Universität zu Köln

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. (2016). 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). EJSO, 42 (9). S. 1432 - 1448. OXFORD: ELSEVIER SCI LTD. ISSN 1532-2157

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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.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Messager, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED de Steur, W. UNSPECIFIED UNSPECIFIED UNSPECIFIED Boelens, P. G. UNSPECIFIED UNSPECIFIED UNSPECIFIED Jensen, L. S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Marlette, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Reynolds, J. V. UNSPECIFIED UNSPECIFIED UNSPECIFIED Osorio, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Pera, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Johansson, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kolodziejczyk, P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Roviello, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED De Manzoni, G. UNSPECIFIED UNSPECIFIED UNSPECIFIED Moenig, S. P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Allum, W. H. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-264471
DOI:	10.1016/j.ejso.2016.01.001
Journal or Publication Title:	EJSO
Volume:	42
Number:	9
Page Range:	S. 1432 - 1448
Date:	2016
Publisher:	ELSEVIER SCI LTD
Place of Publication:	OXFORD
ISSN:	1532-2157
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ESOPHAGEAL CANCER; FOLLOW-UP; REMAINING CHALLENGES; PRACTICE GUIDELINES; UPPER GI; REORGANIZATION; DIAGNOSIS; CONSENSUS; PROGRESS; ENGLAND Multiple languages Oncology; Surgery Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/26447