37 results on '"de Steur, W"'
Search Results
2. Gastro-intestinale chirurgie en gynaecologie
- Author
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Zoethout, R. W. M., de Steur, W. O., Custers, H. J., de Bruin, A.F.J., editor, van Dongen, H.P.A., editor, and van Fessem, J.M.K., editor
- Published
- 2023
- Full Text
- View/download PDF
3. Impact of upfront randomization for postoperative treatment on quality of surgery in the CRITICS gastric cancer trial
- Author
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Claassen, Y. H. M., Hartgrink, H. H., de Steur, W. O., Dikken, J. L., van Sandick, J. W., van Grieken, N. C. T., Cats, A., Trip, A. K., Jansen, E. P. M., Kranenbarg, W. M. Meershoek-Klein, Braak, J. P. B. M., Putter, H., van Berge Henegouwen, M. I., Verheij, M., and van de Velde, C. J. H.
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- 2019
- Full Text
- View/download PDF
4. Evaluation of PET and laparoscopy in STagIng advanced gastric cancer: a multicenter prospective study (PLASTIC-study)
- Author
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Brenkman, H. J. F., Gertsen, E. C., Vegt, E., van Hillegersberg, R., van Berge Henegouwen, M. I., Gisbertz, S. S., Luyer, M. D. P., Nieuwenhuijzen, G. A. P., van Lanschot, J. J. B., Lagarde, S. M., de Steur, W. O., Hartgrink, H. H., Stoot, J. H. M. B., Hulsewe, K. W. E., Spillenaar Bilgen, E. J., van Det, M. J., Kouwenhoven, E. A., van der Peet, D. L., Daams, F., van Sandick, J. W., van Grieken, N. C. T., Heisterkamp, J., van Etten, B., Haveman, J. W., Pierie, J. P., Jonker, F., Thijssen, A. Y., Belt, E. J. T., van Duijvendijk, P., Wassenaar, E., van Laarhoven, H. W. M., Wessels, F. J., Haj Mohammad, N., van Stel, H. F., Frederix, G. W. J., Siersema, P. D., Ruurda, J. P., and on behalf of the PLASTIC Study Group
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- 2018
- Full Text
- View/download PDF
5. Impact of nationwide centralization of oesophageal, gastric, and pancreatic surgery on travel distance and experienced burden in the Netherlands
- Author
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Arts Assistenten CTC, MS CGO, Cancer, MS HOD, Luijten, J. C.H.B.M., Nieuwenhuijzen, G. A.P., Sosef, M. N., de Hingh, I. H.J.T., Rosman, C., Ruurda, J. P., van Duijvendijk, P., Heisterkamp, J., de Steur, W. O., van Laarhoven, H. W.M., Besselink, M. G., Groot Koerkamp, B., van Santvoort, H. C., Lemmens, V. E.P., Vissers, P. A.J., Arts Assistenten CTC, MS CGO, Cancer, MS HOD, Luijten, J. C.H.B.M., Nieuwenhuijzen, G. A.P., Sosef, M. N., de Hingh, I. H.J.T., Rosman, C., Ruurda, J. P., van Duijvendijk, P., Heisterkamp, J., de Steur, W. O., van Laarhoven, H. W.M., Besselink, M. G., Groot Koerkamp, B., van Santvoort, H. C., Lemmens, V. E.P., and Vissers, P. A.J.
- Published
- 2022
6. Definitions and treatment of oligometastatic oesophagogastric cancer according to multidisciplinary tumour boards in Europe
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Kroese, T.E. van Hillegersberg, R. Schoppmann, S. Deseyne, P.R.A.J. Nafteux, P. Obermannova, R. Nordsmark, M. Pfeiffer, P. Hawkings, M.A. Smyth, E. Markar, S. Hanna, G.B. Cheong, E. Chaudry, A. Elme, A. Adenis, A. Piessen, G. Gani, C. Bruns, C.J. Moehler, M. Liakakos, T. Reynolds, J. Morganti, A. Rosati, R. Castoro, C. D'Ugo, D. Roviello, F. Bencivenga, M. de Manzoni, G. Jeene, P. van Sandick, J.W. Muijs, C. Slingerland, M. Nieuwenhuijzen, G. Wijnhoven, B. Beerepoot, L.V. Kolodziejczyk, P. Polkowski, W.P. Alsina, M. Pera, M. Kanonnikoff, T.F. Nilsson, M. Guckenberger, M. Monig, S. Wagner, D. Wyrwicz, L. Berbee, M. Gockel, I. Lordick, F. Griffiths, E.A. Verheij, M. van Rossum, P.S.N. van Laarhoven, H.W.M. Rosman, C. Rütten, H. Gootjes, E.C. Vonken, F.E.M. van Dieren, J.M. Vollebergh, M.A. van der Sangen, M. Creemers, G.-J. Zander, T. Schlößer, H. Cascinu, S. Mazza, E. Nicoletti, R. Damascelli, A. Slim, N. Passoni, P. Cossu, A. Puccetti, F. Barbieri, L. Fanti, L. Azzolini, F. Ventoruzzo, F. Szczepanik, A. Visa, L. Reig, A. Roques, T. Harrison, M. Ciseł, B. Pikuła, A. Skórzewska, M. Vanommeslaeghe, H. Van Daele, E. Pattyn, P. Geboes, K. Callebout, E. Ribeiro, S. van Duijvendijk, P. Tromp, C. Sosef, M. Warmerdam, F. Heisterkamp, J. Vera, A. Jordá, E. López-Mozos, F. Fernandez-Moreno, M.C. Barrios-Carvajal, M. Huerta, M. de Steur, W. Lips, I. Diez, M. Castro, S. O'Neill, R. Holyoake, D. Hacker, U. Denecke, T. Kuhnt, T. Hoffmeister, A. Kluge, R. Bostel, T. Grimminger, P. Jedlička, V. Křístek, J. Pospíšil, P. Mourregot, A. Maurin, C. Starling, N. Chong, I. OMEC working group
- Abstract
Background: Consensus about the definition and treatment of oligometastatic oesophagogastric cancer is lacking. Objective: To assess the definition and treatment of oligometastatic oesophagogastric cancer across multidisciplinary tumour boards (MDTs) in Europe. Material and methods: European expert centers (n = 49) were requested to discuss 15 real-life cases in their MDT with at least a medical, surgical, and radiation oncologist present. The cases varied in terms of location and number of metastases, histology, timing of detection (i.e. synchronous versus metachronous), primary tumour treatment status, and response to systemic therapy. The primary outcome was the agreement in the definition of oligometastatic disease at diagnosis and after systemic therapy. The secondary outcome was the agreement in treatment strategies. Treatment strategies for oligometastatic disease were categorised into upfront local treatment (i.e. metastasectomy or stereotactic radiotherapy), systemic therapy followed by restaging to consider local treatment or systemic therapy alone. The agreement across MDTs was scored to be either absent/poor (
- Published
- 2022
7. Quality control of lymph node dissection in the Dutch Gastric Cancer Trial
- Author
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de Steur, W. O., Hartgrink, H. H., Dikken, J. L., Putter, H., and van de Velde, C. J. H.
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- 2015
- Full Text
- View/download PDF
8. Resection of hepatic and pulmonary metastasis from metastatic esophageal and gastric cancer
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Seesing, M F J, van der Veen, A, Brenkman, H J F, Stockmann, H B A C, Nieuwenhuijzen, G A P, Rosman, C, van den Wildenberg, F J H, van Berge Henegouwen, Mark I, van Duijvendijk, P, Wijnhoven, B P L, Stoot, J H M B, Lacle, M, Ruurda, J P, van Hillegersberg, R, Baas, P C, Boerma, D, de Steur, W O, de Waard, J W D, Heisterkamp, J, van Hillo, M, Kouwenhoven, E A, Liem, M S L, van der Peet, D L, Pierie, J P E N, Plukker, J T M, Roumen, R M H, Tetteroo, G W M, van Workum, F, CCA - Cancer Treatment and Quality of Life, AGEM - Re-generation and cancer of the digestive system, Surgery, Lifelong Learning, Education & Assessment Research Network (LEARN), Damage and Repair in Cancer Development and Cancer Treatment (DARE), and Guided Treatment in Optimal Selected Cancer Patients (GUTS)
- Subjects
Male ,Lung Neoplasms ,Esophageal Neoplasms ,SURGERY ,medicine.medical_treatment ,Kaplan-Meier Estimate ,RADICAL ESOPHAGECTOMY ,Gastroenterology ,Metastasis ,COLORECTAL-CANCER ,Tumours of the digestive tract Radboud Institute for Health Sciences [Radboudumc 14] ,hepatic surgery ,0302 clinical medicine ,Pulmonary metastasis ,Medicine ,Registries ,Prospective cohort study ,Neoadjuvant therapy ,Netherlands ,Liver Neoplasms ,SURGICAL RESECTION ,esophageal and gastric cancer ,General Medicine ,CHEMOTHERAPY ,Middle Aged ,Combined Modality Therapy ,Survival Rate ,Treatment Outcome ,Esophagectomy ,030220 oncology & carcinogenesis ,030211 gastroenterology & hepatology ,Original Article ,Female ,Metastasectomy ,pulmonary surgery ,Erratum ,medicine.medical_specialty ,CARCINOMA ,RECURRENCE PATTERN ,Resection ,LIVER METASTASES ,CHEMORADIOTHERAPY ,03 medical and health sciences ,SDG 3 - Good Health and Well-being ,Gastrectomy ,Stomach Neoplasms ,Internal medicine ,Carcinoma ,metastasis ,Humans ,Aged ,esophageal and gastric surgery ,business.industry ,Neuroendocrine neoplasm ,Cancer ,LONG-TERM SURVIVAL ,medicine.disease ,Surgery ,business ,Author name ,Chemoradiotherapy - Abstract
SUMMARY The standard of care for gastroesophageal cancer patients with hepatic or pulmonary metastases is best supportive care or palliative chemotherapy. Occasionally, patients can be selected for curative treatment instead. This study aimed to evaluate patients who underwent a resection of hepatic or pulmonary metastasis with curative intent. The Dutch national registry for histo- and cytopathology was used to identify these patients. Data were retrieved from the individual patient files. Kaplan–Meier survival analysis was performed. Between 1991 and 2016, 32,057 patients received a gastrectomy or esophagectomy for gastroesophageal cancer in the Netherlands. Of these patients, 34 selected patients received a resection of hepatic metastasis (n = 19) or pulmonary metastasis (n = 15) in 21 different hospitals. Only 4 patients received neoadjuvant therapy before metastasectomy. The majority of patients had solitary, metachronous metastases. After metastasectomy, grade 3 (Clavien–Dindo) complications occurred in 7 patients and mortality in 1 patient. After resection of hepatic metastases, the median potential follow-up time was 54 months. Median overall survival (OS) was 28 months and the 1-, 3-, and 5- year OS was 84%, 41%, and 31%, respectively. After pulmonary metastases resection, the median potential follow-up time was 80 months. The median OS was not reached and the 1-, 3-, and 5- year OS was 67%, 53%, and 53%, respectively. In selected patients with gastroesophageal cancer with hepatic or pulmonary metastases, metastasectomy was performed with limited morbidity and mortality and offered a 5-year OS of 31–53%. Further prospective studies are required.
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- 2020
9. International comparison of treatment strategy and survival in metastatic gastric cancer
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Claassen, Y. H. M., Bastiaannet, E., Hartgrink, H. H., Dikken, J. L., de Steur, W. O., Slingerland, M., Verhoeven, R. H. A., van Eycken, E., de Schutter, H., Lindblad, M., Hedberg, Jakob, Johnson, E., Hjortland, G. O., Jensen, L. S., Larsson, H. J., Koessler, T., Chevallay, M., Allum, W. H., van de Velde, C. J. H., Claassen, Y. H. M., Bastiaannet, E., Hartgrink, H. H., Dikken, J. L., de Steur, W. O., Slingerland, M., Verhoeven, R. H. A., van Eycken, E., de Schutter, H., Lindblad, M., Hedberg, Jakob, Johnson, E., Hjortland, G. O., Jensen, L. S., Larsson, H. J., Koessler, T., Chevallay, M., Allum, W. H., and van de Velde, C. J. H.
- Abstract
BackgroundIn the randomized Asian REGATTA trial, no survival benefit was shown for additional gastrectomy over chemotherapy alone in patients with advanced gastric cancer with a single incurable factor, thereby discouraging surgery for these patients. The purpose of this study was to evaluate treatment strategies for patients with metastatic gastric cancer in daily practice in five European countries, along with relative survival in each country. MethodsNationwide population-based data from Belgium, Denmark, the Netherlands, Norway and Sweden were combined. Patients with primary metastatic gastric cancer diagnosed between 2006 and 2014 were included. The proportion of gastric resections performed and the administration of chemotherapy (irrespective of surgery) within each country were determined. Relative survival according to country was calculated. ResultsOverall, 15 057 patients with gastric cancer were included. The proportion of gastric resections varied from 81 per cent in the Netherlands and Denmark to 183 per cent in Belgium. Administration of chemotherapy was 392 per cent in the Netherlands, compared with 632 per cent in Belgium. The 6-month relative survival rate was between 390 (95 per cent c.i. 378 to 402) per cent in the Netherlands and 541 (521 to 569) per cent in Belgium. ConclusionThere is variation in the use of gastrectomy and chemotherapy in patients with metastatic gastric cancer, and subsequent differences in survival.
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- 2019
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10. Resection of hepatic and pulmonary metastasis from metastatic esophageal and gastric cancer : a nationwide study
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Seesing, M F J, van der Veen, A, Brenkman, H J F, Stockmann, H B A C, Nieuwenhuijzen, G A P, Rosman, C, van den Wildenberg, F J H, van Berge Henegouwen, Mark I, van Duijvendijk, P, Wijnhoven, B P L, Stoot, J H M B, Lacle, M, Ruurda, J P, van Hillegersberg, R, Baas, P C, Boerma, D, de Steur, W O, de Waard, J W D, Heisterkamp, J, van Hillo, M, Kouwenhoven, E A, Liem, M S L, van der Peet, D L, Pierie, J P E N, Plukker, J T M, Roumen, R M H, Tetteroo, G W M, van Workum, F, Seesing, M F J, van der Veen, A, Brenkman, H J F, Stockmann, H B A C, Nieuwenhuijzen, G A P, Rosman, C, van den Wildenberg, F J H, van Berge Henegouwen, Mark I, van Duijvendijk, P, Wijnhoven, B P L, Stoot, J H M B, Lacle, M, Ruurda, J P, van Hillegersberg, R, Baas, P C, Boerma, D, de Steur, W O, de Waard, J W D, Heisterkamp, J, van Hillo, M, Kouwenhoven, E A, Liem, M S L, van der Peet, D L, Pierie, J P E N, Plukker, J T M, Roumen, R M H, Tetteroo, G W M, and van Workum, F
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- 2019
11. Resection of hepatic and pulmonary metastasis from metastatic esophageal and gastric cancer: a nationwide study
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MS CGO, Cancer, Heelkunde Opleiding, Pathologie Pathologen staf, Divisie Beeld & Oncologie, Seesing, M F J, van der Veen, A, Brenkman, H J F, Stockmann, H B A C, Nieuwenhuijzen, G A P, Rosman, C, van den Wildenberg, F J H, van Berge Henegouwen, Mark I, van Duijvendijk, P, Wijnhoven, B P L, Stoot, J H M B, Lacle, M, Ruurda, J P, van Hillegersberg, R, Baas, P C, Boerma, D, de Steur, W O, de Waard, J W D, Heisterkamp, J, van Hillo, M, Kouwenhoven, E A, Liem, M S L, van der Peet, D L, Pierie, J P E N, Plukker, J T M, Roumen, R M H, Tetteroo, G W M, van Workum, F, MS CGO, Cancer, Heelkunde Opleiding, Pathologie Pathologen staf, Divisie Beeld & Oncologie, Seesing, M F J, van der Veen, A, Brenkman, H J F, Stockmann, H B A C, Nieuwenhuijzen, G A P, Rosman, C, van den Wildenberg, F J H, van Berge Henegouwen, Mark I, van Duijvendijk, P, Wijnhoven, B P L, Stoot, J H M B, Lacle, M, Ruurda, J P, van Hillegersberg, R, Baas, P C, Boerma, D, de Steur, W O, de Waard, J W D, Heisterkamp, J, van Hillo, M, Kouwenhoven, E A, Liem, M S L, van der Peet, D L, Pierie, J P E N, Plukker, J T M, Roumen, R M H, Tetteroo, G W M, and van Workum, F
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- 2019
12. Patterns of Recurrence in the Critics Gastric Cancer Trial: Results from Intention-to-Treat and per-Protocol Analyses
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van Amelsfoort, R.M., primary, de Steur, W., additional, Sikorska, K., additional, Jansen, E.P.M., additional, Cats, A., additional, van Grieken, N.C., additional, Boot, H., additional, Lind, P.A., additional, Meershoek-Klein Kranenbarg, E., additional, Nordsmark, M., additional, Hartgrink, H., additional, Putter, H., additional, Trip, A.K., additional, Sandick, J.W., additional, van Tinteren, H., additional, Claassen, Y.H.M., additional, Braak, J.P.B.M., additional, van Laarhoven, H.W., additional, van de Velde, C.J., additional, and Verheij, M., additional
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- 2019
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13. Chemotherapy versus chemoradiotherapy after surgery and preoperative chemotherapy for resectable gastric cancer: per protocol analysis of the CRITICS trial
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de Steur, W., primary, Claassen, Y., additional, Hartgrink, H., additional, Meershoek Klein Kranenbarg, E., additional, van Sandick, J., additional, Braak, J., additional, Jansen, E., additional, van Grieken, N., additional, Putter, H., additional, Boot, H., additional, Cats, A., additional, Sikorska, K., additional, van Tinteren, H., additional, Verheij, M., additional, and van de Velde, C., additional
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- 2019
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14. International comparison of treatment strategy and survival in metastatic gastric cancer: a survey from the EURECCA Upper GI group
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Claassen, Y., primary, Bastiaannet, E., additional, Hartgrink, H., additional, Dikken, J., additional, De Steur, W., additional, Slingerland, M., additional, Verhoeven, R., additional, Van Eycken, E., additional, De Schutter, H., additional, Lindblad, M., additional, Hedberg, J., additional, Johnson, E., additional, Hjortland, G.O., additional, Jensen, L., additional, Larsson, H., additional, Koessler, T., additional, Chevallay, M., additional, Allum, W., additional, and Van de Velde, C., additional
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- 2019
- Full Text
- View/download PDF
15. Evaluation of PET and laparoscopy in STagIng advanced gastric cancer : A multicenter prospective study (PLASTIC-study)
- Author
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Brenkman, H. J.F., Gertsen, E. C., Vegt, E., van Hillegersberg, R., van Berge Henegouwen, M. I., Gisbertz, S. S., Luyer, M. D.P., Nieuwenhuijzen, G. A.P., van Lanschot, J. J.B., Lagarde, S. M., de Steur, W. O., Hartgrink, H. H., Stoot, J. H.M.B., Hulsewe, K. W.E., Spillenaar Bilgen, E. J., van Det, M. J., Kouwenhoven, E. A., van der Peet, D. L., Daams, F., van Sandick, J. W., van Grieken, N. C.T., Heisterkamp, J., van Etten, B., Haveman, J. W., Pierie, J. P., Jonker, F., Thijssen, A. Y., Belt, E. J.T., van Duijvendijk, P., Wassenaar, E., van Laarhoven, H. W.M., Wessels, F. J., Haj Mohammad, N., van Stel, H. F., Frederix, G. W.J., Siersema, P. D., Ruurda, J. P., on behalf of the PLASTIC Study Group, Brenkman, H. J.F., Gertsen, E. C., Vegt, E., van Hillegersberg, R., van Berge Henegouwen, M. I., Gisbertz, S. S., Luyer, M. D.P., Nieuwenhuijzen, G. A.P., van Lanschot, J. J.B., Lagarde, S. M., de Steur, W. O., Hartgrink, H. H., Stoot, J. H.M.B., Hulsewe, K. W.E., Spillenaar Bilgen, E. J., van Det, M. J., Kouwenhoven, E. A., van der Peet, D. L., Daams, F., van Sandick, J. W., van Grieken, N. C.T., Heisterkamp, J., van Etten, B., Haveman, J. W., Pierie, J. P., Jonker, F., Thijssen, A. Y., Belt, E. J.T., van Duijvendijk, P., Wassenaar, E., van Laarhoven, H. W.M., Wessels, F. J., Haj Mohammad, N., van Stel, H. F., Frederix, G. W.J., Siersema, P. D., Ruurda, J. P., and on behalf of the PLASTIC Study Group
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- 2018
16. Evaluation of PET and laparoscopy in STagIng advanced gastric cancer: A multicenter prospective study (PLASTIC-study)
- Author
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MS CGO, Cancer, Divisie Beeld & Oncologie, MS Radiologie, MS Medische Oncologie, Verplegingswetenschap, Other research (not in main researchprogram), JC onderzoeksprogramma Methodologie, HEE, Child Health, Brenkman, H. J.F., Gertsen, E. C., Vegt, E., van Hillegersberg, R., van Berge Henegouwen, M. I., Gisbertz, S. S., Luyer, M. D.P., Nieuwenhuijzen, G. A.P., van Lanschot, J. J.B., Lagarde, S. M., de Steur, W. O., Hartgrink, H. H., Stoot, J. H.M.B., Hulsewe, K. W.E., Spillenaar Bilgen, E. J., van Det, M. J., Kouwenhoven, E. A., van der Peet, D. L., Daams, F., van Sandick, J. W., van Grieken, N. C.T., Heisterkamp, J., van Etten, B., Haveman, J. W., Pierie, J. P., Jonker, F., Thijssen, A. Y., Belt, E. J.T., van Duijvendijk, P., Wassenaar, E., van Laarhoven, H. W.M., Wessels, F. J., Haj Mohammad, N., van Stel, H. F., Frederix, G. W.J., Siersema, P. D., Ruurda, J. P., on behalf of the PLASTIC Study Group, MS CGO, Cancer, Divisie Beeld & Oncologie, MS Radiologie, MS Medische Oncologie, Verplegingswetenschap, Other research (not in main researchprogram), JC onderzoeksprogramma Methodologie, HEE, Child Health, Brenkman, H. J.F., Gertsen, E. C., Vegt, E., van Hillegersberg, R., van Berge Henegouwen, M. I., Gisbertz, S. S., Luyer, M. D.P., Nieuwenhuijzen, G. A.P., van Lanschot, J. J.B., Lagarde, S. M., de Steur, W. O., Hartgrink, H. H., Stoot, J. H.M.B., Hulsewe, K. W.E., Spillenaar Bilgen, E. J., van Det, M. J., Kouwenhoven, E. A., van der Peet, D. L., Daams, F., van Sandick, J. W., van Grieken, N. C.T., Heisterkamp, J., van Etten, B., Haveman, J. W., Pierie, J. P., Jonker, F., Thijssen, A. Y., Belt, E. J.T., van Duijvendijk, P., Wassenaar, E., van Laarhoven, H. W.M., Wessels, F. J., Haj Mohammad, N., van Stel, H. F., Frederix, G. W.J., Siersema, P. D., Ruurda, J. P., and on behalf of the PLASTIC Study Group
- Published
- 2018
17. International comparison of treatment strategy and survival in metastatic gastric cancer
- Author
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Claassen, Y. H. M., primary, Bastiaannet, E., additional, Hartgrink, H. H., additional, Dikken, J. L., additional, de Steur, W. O., additional, Slingerland, M., additional, Verhoeven, R. H. A., additional, van Eycken, E., additional, de Schutter, H., additional, Lindblad, M., additional, Hedberg, J., additional, Johnson, E., additional, Hjortland, G. O., additional, Jensen, L. S., additional, Larsson, H. J., additional, Koessler, T., additional, Chevallay, M., additional, Allum, W. H., additional, and van de Velde, C. J. H., additional
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- 2018
- Full Text
- View/download PDF
18. Impact of upfront randomization for postoperative treatment on quality of surgery in the CRITICS gastric cancer trial
- Author
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Claassen, Y. H. M., primary, Hartgrink, H. H., additional, de Steur, W. O., additional, Dikken, J. L., additional, van Sandick, J. W., additional, van Grieken, N. C. T., additional, Cats, A., additional, Trip, A. K., additional, Jansen, E. P. M., additional, Kranenbarg, W. M. Meershoek-Klein, additional, Braak, J. P. B. M., additional, Putter, H., additional, van Berge Henegouwen, M. I., additional, Verheij, M., additional, and van de Velde, C. J. H., additional
- Published
- 2018
- Full Text
- View/download PDF
19. Association between hospital volume and quality of gastric cancer surgery in the CRITICS trial
- Author
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Claassen, Y H M, primary, van Sandick, J W, additional, Hartgrink, H H, additional, Dikken, J L, additional, De Steur, W O, additional, van Grieken, N C T, additional, Boot, H, additional, Cats, A, additional, Trip, A K, additional, Jansen, E P M, additional, Meershoek-Klein Kranenbarg, W M, additional, Braak, J P B M, additional, Putter, H, additional, van Berge Henegouwen, M I, additional, Verheij, M, additional, and van de Velde, C J H, additional
- Published
- 2018
- Full Text
- View/download PDF
20. OC-0165: Effectiveness of several external beam radiotherapy schedules for palliation of oesophageal cancer
- Author
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Lips, I., primary, Walterbos, N., additional, Fiocco, M., additional, Neelis, K., additional, Langers, A., additional, Slingerland, M., additional, De Steur, W., additional, Peters, F., additional, and Van der Linden, Y., additional
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- 2018
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21. Description and analysis of clinical pathways for oesophago-gastric adenocarcinoma, in 10 European countries (the EURECCA upper gastro intestinal group - European Registration of Cancer Care)
- Author
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Messager, M, de Steur, W, Boelens, P G, Jensen, L S, Mariette, C, Reynolds, J V, Osorio, J, Pera, M, Johansson, J, Kołodziejczyk, P, Roviello, F, De Manzoni, G, Moenig, Stefan Paul, Allum, W H, and EURECCA Upper GI group (European Registration of Cancer Care)
- Subjects
Endoscopic ultrasound ,Time Factors ,Esophageal Neoplasms ,Denmark ,030230 surgery ,Adenocarcinoma / pathology ,Adenocarcinoma / therapy ,0302 clinical medicine ,Clinical pathway ,Multidisciplinary approach ,Germany ,Surveys and Questionnaires ,Registries ,Esophageal Neoplasms / pathology ,Netherlands ,Response rate (survey) ,Oncologists ,medicine.diagnostic_test ,ddc:617 ,Esophageal Neoplasms / therapy ,Oesophageal cancer ,Health Policy ,Esòfag -- Càncer ,General Medicine ,Europe ,Oncology ,Italy ,030220 oncology & carcinogenesis ,Critical Pathways ,EURECCA ,France ,medicine.medical_specialty ,National health policy ,Audit ,Stomach Neoplasms / diagnosis ,Adenocarcinoma ,03 medical and health sciences ,Adenocarcinoma / diagnosis ,Stomach Neoplasms ,Patient experience ,medicine ,Animals ,Humans ,Intensive care medicine ,Health policy ,Neoplasm Staging ,Quality of Health Care ,Patient Care Team ,Surgeons ,Sweden ,Esophageal Neoplasms / diagnosis ,Care pathway ,business.industry ,Gastroenterologists ,Cancer ,medicine.disease ,United Kingdom ,Surgery ,Spain ,Poland ,Stomach Neoplasms / therapy ,business ,Gastric cancer ,Stomach Neoplasms / pathology ,Ireland - Abstract
AIMS: Outcomes for patients with oesophago-gastric cancer are variable across Europe. The reasons for this variability are not clear. The aim of this study was to describe and analyse clinical pathways to understand differences in service provision for oesophageal and gastric cancer in the countries participating in the EURECCA Upper GI group. METHODS: A questionnaire was devised to assess clinical presentation, diagnosis, staging, treatment, pathology, follow-up and service frameworks across Europe for patients with oesophageal and gastric cancer. The questionnaire was issued to experts from 14 countries. The responses were analysed quantitatively and qualitatively and compared. RESULTS: The response rate was (10/14) 71.4%. The approach to diagnosis was similar. Most countries established a diagnosis within 3 weeks of presentation. However, there were different approaches to staging with variable use of endoscopic ultrasound reflecting availability. There has been centralisation of treatments in most countries for oesophageal surgery. The most consistent area was the approach to pathology. There were variations in access to specialist nurse and dietitian support. Although most countries have multidisciplinary teams, their composition and frequency of meetings varied. The two main areas of significant difference were research and audit and overall service provision. Observations on service framework indicated that limited resources restricted many of the services. CONCLUSION: The principle approaches to diagnosis, treatment and pathology were similar. Factors affecting the quality of patient experience were variable. This may reflect availability of resources. Standard pathways of care may enhance both the quality of treatment and patient experience. The 2013 Annual Grant for international mobility from the AFC (French Association of Surgery) was part of the salary of MM.
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- 2016
22. Description and analysis of clinical pathways for oesophago-gastric adenocarcinoma, in 10 European countries (the EURECCA upper gastro intestinal group - European Registration of Cancer Care)
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Messager, M., de Steur, W., Boelens, P. G., Jensen, L. S., Marlette, C., Reynolds, J. V., Osorio, J., Pera, M., Johansson, J., Kolodziejczyk, P., Roviello, F., De Manzoni, G., Moenig, S. P., Allum, W. H., Messager, M., de Steur, W., Boelens, P. G., Jensen, L. S., Marlette, C., Reynolds, J. V., Osorio, J., Pera, M., Johansson, J., Kolodziejczyk, P., Roviello, F., De Manzoni, G., Moenig, S. P., and Allum, W. H.
- Abstract
Aims: Outcomes for patients with oesophago-gastric cancer are variable across Europe. The reasons for this variability are not clear. The aim of this study was to describe and analyse clinical pathways to understand differences in service provision for oesophageal and gastric cancer in the countries participating in the EURECCA Upper GI group. Methods: A questionnaire was devised to assess clinical presentation, diagnosis, staging, treatment, pathology, follow-up and service frameworks across Europe for patients with oesophageal and gastric cancer. The questionnaire was issued to experts from 14 countries. The responses were analysed quantitatively and qualitatively and compared. Results: The response rate was (10/14) 71.4%. The approach to diagnosis was similar. Most countries established a diagnosis within 3 weeks of presentation. However, there were different approaches to staging with variable use of endoscopic ultrasound reflecting availability. There has been centralisation of treatments in most countries for oesophageal surgery. The most consistent area was the approach to pathology. There were variations in access to specialist nurse and dietitian support. Although most countries have multidisciplinary teams, their composition and frequency of meetings varied. The two main areas of significant difference were research and audit and overall service provision. Observations on service framework indicated that limited resources restricted many of the services. Conclusion: The principle approaches to diagnosis, treatment and pathology were similar. Factors affecting the quality of patient experience were variable. This may reflect availability of resources. Standard pathways of care may enhance both the quality of treatment and patient experience. (C) 2016 Elsevier Ltd. All rights reserved.
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- 2016
23. Esophageal and Gastric Cancer Pearl : a nationwide clinical biobanking project in the Netherlands
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Haverkamp, L, Parry, K, van Berge Henegouwen, M I, van Laarhoven, H W, Bonenkamp, J J, Bisseling, T M, Siersema, P D, Sosef, M N, Stoot, J H, Beets, G L, de Steur, W O, Hartgrink, H H, Verspaget, H W, van der Peet, D L, Plukker, J T, van Etten, B, Wijnhoven, B P L, van Lanschot, J J, van Hillegersberg, R, Ruurda, J P, Haverkamp, L, Parry, K, van Berge Henegouwen, M I, van Laarhoven, H W, Bonenkamp, J J, Bisseling, T M, Siersema, P D, Sosef, M N, Stoot, J H, Beets, G L, de Steur, W O, Hartgrink, H H, Verspaget, H W, van der Peet, D L, Plukker, J T, van Etten, B, Wijnhoven, B P L, van Lanschot, J J, van Hillegersberg, R, and Ruurda, J P
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- 2015
24. Esophageal and Gastric Cancer Pearl: a nationwide clinical biobanking project in the Netherlands
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MS CGO, MS MDL 1, Infection & Immunity, Cancer, MS MDL Oncologie, Divisie Beeld & Oncologie, Other research (not in main researchprogram), Haverkamp, L, Parry, K, van Berge Henegouwen, M I, van Laarhoven, H W, Bonenkamp, J J, Bisseling, T M, Siersema, P D, Sosef, M N, Stoot, J H, Beets, G L, de Steur, W O, Hartgrink, H H, Verspaget, H W, van der Peet, D L, Plukker, J T, van Etten, B, Wijnhoven, B P L, van Lanschot, J J, van Hillegersberg, R, Ruurda, J P, MS CGO, MS MDL 1, Infection & Immunity, Cancer, MS MDL Oncologie, Divisie Beeld & Oncologie, Other research (not in main researchprogram), Haverkamp, L, Parry, K, van Berge Henegouwen, M I, van Laarhoven, H W, Bonenkamp, J J, Bisseling, T M, Siersema, P D, Sosef, M N, Stoot, J H, Beets, G L, de Steur, W O, Hartgrink, H H, Verspaget, H W, van der Peet, D L, Plukker, J T, van Etten, B, Wijnhoven, B P L, van Lanschot, J J, van Hillegersberg, R, and Ruurda, J P
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- 2015
25. Esophageal and Gastric Cancer Pearl: a nationwide clinical biobanking project in the Netherlands
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Haverkamp, L., primary, Parry, K., additional, van Berge Henegouwen, M. I., additional, van Laarhoven, H. W., additional, Bonenkamp, J. J., additional, Bisseling, T. M., additional, Siersema, P. D., additional, Sosef, M. N., additional, Stoot, J. H., additional, Beets, G. L., additional, de Steur, W. O., additional, Hartgrink, H. H., additional, Verspaget, H. W., additional, van der Peet, D. L., additional, Plukker, J. T., additional, van Etten, B., additional, Wijnhoven, B. P. L., additional, van Lanschot, J. J., additional, van Hillegersberg, R., additional, and Ruurda, J. P., additional
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- 2015
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26. Schipholspoorlijn in aanbouw; kunstwerken en tunnelbouw
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de Steur, W. (author) and de Steur, W. (author)
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Aanleg van de schiphollijn en de schipholtunnel.
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- 1975
27. Definitions and treatment of oligometastatic oesophagogastric cancer according to multidisciplinary tumour boards in Europe
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Tiuri E. Kroese, Richard van Hillegersberg, Sebastian Schoppmann, Pieter R.A.J. Deseyne, Philippe Nafteux, Radka Obermannova, Marianne Nordsmark, Per Pfeiffer, Maria A. Hawkins, Elizabeth Smyth, Sheraz Markar, George B. Hanna, Edward Cheong, Asif Chaudry, Anneli Elme, Antoine Adenis, Guillaume Piessen, Cihan Gani, Christiane J. Bruns, Markus Moehler, Theodore Liakakos, John Reynolds, Alessio Morganti, Riccardo Rosati, Carlo Castoro, Domenico D'Ugo, Franco Roviello, Maria Bencivenga, Giovanni de Manzoni, Paul Jeene, Johanna W. van Sandick, Christel Muijs, Marije Slingerland, Grard Nieuwenhuijzen, Bas Wijnhoven, Laurens V. Beerepoot, Piotr Kolodziejczyk, Wojciech P. Polkowski, Maria Alsina, Manuel Pera, Tania F. Kanonnikoff, Magnus Nilsson, Matthias Guckenberger, Stefan Monig, Dorethea Wagner, Lucjan Wyrwicz, Maaike Berbee, Ines Gockel, Florian Lordick, Ewen A. Griffiths, Marcel Verheij, Peter S.N. van Rossum, Hanneke W.M. van Laarhoven, Camiel Rosman, Heide Rütten, Elske C. Gootjes, Francine E.M. Vonken, Jolanda M. van Dieren, Marieke A. Vollebergh, Maurice van der Sangen, Geert-Jan Creemers, Thomas Zander, Hans Schlößer, Stefano Cascinu, Elena Mazza, Roberto Nicoletti, Anna Damascelli, Najla Slim, Paolo Passoni, Andrea Cossu, Francesco Puccetti, Lavinia Barbieri, Lorella Fanti, Francesco Azzolini, Federico Ventoruzzo, Antoni Szczepanik, Laura Visa, Anna Reig, Tom Roques, Mark Harrison, Bogumiła Ciseł, Agnieszka Pikuła, Magdalena Skórzewska, Hanne Vanommeslaeghe, Elke Van Daele, Piet Pattyn, Karen Geboes, Eduard Callebout, Suzane Ribeiro, Peter van Duijvendijk, Cathrien Tromp, Meindert Sosef, Fabienne Warmerdam, Joos Heisterkamp, Almudena Vera, Esther Jordá, Fernando López-Mozos, Maria C. Fernandez-Moreno, Maria Barrios-Carvajal, Marisol Huerta, Wobbe de Steur, Irene Lips, Marc Diez, Sandra Castro, Robert O'Neill, Daniel Holyoake, Ulrich Hacker, Timm Denecke, Thomas Kuhnt, Albrecht Hoffmeister, Regine Kluge, Tilman Bostel, Peter Grimminger, Václav Jedlička, Jan Křístek, Petr Pospíšil, Anne Mourregot, Clotilde Maurin, Naureen Starling, Irene Chong, Institut Català de la Salut, [Kroese TE] Department of Surgery, Utrecht University Medical Center, Utrecht University, Utrecht, the Netherlands. Department of Radiation Oncology, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands. [van Hillegersberg R] Department of Surgery, Utrecht University Medical Center, Utrecht University, Utrecht, the Netherlands. [Schoppmann S] Department of Surgery, Medical University of Vienna, Vienna University, Vienna, Austria. [Deseyne PRAJ] Department of Radiation Oncology, Ghent University Hospital, Ghent, Belgium. [Nafteux P] Department of Surgery, KU Leuven, Leuven University, Leuven, Belgium. [Obermannova R] Department of Comprehensive Cancer Care, Masaryk Memorial Cancer Institute and Faculty of Medicine, Masaryk University Brno, Brno, Czech Republic. [Alsina M] Servei d’Oncologia Mèdica, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Vall d’Hebron Institute of Oncology (VHIO), Barcelona, Spain, Vall d'Hebron Barcelona Hospital Campus, Radiotherapie, MUMC+: MA Radiotherapie OC (9), RS: GROW - R3 - Innovative Cancer Diagnostics & Therapy, Damage and Repair in Cancer Development and Cancer Treatment (DARE), Radiation Oncology, AII - Cancer immunology, CCA - Cancer biology and immunology, Internal medicine, Surgery, Kroese, T. E., van Hillegersberg, R., Schoppmann, S., Deseyne, P. R. A. J., Nafteux, P., Obermannova, R., Nordsmark, M., Pfeiffer, P., Hawkings, M. A., Smyth, E., Markar, S., Hanna, G. B., Cheong, E., Chaudry, A., Elme, A., Adenis, A., Piessen, G., Gani, C., Bruns, C. J., Moehler, M., Liakakos, T., Reynolds, J., Morganti, A., Rosati, R., Castoro, C., D'Ugo, D., Roviello, F., Bencivenga, M., de Manzoni, G., Jeene, P., van Sandick, J. W., Muijs, C., Slingerland, M., Nieuwenhuijzen, G., Wijnhoven, B., Beerepoot, L. V., Kolodziejczyk, P., Polkowski, W. P., Alsina, M., Pera, M., Kanonnikoff, T. F., Nilsson, M., Guckenberger, M., Monig, S., Wagner, D., Wyrwicz, L., Berbee, M., Gockel, I., Lordick, F., Griffiths, E. A., Verheij, M., van Rossum, P. S. N., van Laarhoven, H. W. M., Rosman, C., Rutten, H., Gootjes, E. C., Vonken, F. E. M., van Dieren, J. M., Vollebergh, M. A., van der Sangen, M., Creemers, G. -J., Zander, T., Schlosser, H., Cascinu, S., Mazza, E., Nicoletti, R., Damascelli, A., Slim, N., Passoni, P., Cossu, A., Puccetti, F., Barbieri, L., Fanti, L., Azzolini, F., Ventoruzzo, F., Szczepanik, A., Visa, L., Reig, A., Roques, T., Harrison, M., Cisel, B., Pikula, A., Skorzewska, M., Vanommeslaeghe, H., Van Daele, E., Pattyn, P., Geboes, K., Callebout, E., Ribeiro, S., van Duijvendijk, P., Tromp, C., Sosef, M., Warmerdam, F., Heisterkamp, J., Vera, A., Jorda, E., Lopez-Mozos, F., Fernandez-Moreno, M. C., Barrios-Carvajal, M., Huerta, M., de Steur, W., Lips, I., Diez, M., Castro, S., O'Neill, R., Holyoake, D., Hacker, U., Denecke, T., Kuhnt, T., Hoffmeister, A., Kluge, R., Bostel, T., Grimminger, P., Jedlicka, V., Kristek, J., Pospisil, P., Mourregot, A., Maurin, C., Starling, N., Chong, I., Oncology, CCA - Imaging and biomarkers, CCA - Cancer Treatment and Quality of Life, and AGEM - Amsterdam Gastroenterology Endocrinology Metabolism
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Cancer Research ,neoplasias::neoplasias por localización::neoplasias del sistema digestivo::neoplasias gastrointestinales::neoplasias gástricas [ENFERMEDADES] ,Neoplasm metastasis ,Radiosurgery ,Tumours of the digestive tract Radboud Institute for Health Sciences [Radboudumc 14] ,SDG 3 - Good Health and Well-being ,Metàstasi ,Neoplasms ,Medicine and Health Sciences ,Humans ,Mastectomia ,Oligometastasis ,SURGICAL RESECTION ,Metastasectomy ,Neoplasms::Neoplastic Processes::Neoplasm Metastasis [DISEASES] ,Aparell digestiu - Càncer - Cirurgia ,CHEMOTHERAPY ,Europe ,Surgical Procedures, Operative::Metastasectomy [ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT] ,intervenciones quirúrgicas::metastasectomía [TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS] ,Oncology ,neoplasias::procesos neoplásicos::metástasis neoplásica [ENFERMEDADES] ,JUNCTION ,Gastric neoplasm ,SURVIVAL ,Neoplasms::Neoplasms by Site::Digestive System Neoplasms::Gastrointestinal Neoplasms::Stomach Neoplasms [DISEASES] ,Lymph Nodes ,Oesophageal neoplasm - Abstract
Oesophageal neoplasm; Oligometastasis; Radiosurgery Neoplàsia esofàgica; Oligometàstasi; Radiocirurgia Neoplasia esofágica; Oligometástasis; Radiocirugía Background Consensus about the definition and treatment of oligometastatic oesophagogastric cancer is lacking. Objective To assess the definition and treatment of oligometastatic oesophagogastric cancer across multidisciplinary tumour boards (MDTs) in Europe. Material and methods European expert centers (n = 49) were requested to discuss 15 real-life cases in their MDT with at least a medical, surgical, and radiation oncologist present. The cases varied in terms of location and number of metastases, histology, timing of detection (i.e. synchronous versus metachronous), primary tumour treatment status, and response to systemic therapy. The primary outcome was the agreement in the definition of oligometastatic disease at diagnosis and after systemic therapy. The secondary outcome was the agreement in treatment strategies. Treatment strategies for oligometastatic disease were categorised into upfront local treatment (i.e. metastasectomy or stereotactic radiotherapy), systemic therapy followed by restaging to consider local treatment or systemic therapy alone. The agreement across MDTs was scored to be either absent/poor (
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- 2022
28. Impact of nationwide centralization of oesophageal, gastric, and pancreatic surgery on travel distance and experienced burden in the Netherlands.
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Luijten JCHBM, Nieuwenhuijzen GAP, Sosef MN, de Hingh IHJT, Rosman C, Ruurda JP, van Duijvendijk P, Heisterkamp J, de Steur WO, van Laarhoven HWM, Besselink MG, Groot Koerkamp B, van Santvoort HC, Lemmens VEP, and Vissers PAJ
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- Age Factors, Aged, Female, Health Expenditures, Hospital Planning, Hospitals, Hospitals, High-Volume, Hospitals, Low-Volume, Humans, Logistic Models, Male, Middle Aged, Multivariate Analysis, Netherlands, Referral and Consultation, Surveys and Questionnaires, Cost of Illness, Digestive System Surgical Procedures, Esophageal Neoplasms surgery, Health Services Accessibility, Pancreatic Neoplasms surgery, Stomach Neoplasms surgery, Surgical Oncology organization & administration, Travel
- Abstract
Background: This study aims to assess the impact of nationwide centralization of surgery on travel distance and travel burden among patients with oesophageal, gastric, and pancreatic cancer according to age in the Netherlands. As centralization of care increases to improve postoperative outcomes, travel distance and experienced burden might increase., Materials and Methods: All patients who underwent surgery between 2006 and 2017 for oesophageal, gastric and pancreatic cancer in the Netherlands were included. Travel distance between patient's home address and hospital of surgery in kilometres was calculated. Questionnaires were used to assess experienced travel burden in a subpopulation (n = 239). Multivariable ordinal logistic regression models were constructed to identify predictors for longer travel distance., Results: Over 23,838 patients were included, in whom median travel distance for surgical care increased for oesophageal cancer (n = 9217) from 18 to 28 km, for gastric cancer (n = 6743) from 9 to 26 km, and for pancreatic cancer (n = 7878) from 18 to 25 km (all p < 0.0001). Multivariable analyses showed an increase in travel distance for all cancer types over time. In general, patients experienced a physical and social burden, and higher financial costs, due to traveling extra kilometres. Patients aged >70 years travelled less often independently (56% versus 68%), as compared to patients aged ≤70 years., Conclusion: With nationwide centralization, travel distance increased for patients undergoing oesophageal, gastric, and pancreatic cancer surgery. Younger patients travelled longer distances and experienced a lower travel burden, as compared to elderly patients. Nevertheless, on a global scale, travel distances in the Netherlands remain limited., Competing Interests: Declaration of competing interest None declared., (Copyright © 2021 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.)
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- 2022
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29. Adjuvant chemotherapy is superior to chemoradiation after D2 surgery for gastric cancer in the per-protocol analysis of the randomized CRITICS trial.
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de Steur WO, van Amelsfoort RM, Hartgrink HH, Putter H, Meershoek-Klein Kranenbarg E, van Grieken NCT, van Sandick JW, Claassen YHM, Braak JPBM, Jansen EPM, Sikorska K, van Tinteren H, Walraven I, Lind P, Nordsmark M, van Berge Henegouwen MI, van Laarhoven HWM, Cats A, Verheij M, and van de Velde CJH
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- Chemotherapy, Adjuvant, Humans, Netherlands epidemiology, Sweden, Antineoplastic Combined Chemotherapy Protocols, Chemoradiotherapy, Adjuvant, Stomach Neoplasms drug therapy, Stomach Neoplasms surgery
- Abstract
Background: The Intergroup 0116 and the MAGIC trials changed clinical practice for resectable gastric cancer in the Western world. In these trials, overall survival improved with post-operative chemoradiotherapy (CRT) and perioperative chemotherapy (CT). Intention-to-treat analysis in the CRITICS trial of post-operative CT or post-operative CRT did not show a survival difference. The current study reports on the per-protocol (PP) analysis of the CRITICS trial., Patients and Methods: The CRITICS trial was a randomized, controlled trial in which 788 patients with stage Ib-Iva resectable gastric or esophagogastric adenocarcinoma were included. Before start of preoperative CT, patients from the Netherlands, Sweden and Denmark were randomly assigned to receive post-operative CT or CRT. For the current analysis, only patients who started their allocated post-operative treatment were included. Since it is uncertain that the two treatment arms are balanced in such PP analysis, adjusted proportional hazards regression analysis and inverse probability weighted analysis were used to minimize the risk of selection bias and to estimate and compare overall and event-free survival., Results: Of the 788 patients, 478 started post-operative treatment according to protocol, 233 (59%) patients in the CT group and 245 (62%) patients in the CRT group. Patient and tumor characteristics between the groups before start of the post-operative treatment were not different. After a median follow-up of 6.7 years since the start of post-operative treatment, the 5-year overall survival was 57.9% (95% confidence interval: 51.4% to 64.3%) in the CT group versus 45.5% (95% confidence interval: 39.2% to 51.8%) in the CRT group (adjusted hazard ratio CRT versus CT: 1.62 (1.24-2.12), P = 0.0004). Inverse probability weighted analysis resulted in similar hazard ratios., Conclusion: After adjustment for all known confounding factors, the PP analysis of patients who started the allocated post-operative treatment in the CRITICS trial showed that the CT group had a significantly better 5-year overall survival than the CRT group (NCT00407186)., Competing Interests: Disclosure MIVBH reports grants from Olympus and Stryker; personal fees from Johnson and Johnson, Medtronic, Mylan and Alesi Surgical. All fees paid to institution outside the submitted work. All remaining authors have declared no conflicts of interest., (Copyright © 2021 The Authors. Published by Elsevier Ltd.. All rights reserved.)
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- 2021
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30. The value of tumor-stroma ratio as predictor of pathologic response after neoadjuvant chemoradiotherapy in esophageal cancer.
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van Pelt GW, Krol JA, Lips IM, Peters FP, van Klaveren D, Boonstra JJ, de Steur WO, Tollenaar RAEM, Farina Sarasqueta A, Mesker WE, and Slingerland M
- Abstract
Background and Purpose: With currently available techniques, the prediction of pathologic complete response after neoadjuvant chemoradiotherapy is insufficient. The tumor-stroma ratio (TSR) has proven to be a predictor of survival for several types of cancer, including esophageal. The aim of this study was to investigate the value of TSR in predicting pathologic response after neoadjuvant chemoradiotherapy in esophageal cancer patients., Materials and Methods: Patients with esophageal adenocarcinoma or squamous cell carcinoma who received neoadjuvant chemoradiotherapy followed by a resection were selected. Haematoxylin and eosin (H&E) stained sections of diagnostic biopsies were collected and TSR was independently assessed by two investigators. Patients were categorized in stroma-low (≤50% stroma) and stroma-high (>50% stroma) groups for further analyses. The tumor regression grade (TRG) was assessed on H&E stained sections of the resected primary tumor to determine pathologic response., Results: A total of 94 patients were included in this study, of which 76 patients were categorized as stroma-low and 18 as stroma-high. Forty-two (45%) patients had a major pathologic response (TRG 1-2), whereas 52 (55%) were considered non-responders. After adjustment for gender, tumor type, cT-status and differentiation grade, patients with a stroma-high tumor showed a higher chance of no response compared to patients with a stroma-low tumor (OR 3.57, 95%CI 1.03-12.31, P = 0.04)., Conclusion: TSR showed to have the potential to aid in the prediction of pathologic response in esophageal cancer patients receiving neoadjuvant chemoradiotherapy. Larger validation studies are necessary before implementing this method in daily practice., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2019 The Author(s).)
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- 2019
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31. North European comparison of treatment strategy and survival in older patients with resectable gastric cancer: A EURECCA upper gastrointestinal group analysis.
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Claassen YHM, Dikken JL, Hartgrink HH, de Steur WO, Slingerland M, Verhoeven RHA, van Eycken E, de Schutter H, Johansson J, Rouvelas I, Johnson E, Hjortland GO, Jensen LS, Larsson HJ, Allum WH, Portielje JEA, Bastiaannet E, and van de Velde CJH
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- Aged, Aged, 80 and over, Europe epidemiology, Female, Humans, Male, Neoplasm Grading, Neoplasm Staging, Registries, Stomach Neoplasms mortality, Stomach Neoplasms pathology, Stomach Neoplasms therapy, Survival Rate, Stomach Neoplasms surgery
- Abstract
Background: As older gastric cancer patients are often excluded from randomized clinical trials, the most appropriate treatment strategy for these patients remains unclear. The current study aimed to gain more insight in treatment strategies and relative survival of older patients with resectable gastric cancer across Europe., Methods: Population-based cohorts from Belgium, Denmark, The Netherlands, Norway, and Sweden were combined. Patients ≥70 years with resectable gastric cancer (cT1-4a, cN0-2, cM0), diagnosed between 2004 and 2014 were included. Resection rates, administration of chemotherapy (irrespective of surgery), and relative survival within a country according to stage were determined., Results: Overall, 6698 patients were included. The percentage of operated patients was highest in Belgium and lowest in Sweden for both stage II (74% versus 56%) and stage III disease (57% versus 25%). For stage III, chemotherapy administration was highest in Belgium (44%) and lowest in Sweden (2%). Three year relative survival for stage I, II, and III disease in Belgium was 67.8% (95% CI:62.8-72.6), 41.2% (95% CI:37.3-45.2), 17.8% (95% CI:12.5-24.0), compared with 56.7% (95% CI:51.5-61.7), 31.3% (95% CI:27.6-35.2), 8.2% (95% CI:4.4-13.4) in Sweden. There were no significant differences in treatment strategies of patients with stage I disease., Conclusion: Substantial treatment differences are observed across North European countries for patients with stages II and III resectable gastric cancer aged 70 years or older. In the present comparison, treatment strategies with a higher proportion of patients undergoing surgery seemed to be associated with higher survival rates for patients with stages II or III disease., (Copyright © 2018. Published by Elsevier Ltd.)
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- 2018
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32. Management of resectable esophageal and gastric (mixed adeno)neuroendocrine carcinoma: A nationwide cohort study.
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van der Veen A, Seesing MFJ, Wijnhoven BPL, de Steur WO, van Berge Henegouwen MI, Rosman C, van Sandick JW, Mook S, Haj Mohammad N, Ruurda JP, Brosens LAA, and van Hillegersberg R
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- Adenocarcinoma mortality, Adenocarcinoma pathology, Aged, Biopsy, Carcinoma, Neuroendocrine mortality, Carcinoma, Neuroendocrine pathology, Esophageal Neoplasms mortality, Esophageal Neoplasms pathology, Female, Humans, Male, Middle Aged, Neoadjuvant Therapy, Neoplasm Grading, Netherlands epidemiology, Postoperative Complications epidemiology, Stomach Neoplasms mortality, Stomach Neoplasms pathology, Survival Rate, Treatment Outcome, Adenocarcinoma surgery, Carcinoma, Neuroendocrine surgery, Esophageal Neoplasms surgery, Stomach Neoplasms surgery
- Abstract
Introduction: The aim of this study is to provide insight in accuracy of diagnosing, current treatment and survival in patients with resectable esophageal and gastric neuroendocrine- and mixed adenoneuroendocrine carcinomas (NEC, MANEC)., Methods: All patients with esophageal or gastric (MA)NEC, who underwent surgical resection between 2006 and 2016, were identified from the Dutch national registry for histo- and cytopathology (PALGA). Patients with a neuroendocrine tumor lower than grade 3 were excluded. Data on patients, treatment and outcomes were retrieved from the patient records. Diagnosis by endoscopic biopsy was compared with diagnosis by resection specimen. Kaplan Meier survival analysis was performed., Results: A total of 49 patients were identified in 25 hospitals, including 21 patients with esophageal (MA)NEC and 26 patients with gastric (MA)NEC on resection specimen. Biopsy diagnosis of (MA)NEC was correct in 23/27 patients. However, 20/47 patients with definitive diagnosis of (MA)NEC, were misdiagnosed on biopsy. Neoadjuvant therapy was administered in 13 (62%) esophageal (MA)NECs and 12 (46%) gastric (MA)NECs. Survival curves were similar with and without neoadjuvant therapy. One (4.8%) esophageal (MA)NEC and 4 (15%) gastric (MA)NECs died within 90 days postoperatively. For esophageal (MA)NEC the median overall survival (OS) after surgery was 37 months and 1-, 3- and 5-year OS were 71%, 50% and 35%, respectively. For gastric (MA)NEC, the median OS was 23 months and 1-, 3- and 5-year OS were 62%, 50% and 39%, respectively., Conclusion: Localized esophageal and gastric (MA)NEC are often misdiagnosed on endoscopic biopsies. After resection, long-term survival was achieved in respectively 35% and 39% of patients., (Copyright © 2018. Published by Elsevier Ltd.)
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- 2018
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33. Surgical morbidity and mortality after neoadjuvant chemotherapy in the CRITICS gastric cancer trial.
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Claassen YHM, Hartgrink HH, Dikken JL, de Steur WO, van Sandick JW, van Grieken NCT, Cats A, Trip AK, Jansen EPM, Meershoek-Klein Kranenbarg WM, Braak JPBM, Putter H, van Berge Henegouwen MI, Verheij M, and van de Velde CJH
- Subjects
- Adult, Aged, Aged, 80 and over, Anastomotic Leak epidemiology, Capecitabine administration & dosage, Cisplatin administration & dosage, Epirubicin administration & dosage, Esophagectomy, Female, Humans, Induction Chemotherapy, Logistic Models, Lymph Node Excision, Male, Middle Aged, Multivariate Analysis, Organoplatinum Compounds administration & dosage, Oxaliplatin, Randomized Controlled Trials as Topic, Risk Factors, Sex Factors, Splenectomy, Antineoplastic Combined Chemotherapy Protocols therapeutic use, Gastrectomy, Mortality, Neoadjuvant Therapy, Postoperative Complications epidemiology, Stomach Neoplasms therapy
- Abstract
Background: In order to determine the optimal combination of perioperative chemotherapy and chemoradiotherapy for Western patients with advanced resectable gastric cancer, the international multicentre CRITICS trial (ChemoRadiotherapy after Induction chemotherapy In Cancer of the Stomach) was initiated. In this trial, patients with resectable gastric cancer were randomised before start of treatment between adjuvant chemotherapy or adjuvant chemoradiotherapy following neoadjuvant chemotherapy plus gastric cancer resection. The purpose of this study was to report on surgical morbidity and mortality in this trial, and to identify factors associated with surgical morbidity., Methods: Patients who underwent a gastrectomy with curative intent were selected. Logistic regression analyses were used to assess risk factors for developing postoperative complications., Results: Between 2007 and 2015, 788 patients were included in the CRITICS trial, of whom 636 patients were eligible for current analyses. Complications occurred in 296 patients (47%). Postoperative mortality was 2.2% (n = 14). Complications due to anastomotic leakage was cause of death in 5 patients. Failure to complete preoperative chemotherapy (OR = 2.09, P = 0.004), splenectomy (OR = 2.82, P = 0.012), and male sex (OR = 1.55, P = 0.020) were associated with a greater risk for postoperative complications. Total gastrectomy and oesophago-cardia resection were associated with greater risk for morbidity compared with subtotal gastrectomy (OR = 1.88, P = 0.001 and OR = 1.89, P = 0.038)., Conclusion: Compared to other Western studies, surgical morbidity in the CRITICS trial was slightly higher whereas mortality was low. Complications following anastomotic leakage was the most important factor for postoperative mortality. Important proxies for developing postoperative complications were failure to complete preoperative chemotherapy, splenectomy, male sex, total gastrectomy, and oesophago-cardia resection., (Copyright © 2018. Published by Elsevier Ltd.)
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- 2018
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34. Description and analysis of clinical pathways for oesophago-gastric adenocarcinoma, in 10 European countries (the EURECCA upper gastro intestinal group - European Registration of Cancer Care).
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Messager M, de Steur W, Boelens PG, Jensen LS, Mariette C, Reynolds JV, Osorio J, Pera M, Johansson J, Kołodziejczyk P, Roviello F, De Manzoni G, Mönig SP, and Allum WH
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- Adenocarcinoma diagnosis, Adenocarcinoma pathology, Animals, Denmark, Esophageal Neoplasms diagnosis, Esophageal Neoplasms pathology, Europe, France, Gastroenterologists, Germany, Health Policy, Humans, Ireland, Italy, Neoplasm Staging, Netherlands, Oncologists, Patient Care Team, Poland, Quality of Health Care, Spain, Stomach Neoplasms diagnosis, Stomach Neoplasms pathology, Surgeons, Surveys and Questionnaires, Sweden, Time Factors, United Kingdom, Adenocarcinoma therapy, Critical Pathways, Esophageal Neoplasms therapy, Registries, Stomach Neoplasms therapy
- Abstract
Aims: Outcomes for patients with oesophago-gastric cancer are variable across Europe. The reasons for this variability are not clear. The aim of this study was to describe and analyse clinical pathways to understand differences in service provision for oesophageal and gastric cancer in the countries participating in the EURECCA Upper GI group., Methods: A questionnaire was devised to assess clinical presentation, diagnosis, staging, treatment, pathology, follow-up and service frameworks across Europe for patients with oesophageal and gastric cancer. The questionnaire was issued to experts from 14 countries. The responses were analysed quantitatively and qualitatively and compared., Results: The response rate was (10/14) 71.4%. The approach to diagnosis was similar. Most countries established a diagnosis within 3 weeks of presentation. However, there were different approaches to staging with variable use of endoscopic ultrasound reflecting availability. There has been centralisation of treatments in most countries for oesophageal surgery. The most consistent area was the approach to pathology. There were variations in access to specialist nurse and dietitian support. Although most countries have multidisciplinary teams, their composition and frequency of meetings varied. The two main areas of significant difference were research and audit and overall service provision. Observations on service framework indicated that limited resources restricted many of the services., Conclusion: The principle approaches to diagnosis, treatment and pathology were similar. Factors affecting the quality of patient experience were variable. This may reflect availability of resources. Standard pathways of care may enhance both the quality of treatment and patient experience., (Copyright © 2016 Elsevier Ltd. All rights reserved.)
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- 2016
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35. Esophageal and Gastric Cancer Pearl: a nationwide clinical biobanking project in the Netherlands.
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Haverkamp L, Parry K, van Berge Henegouwen MI, van Laarhoven HW, Bonenkamp JJ, Bisseling TM, Siersema PD, Sosef MN, Stoot JH, Beets GL, de Steur WO, Hartgrink HH, Verspaget HW, van der Peet DL, Plukker JT, van Etten B, Wijnhoven BP, van Lanschot JJ, van Hillegersberg R, and Ruurda JP
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- Academic Medical Centers, Female, Humans, Male, Neoplasm Recurrence, Local pathology, Netherlands, Prospective Studies, Blood Banks organization & administration, Databases, Factual, Esophageal Neoplasms pathology, Stomach Neoplasms pathology, Tissue Banks organization & administration
- Abstract
Esophageal and gastric cancer is associated with a poor prognosis since many patients develop recurrent disease. Treatment requires specific expertise and a structured multidisciplinary approach. In the Netherlands, this type of expertise is mainly found at the University Medical Centers (UMCs) and a few specialized nonacademic centers. Aim of this study is to implement a national infrastructure for research to gain more insight in the etiology and prognosis of esophageal and gastric cancer and to evaluate and improve the response on (neoadjuvant) treatment. Clinical data are collected in a prospective database, which is linked to the patients' biomaterial. The collection and storage of biomaterial is performed according to standard operating procedures in all participating UMCs as established within the Parelsnoer Institute. The collected biomaterial consists of tumor biopsies, blood samples, samples of malignant and healthy tissue of the resected specimen and biopsies of recurrence. The collected material is stored in the local biobanks and is encoded to respect the privacy of the donors. After approval of the study was obtained from the Institutional Review Board, the first patient was included in October 2014. The target aim is to include 300 patients annually. In conclusion, the eight UMCs of the Netherlands collaborated to establish a nationwide database of clinical information and biomaterial of patients with esophageal and gastric cancer. Due to the national coverage, a high number of patients are expected to be included. This will provide opportunity for future studies to gain more insight in the etiology, treatment and prognosis of esophageal and gastric cancer., (© 2015 International Society for Diseases of the Esophagus.)
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- 2016
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36. Variations among 5 European countries for curative treatment of resectable oesophageal and gastric cancer: A survey from the EURECCA Upper GI Group (EUropean REgistration of Cancer CAre).
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Messager M, de Steur WO, van Sandick JW, Reynolds J, Pera M, Mariette C, Hardwick RH, Bastiaannet E, Boelens PG, van deVelde CJ, and Allum WH
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- Adenocarcinoma mortality, Adenocarcinoma pathology, Adenocarcinoma surgery, Adult, Aged, Carcinoma, Squamous Cell mortality, Carcinoma, Squamous Cell pathology, Carcinoma, Squamous Cell surgery, Cross-Sectional Studies, Disease-Free Survival, Esophageal Neoplasms pathology, Esophagectomy methods, Esophagectomy mortality, Esophagogastric Junction pathology, Female, France, Gastrectomy methods, Gastrectomy mortality, Humans, Ireland, Male, Middle Aged, Netherlands, Risk Assessment, Spain, Stomach Neoplasms pathology, Survival Analysis, United Kingdom, Esophageal Neoplasms mortality, Esophageal Neoplasms surgery, Esophagogastric Junction surgery, Registries, Stomach Neoplasms mortality, Stomach Neoplasms surgery
- Abstract
Introduction: EURECCA (EUropean REgistration of Cancer CAre) is a network aiming to improve cancer care by auditing outcome. EURECCA initiated an international survey to share and compare patient outcome for oesophagogastric cancer. The present study assessed how a uniform dataset could be introduced for oesophagogastric cancer in Europe., Methods: Participating countries presented data using common data items describing patients', disease, strategies, and outcome characteristics. Patients treated with curative surgery for squamous cell carcinoma (SCC) or adenocarcinoma (ACA) were included., Results: United Kingdom, the Netherlands, France, Spain and Ireland participated. There were differences in data source ranging from national registries to large collaborative groups. 4668 oesophagogastric cancer cases over a 12 months period were included. The predominant histological type was ACA. Disease stage tended to be earlier in France and Ireland. In oesophageal and junctional cancers neoadjuvant chemoradiotherapy was preferred in the Netherlands and Ireland contrasting with chemotherapy in the UK and France. All countries used perioperative chemotherapy in gastric cancer but 1/3 of patients received this treatment. The mean R0 resection rate was 86% for oesophageal and junctional resections and 88% for gastric resections. Postoperative mortality varied from 1% to 7%., Conclusion: This European survey shown that implementing a uniform treatment and outcome data format of oesophagogastric cancer is feasible. It identified differences in disease presentation, treatment approaches and outcome, which need to be investigated, especially by increasing the number of participating countries. Future comparisons will facilitate developments in treatment for the benefit of patient outcomes., (Copyright © 2015 Elsevier Ltd. All rights reserved.)
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- 2016
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37. Common data items in seven European oesophagogastric cancer surgery registries: towards a European upper GI cancer audit (EURECCA Upper GI).
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de Steur WO, Henneman D, Allum WH, Dikken JL, van Sandick JW, Reynolds J, Mariette C, Jensen L, Johansson J, Kolodziejczyk P, Hardwick RH, and van de Velde CJ
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- Databases as Topic, Denmark, Esophageal Neoplasms mortality, Esophageal Neoplasms pathology, Esophagogastric Junction pathology, European Union, Female, France, Humans, International Cooperation, Male, Netherlands, Poland, Stomach Neoplasms mortality, Stomach Neoplasms pathology, Sweden, United Kingdom, Esophageal Neoplasms surgery, Esophagogastric Junction surgery, Medical Audit, Quality Assurance, Health Care, Registries standards, Stomach Neoplasms surgery
- Abstract
Aims: Seven countries (Denmark, France, Ireland, the Netherlands, Poland, Sweden, United Kingdom) collaborated to initiate a EURECCA (European Registration of Cancer Care) Upper GI project. The aim of this study was to identify a core dataset of shared items in the different data registries which can be used for future collaboration between countries., Methods: Item lists from all participating Upper GI cancer registries were collected. Items were scored 'present' when included in the registry, or when the items could be deducted from other items in the registry. The definition of a common item was that it was present in at least six of the seven participating countries., Results: The number of registered items varied between 40 (Poland) and 650 (Ireland). Among the 46 shared items were data on patient characteristics, staging and diagnostics, neoadjuvant treatment, surgery, postoperative course, pathology, and adjuvant treatment. Information on non-surgical treatment was available in only 4 registries., Conclusions: A list of 46 shared items from seven participating Upper GI cancer registries was created, providing a basis for future quality assurance and research in Upper GI cancer treatment on a European level., (Copyright © 2013 Elsevier Ltd. All rights reserved.)
- Published
- 2014
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