Matches in SemOpenAlex for { <https://semopenalex.org/work/W2010146875> ?p ?o ?g. }
- W2010146875 endingPage "479" @default.
- W2010146875 startingPage "472" @default.
- W2010146875 abstract "<h3>Background</h3> Regionalization of the practice of thoracic surgery into designated centers was carried out in Ontario to manage volume, improve outcomes, and facilitate comprehensive care. This article describes the process used by Cancer Care Ontario (CCO) to regionalize thoracic surgery practice and reports early results. <h3>Methods</h3> A thoracic surgery standard was created by CCO, specifying criteria for level I (tertiary) and level II (secondary) thoracic surgery centers based on current volumes and projected population growth and referral patterns, and then implemented the standard using various incentives and disincentives. <h3>Results</h3> Before regionalization (2004), 46 hospitals performed thoracic surgical procedures compared with 13 level I and 2 level II centers in 2010. From 2007 to 2011, a mean $8.4 million was distributed annually to designated centers to fund a mean 625 additional thoracic operations annually. By 2009 to 2010, the number of esophagectomies performed at designated centers increased from 212 to 285 (89% being performed in designated centers). Correspondingly, the number of lung resections increased from 1,396 to 1,858 (94% being performed in designated centers). Median wait time for lung cancer resection did not change. Regionalization achieved a significant reduction in 30-day mortality after pneumonectomy (10.9%–5.6%; <i>p</i> = 0.03) but no change for esophagectomy (5.9%–5.8%; <i>p</i> = 0. 96) or lobectomy (2.2%–1.9%; <i>p</i> = 0. 37). <h3>Conclusions</h3> Regionalization was challenging but feasible and was associated with reduced 30-day mortality after pneumonectomy. More data are required to evaluate other short- and long-term outcome measures to further validate benefits from regionalization." @default.
- W2010146875 created "2016-06-24" @default.
- W2010146875 creator A5008403613 @default.
- W2010146875 creator A5018525438 @default.
- W2010146875 creator A5036786996 @default.
- W2010146875 creator A5046734899 @default.
- W2010146875 creator A5052721859 @default.
- W2010146875 creator A5052790867 @default.
- W2010146875 creator A5064573185 @default.
- W2010146875 creator A5079261129 @default.
- W2010146875 creator A5086650133 @default.
- W2010146875 date "2013-02-01" @default.
- W2010146875 modified "2023-10-11" @default.
- W2010146875 title "Early Results After Regionalization of Thoracic Surgical Practice in a Single-Payer System" @default.
- W2010146875 cites W1838765309 @default.
- W2010146875 cites W1968389730 @default.
- W2010146875 cites W1968636209 @default.
- W2010146875 cites W1971606461 @default.
- W2010146875 cites W1996648471 @default.
- W2010146875 cites W2005919715 @default.
- W2010146875 cites W2007542137 @default.
- W2010146875 cites W2022394682 @default.
- W2010146875 cites W2023589553 @default.
- W2010146875 cites W2025164208 @default.
- W2010146875 cites W2034450589 @default.
- W2010146875 cites W2035536571 @default.
- W2010146875 cites W2047941367 @default.
- W2010146875 cites W2052494499 @default.
- W2010146875 cites W2071432555 @default.
- W2010146875 cites W2074961273 @default.
- W2010146875 cites W2150379000 @default.
- W2010146875 cites W2163753578 @default.
- W2010146875 doi "https://doi.org/10.1016/j.athoracsur.2012.10.001" @default.
- W2010146875 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/23261113" @default.
- W2010146875 hasPublicationYear "2013" @default.
- W2010146875 type Work @default.
- W2010146875 sameAs 2010146875 @default.
- W2010146875 citedByCount "34" @default.
- W2010146875 countsByYear W20101468752013 @default.
- W2010146875 countsByYear W20101468752014 @default.
- W2010146875 countsByYear W20101468752015 @default.
- W2010146875 countsByYear W20101468752016 @default.
- W2010146875 countsByYear W20101468752017 @default.
- W2010146875 countsByYear W20101468752018 @default.
- W2010146875 countsByYear W20101468752019 @default.
- W2010146875 countsByYear W20101468752020 @default.
- W2010146875 countsByYear W20101468752021 @default.
- W2010146875 countsByYear W20101468752022 @default.
- W2010146875 countsByYear W20101468752023 @default.
- W2010146875 crossrefType "journal-article" @default.
- W2010146875 hasAuthorship W2010146875A5008403613 @default.
- W2010146875 hasAuthorship W2010146875A5018525438 @default.
- W2010146875 hasAuthorship W2010146875A5036786996 @default.
- W2010146875 hasAuthorship W2010146875A5046734899 @default.
- W2010146875 hasAuthorship W2010146875A5052721859 @default.
- W2010146875 hasAuthorship W2010146875A5052790867 @default.
- W2010146875 hasAuthorship W2010146875A5064573185 @default.
- W2010146875 hasAuthorship W2010146875A5079261129 @default.
- W2010146875 hasAuthorship W2010146875A5086650133 @default.
- W2010146875 hasBestOaLocation W20101468751 @default.
- W2010146875 hasConcept C121608353 @default.
- W2010146875 hasConcept C126322002 @default.
- W2010146875 hasConcept C141071460 @default.
- W2010146875 hasConcept C159110408 @default.
- W2010146875 hasConcept C160022790 @default.
- W2010146875 hasConcept C2776135927 @default.
- W2010146875 hasConcept C2776256026 @default.
- W2010146875 hasConcept C2777297899 @default.
- W2010146875 hasConcept C2777589429 @default.
- W2010146875 hasConcept C2779742542 @default.
- W2010146875 hasConcept C2908647359 @default.
- W2010146875 hasConcept C61434518 @default.
- W2010146875 hasConcept C71924100 @default.
- W2010146875 hasConcept C99454951 @default.
- W2010146875 hasConceptScore W2010146875C121608353 @default.
- W2010146875 hasConceptScore W2010146875C126322002 @default.
- W2010146875 hasConceptScore W2010146875C141071460 @default.
- W2010146875 hasConceptScore W2010146875C159110408 @default.
- W2010146875 hasConceptScore W2010146875C160022790 @default.
- W2010146875 hasConceptScore W2010146875C2776135927 @default.
- W2010146875 hasConceptScore W2010146875C2776256026 @default.
- W2010146875 hasConceptScore W2010146875C2777297899 @default.
- W2010146875 hasConceptScore W2010146875C2777589429 @default.
- W2010146875 hasConceptScore W2010146875C2779742542 @default.
- W2010146875 hasConceptScore W2010146875C2908647359 @default.
- W2010146875 hasConceptScore W2010146875C61434518 @default.
- W2010146875 hasConceptScore W2010146875C71924100 @default.
- W2010146875 hasConceptScore W2010146875C99454951 @default.
- W2010146875 hasIssue "2" @default.
- W2010146875 hasLocation W20101468751 @default.
- W2010146875 hasLocation W20101468752 @default.
- W2010146875 hasOpenAccess W2010146875 @default.
- W2010146875 hasPrimaryLocation W20101468751 @default.
- W2010146875 hasRelatedWork W2071586095 @default.
- W2010146875 hasRelatedWork W2090279999 @default.
- W2010146875 hasRelatedWork W2106645803 @default.
- W2010146875 hasRelatedWork W2192211498 @default.
- W2010146875 hasRelatedWork W2374285734 @default.