Open AccessVariation in Diagnosis, Treatment, and Outcome of Esophageal Cancer in a Regionalized Care System in Ontario, Canada
Author(s) -
Steven Habbous,
Olga Yermakhanova,
Katharina Förster,
Claire Holloway,
Gail Darling
Publication year - 2021
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2021.26090
Subject(s) - medicine , interquartile range , esophageal cancer , stage (stratigraphy) , cancer , cancer registry , esophagectomy , cohort , radiation therapy , incidence (geometry) , positron emission tomography , surgery , radiology , paleontology , biology , optics , physics
Key Points Question Was there a uniform approach to diagnosis, staging, and treatment of patients with esophageal cancer after regionalization of thoracic surgery in Ontario, Canada? Findings In this cohort study of 10 364 patients, there was significant variation in use of staging tests as well as approach to treatment. Postoperative 30- and 90-day mortality was found to be reduced at high-volume centers. Meaning Despite regionalization of thoracic surgery, there remains significant variation between centers in the use of staging tests, treatments, and short-term mortality.
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