esophagectomy. This is of importance in all surgical been advocated. specialties, and there are numerous factors that contribute to It is also not indicated what proportion of surgeons met their proficiency. This study was expansive, including all the surgeons critical number of cases for short-term (15 and 22 esophagectomies) within Sweden over a 23-year period. There are inherent prob- or long-term (35 and 53 esophagectomies) improvement of out- lems with trying to extrapolate meaningful conclusions from such comes. Furthermore, what were the outcomes of those surgeons http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Clinical Oncology Wolters Kluwer Health

Surgical Proficiency in the Era of Centralization

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Publisher
Wolters Kluwer Health
Copyright
(C) 2016 American Society of Clinical Oncology
ISSN
0732-183X
eISSN
1527-7755
DOI
10.1200/JCO.2016.68.1817
Publisher site
See Article on Publisher Site

Abstract

� � VOLUME 34 NUMBER 32 NOVEMBER 10, 2016 C O RRESPONDE NCE JOURNAL OF CLINICAL ONCOLOGY likely to attain and maintain a higher standard of practice than Surgical Proficiency in the Era of a surgeon who attains 15 resections over several years. Cen- tralization of esophagectomy, which has long been advocated, Centralization should ensure that surgeons are performing the procedure regularly in high-volume units, and this should impact pro- TO THE EDITOR: The recent study by Markar et al sought to foundly on both short- and long-term outcomes. In the United determine at what point surgical proficiency was obtained when Kingdom, a minimum of 60 resections per center per year has performing esophagectomy. This is of importance in all surgical been advocated. specialties, and there are numerous factors that contribute to It is also not indicated what proportion of surgeons met their proficiency. This study was expansive, including all the surgeons critical number of cases for short-term (15 and 22 esophagectomies) within Sweden over a 23-year period. There are inherent prob- or long-term (35 and 53 esophagectomies) improvement of out- lems with trying to extrapolate meaningful conclusions from such comes. Furthermore, what were the outcomes of those surgeons

Journal

Journal of Clinical OncologyWolters Kluwer Health

Published: Nov 10, 2016

References