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- Title
Response to: Boyle J M, et al. 'What is the impact of hospital and surgeon volumes on outcomes in rectal cancer surgery?' Colorectal Disease 2023; 25: 1981–1993.
- Authors
Davies, Justin; Cheetham, Mark; Branagan, Graham; Eardley, Nicola; Tiernan, Jim; Harikrishnan, Athur; Spinelli, Antonino; Wheeler, James; Moran, Brendan; Jenkins, John T.; Maxwell‐Armstrong, Charles
- Abstract
This document is a response to a previous paper on the impact of hospital and surgeon volumes on outcomes in rectal cancer surgery. The authors agree that quality improvement measures are important in the treatment of rectal cancer, but express concern about the message offered by the previous paper regarding case volumes. They argue that specialization, rather than centralization, is crucial in the treatment of rectal cancer and support the minimum surgical volume caseload outlined by the National Institute of Health and Care Excellence (NICE) guidance. The authors also emphasize the complexity and diversity of surgical options for rectal cancer and the need for a significant skill set to achieve optimal outcomes. They cite evidence that higher-volume surgeons have improved mortality rates and advocate for higher individual surgeon case volumes to encourage specialization. The authors suggest that patient and trainee perspectives should be considered when determining appropriate strategies for the treatment of rectal cancer. They acknowledge the limitations of the data presented in the previous paper and emphasize the importance of interpreting the data in the context of patient care. No funding or conflicts of interest are reported. Ethical approval was not required for this response.
- Subjects
RECTAL surgery; RECTAL cancer; ONCOLOGIC surgery; CANCER prognosis; SURGEONS; ABDOMINOPERINEAL resection
- Publication
Colorectal Disease, 2024, Vol 26, Issue 2, p381
- ISSN
1462-8910
- Publication type
Article
- DOI
10.1111/codi.16843