Quality Improvement for Pancreatic Cancer Care: Is Regionalization a Feasible and Effective Mechanism?

Mehul V. Raval; Karl Y. Bilimoria; Mark S. Talamonti

doi:10.1016/j.soc.2009.11.011

Quality Improvement for Pancreatic Cancer Care: Is Regionalization a Feasible and Effective Mechanism?

Mehul V. Raval, Karl Y. Bilimoria, Mark S. Talamonti^*

^*Corresponding author for this work

Research output: Contribution to journal › Review article › peer-review

22 Scopus citations

Abstract

Variability exists in the quality of pancreatic cancer care provided in the United States. High-volume centers have been shown to have improved outcomes for pancreatectomy. Regionalization of pancreatic cancer care to high-volume centers has the potential to improve care and outcomes. Practical limitations such as overloading currently available high-volume centers, extending patient travel times, sharing patients within a multipayer health system, and incorporating patient preferences must be addressed for regionalization to become a reality. The benefits and limitations of regionalization of pancreatic cancer care are discussed in this review. To improve the overall quality of pancreatic cancer care at all hospitals in the United States, a combination of referral of patients with pancreatic cancer to high- and moderate-volume hospitals in conjunction with specific quality-improvement efforts at those institutions is proposed.

Original language	English (US)
Pages (from-to)	371-390
Number of pages	20
Journal	Surgical Oncology Clinics of North America
Volume	19
Issue number	2
DOIs	https://doi.org/10.1016/j.soc.2009.11.011
State	Published - Apr 2010

Keywords

Pancreatectomy
Pancreatic cancer
Pancreatic surgery
Quality improvement
Regionalization
Volume-outcome

ASJC Scopus subject areas

Oncology
Surgery

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.soc.2009.11.011

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@article{c8116c5cf3cb4fe9988dc70f4a2a88a6,

title = "Quality Improvement for Pancreatic Cancer Care: Is Regionalization a Feasible and Effective Mechanism?",

abstract = "Variability exists in the quality of pancreatic cancer care provided in the United States. High-volume centers have been shown to have improved outcomes for pancreatectomy. Regionalization of pancreatic cancer care to high-volume centers has the potential to improve care and outcomes. Practical limitations such as overloading currently available high-volume centers, extending patient travel times, sharing patients within a multipayer health system, and incorporating patient preferences must be addressed for regionalization to become a reality. The benefits and limitations of regionalization of pancreatic cancer care are discussed in this review. To improve the overall quality of pancreatic cancer care at all hospitals in the United States, a combination of referral of patients with pancreatic cancer to high- and moderate-volume hospitals in conjunction with specific quality-improvement efforts at those institutions is proposed.",

keywords = "Pancreatectomy, Pancreatic cancer, Pancreatic surgery, Quality improvement, Regionalization, Volume-outcome",

author = "Raval, {Mehul V.} and Bilimoria, {Karl Y.} and Talamonti, {Mark S.}",

note = "Funding Information: Financial disclosures: none. MVR is supported by the John Gray Research Fellowship and the Daniel F. and Ada L. Rice Foundation . MVR participates in the American College of Surgeons Clinical Scholars in Residence Program. ",

year = "2010",

month = apr,

doi = "10.1016/j.soc.2009.11.011",

language = "English (US)",

volume = "19",

pages = "371--390",

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T2 - Is Regionalization a Feasible and Effective Mechanism?

AU - Raval, Mehul V.

AU - Bilimoria, Karl Y.

AU - Talamonti, Mark S.

N1 - Funding Information: Financial disclosures: none. MVR is supported by the John Gray Research Fellowship and the Daniel F. and Ada L. Rice Foundation . MVR participates in the American College of Surgeons Clinical Scholars in Residence Program.

PY - 2010/4

Y1 - 2010/4

N2 - Variability exists in the quality of pancreatic cancer care provided in the United States. High-volume centers have been shown to have improved outcomes for pancreatectomy. Regionalization of pancreatic cancer care to high-volume centers has the potential to improve care and outcomes. Practical limitations such as overloading currently available high-volume centers, extending patient travel times, sharing patients within a multipayer health system, and incorporating patient preferences must be addressed for regionalization to become a reality. The benefits and limitations of regionalization of pancreatic cancer care are discussed in this review. To improve the overall quality of pancreatic cancer care at all hospitals in the United States, a combination of referral of patients with pancreatic cancer to high- and moderate-volume hospitals in conjunction with specific quality-improvement efforts at those institutions is proposed.

AB - Variability exists in the quality of pancreatic cancer care provided in the United States. High-volume centers have been shown to have improved outcomes for pancreatectomy. Regionalization of pancreatic cancer care to high-volume centers has the potential to improve care and outcomes. Practical limitations such as overloading currently available high-volume centers, extending patient travel times, sharing patients within a multipayer health system, and incorporating patient preferences must be addressed for regionalization to become a reality. The benefits and limitations of regionalization of pancreatic cancer care are discussed in this review. To improve the overall quality of pancreatic cancer care at all hospitals in the United States, a combination of referral of patients with pancreatic cancer to high- and moderate-volume hospitals in conjunction with specific quality-improvement efforts at those institutions is proposed.

KW - Pancreatectomy

KW - Pancreatic cancer

KW - Pancreatic surgery

KW - Quality improvement

KW - Regionalization

KW - Volume-outcome

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M3 - Review article

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ER -

Quality Improvement for Pancreatic Cancer Care: Is Regionalization a Feasible and Effective Mechanism?

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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