Is It Time to Centralize High-risk Cancer Care in the United States? Comparison of Outcomes of Esophagectomy Between England and the United States

International comparison of in-hospital mortality after esophagectomy was undertaken using administrative data sets from the United States and England. Overall mortality was higher in the United States. However, when only high-volume centers were compared, US mortality was lower than that seen in English centers, supporting the concept of centralizing high-risk cancer surgery.