Annual Hospital Volume and and Short-term Postoperative Outcomes After Gastric Cancer Resection

Cantonal Hospital of St. Gallen3,112 enrolled

Overview

The effect of centralisation measures on the operative outcomes after gastric cancer resection in Switzerland has not been highlighted yet. This study aims to investigate the influence of the annual hospital specific case load of gastric cancer resection on short-term postoperative outcomes.

Study Type

OBSERVATIONAL

Enrollment

3,112

Conditions

Gastric Cancer

Interventions

Gastric cancer resectionPROCEDURE

Any kind of surgical gastric cancer resection

Eligibility

Sex: ALLMin age: 20 Years

Medical Language ↔ Plain English

Inclusion Criteria: * All patients with gastric cancer resection in Switzerland between 2013 and 2022. Exclusion Criteria: * incomplete case documentation * age under 20 years * other hospitals than general or surgical hospitals * no index operation

Locations (1)

HOCH Health Ostschweiz, Kantonsspital St.Gallen

Sankt Gallen, Switzerland

Outcomes

Primary Outcomes

Mortality

The association between the hospital volume and the postoperative mortality of gastric cancer resection as marginal effect with GAM (Generalized Additive Models) logistic regression

Time frame: Periprocedural

Secondary Outcomes

Reoperation

The association between the hospital volume and the reoperation rate of gastric cancer resection as marginal effect with GAM logistic regression

Time frame: Periprocedural

Length of hospital stay

The association between the hospital volume and the length of hospital stay of gastric cancer resection as marginal effect with quantile regression.

Time frame: Periprocedural

Sociodemographic trends

Time frame: 2013 - 2022

Data from ClinicalTrials.gov

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