State-wide outcomes in elective rectal cancer resection: is there a case for centralization in Victoria?
Michael K-Y Hong, Justin MC Yeung, David AK Watters, Ian G Faragher
ANZ Journal of Surgery | WILEY | Published : 2019
BACKGROUND: The role of service centralization in rectal cancer surgery is controversial. Recent studies suggest centralization to high-volume centres may improve postoperative mortality. We used a state-wide administrative data set to determine the inpatient mortality for patients undergoing elective rectal cancer surgery and to compare individual hospital volumes. METHODS: The Victorian Admitted Episodes Dataset was explored using the Dr Foster Quality Investigator tool. The inpatient mortality rate, 30-day readmission rate and the proportion of patients with increased length of stay were measured for all elective admissions for rectal cancer resections between 2012 and 2016. A peer group ..View full abstract
We would like to thank Chris Brown from Dr Foster, Telstra Health for his work in the interrogation of the VAED and providing statistical support. This project was supported by the Department of Health and Human Services, Victoria.