Current best practices and rationalistic perspectives in causation-based prevention, early detection and multidisciplinary treatment of breast and gastric cancer

Gastric & Breast Cancer
DOI: 10.2122/gbc.2003.0026

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Surgeon Volume and Skill: An Important Factor of Low Mortality in High-Risk Surgery
In most developed countries patients can choose the hospital and the surgeon for an elective surgical procedure. The association between hospital volume and operative mortality for high-risk surgery has been so well established that patients increasingly select specialized institutions to undergoing high-risk surgery.
However, the importance of the experience and technical skill of the operating surgeon is uncertain. Should a patient who is going to undergo a high-risk surgery select also carefully the operating surgeon to improve its outcomes?

A latest US study on 474,108 US patients highlights this question. What is the lesson of this study and the possible future implications in particularly toward improving outcomes of patients with esophageal, stomach, pancreas, rectal, bladder and some other specific types of cancer for which appropriate treatment by experienced surgeons may substantially improve both short-term and most important long-term clinical outcomes? …>>

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last update: 12 December 2003