RSS-Feed abonnieren
Bitte kopieren Sie die angezeigte URL und fügen sie dann in Ihren RSS-Reader ein.
https://www.thieme-connect.de/rss/thieme/de/10.1055-s-00000049.xml
PDF herunterladen
Clin Colon Rectal Surg 2025; 38(05): 349-353
DOI: 10.1055/s-0044-1801400
DOI: 10.1055/s-0044-1801400
Review Article
The Good and Bad of Regionalizing Colon Cancer Care
Funding S.L.S. receives funding from the National Cancer Institute as a postdoctoral fellow on grant T32-CA-236621 and personal fees from the JAMA Network for serving as a visual abstract editor. C.M.H. receives research funding from the Blue Cross Blue Shield of Michigan Foundation, the University of Michigan Rogel Cancer Center, and the National Comprehensive Cancer Network.
Abstract
Hospitals in the United States continue to merge into expanding hospital networks. As the U.S. health care landscape rapidly evolves toward regionalized hospital networks, there is a critical opportunity for these networks to fulfill their clinical potential toward coordination of care, particularly for cancer patients. While regionalization aims broadly to improve care by distributing services optimally, centralization remains the dominant approach. This article explores regionalization and centralization specific to colon cancer care. We examine the benefits and drawbacks of centralization of colon cancer surgery as a strategy to enhance patient outcomes and access to care. Additional methods for optimizing regional care delivery also exist. In this article, we also present additional strategies for improving regional care delivery and clinical integration for colon cancer patients.
Publikationsverlauf
Artikel online veröffentlicht:
21. Januar 2025
© 2025. Thieme. All rights reserved.
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
-
References
- 1 Ramos MC, Barreto JOM, Shimizu HE, Moraes APG, Silva END. Regionalization for health improvement: a systematic review. PLoS One 2020; 15 (12) e0244078
- 2 Walton NT, Mohr NM. Concept review of regionalized systems of acute care: Is regionalization the next frontier in sepsis care?. J Am Coll Emerg Physicians Open 2022; 3 (01) e12631
- 3 Dafny LS, Lee TH. The good merger. N Engl J Med 2015; 372 (22) 2077-2079
- 4 Neprash HT, Chernew ME, McWilliams JM. Little evidence exists to support the expectation that providers would consolidate to enter new payment models. Health Aff (Millwood) 2017; 36 (02) 346-354
- 5 Cooper Z, Craig S, Gaynor M, Reenen J. The price ain't right? Hospital prices and health spending on the privately insured. Q J Econ 2019; 134 (01) 51-107
- 6 Frakt AB. Hospital consolidation isn't the key to lowering costs and raising quality. JAMA 2015; 313 (04) 345
- 7 Gonzalez AA. The hospital readmissions reduction program. N Engl J Med 2016; 375 (05) 493-494
- 8 Tsai TC, Jha AK. Hospital consolidation, competition, and quality: is bigger necessarily better?. JAMA 2014; 312 (01) 29-30
- 9 Beaulieu ND, Dafny LS, Landon BE, Dalton JB, Kuye I, McWilliams JM. Changes in quality of care after hospital mergers and acquisitions. N Engl J Med 2020; 382 (01) 51-59
- 10 Jiang HJ, Fingar KR, Liang L, Henke RM, Gibson TP. Quality of care before and after mergers and acquisitions of rural hospitals. JAMA Netw Open 2021; 4 (09) e2124662
- 11 Sheetz KH, Chhabra K, Nathan H, Dimick JB. The quality of surgical care at hospitals associated with America's highest-rated medical centers. Ann Surg 2020; 271 (05) 862-867
- 12 Boffa DJ, Mallin K, Herrin J. et al. Survival after cancer treatment at top-ranked US cancer hospitals vs affiliates of top-ranked cancer hospitals. JAMA Netw Open 2020; 3 (05) e203942
- 13 Hoag JR, Resio BJ, Monsalve AF. et al. Differential safety between top-ranked cancer hospitals and their affiliates for complex cancer surgery. JAMA Netw Open 2019; 2 (04) e191912
- 14 Resio BJ, Hoag JR, Chiu AS. et al. Variations in surgical safety according to affiliation status with a top-ranked cancer hospital. JAMA Oncol 2019; 5 (09) 1359-1362
- 15 Soriano CR, Evans E, Lin BS. et al. Where are colorectal resections being performed? colon and rectal cancer operations in Washington state are decentralized. J Gastrointest Surg 2023; 27 (11) 2583-2585
- 16 Huguet M, Joutard X, Ray-Coquard I, Perrier L. What underlies the observed hospital volume-outcome relationship?. BMC Health Serv Res 2022; 22 (01) 70
- 17 Ghaferi AA, Birkmeyer JD, Dimick JB. Hospital volume and failure to rescue with high-risk surgery. Med Care 2011; 49 (12) 1076-1081
- 18 Schrag D, Cramer LD, Bach PB, Cohen AM, Warren JL, Begg CB. Influence of hospital procedure volume on outcomes following surgery for colon cancer. JAMA 2000; 284 (23) 3028-3035
- 19 Lillo-Felipe M, Ahl Hulme R, Forssten MP. et al. Center-level procedure volume does not predict failure-to-rescue after severe complications of oncologic colon and rectal surgery. World J Surg 2021; 45 (12) 3695-3706
- 20 Grönroos-Korhonen MT, Koskenvuo LE, Mentula PJ. et al. Impact of hospital volume on failure to rescue for complications requiring reoperation after elective colorectal surgery: multicentre propensity score-matched cohort study. BJS Open 2024; 8 (02) zrae025
- 21 Ke KM, Hollingworth W, Ness AR. The costs of centralisation: a systematic review of the economic impact of the centralisation of cancer services. Eur J Cancer Care (Engl) 2012; 21 (02) 158-168
- 22 Ho V, Short MN, Ku-Goto MH. Can centralization of cancer surgery improve social welfare?. Forum Health Econ Policy 2012; 15 (02) 1-25
- 23 Sheetz KH, Dimick JB, Nathan H. Centralization of high-risk cancer surgery within existing hospital systems. J Clin Oncol 2019; 37 (34) 3234-3242
- 24 Kunisawa S, Ishida H, Ikai H. et al. Impact of the hospital volume and setting on postoperative complications of surgery for gastroenterological cancers in a regional area of Western Japan. Surg Today 2023; 53 (02) 214-222
- 25 de Geus SW, Papageorge MV, Woods AP. et al. A rising tide lifts all boats: impact of combined volume of complex cancer operations on surgical outcomes in a low-volume setting. J Am Coll Surg 2022; 234 (06) 981-988
- 26 Symer MM, Abelson JS, Yeo HL. Barriers to regionalized surgical care: public perspective survey and geospatial analysis. Ann Surg 2019; 269 (01) 73-78
- 27 Landau JH, Novick TV, Dubois L. et al. Determination of patient preference for location of elective abdominal aortic aneurysm surgery. Vasc Endovascular Surg 2013; 47 (04) 288-293
- 28 Resio BJ, Chiu AS, Hoag JR. et al. Motivators, barriers, and facilitators to traveling to the safest hospitals in the United States for complex cancer surgery. JAMA Netw Open 2018; 1 (07) e184595
- 29 Ibrahim A, Dimick J. Redesigning the delivery of specialty care within newly formed hospital networks. NEJM Catalyst. 2017 . Accessed January 2, 2025 at: https://catalyst.nejm.org/doi/full/10.1056/CAT.17.0503