Lorenz D, Bruns C J, Buhr H J
Klinik für Allgemein‑, Viszeral- und Thoraxchirurgie, Klinikum Darmstadt GmbH, Grafenstraße 9, 64283, Darmstadt, Deutschland.
Klinik und Poliklinik für Allgemein‑, Viszeral‑, Tumor- und Transplantationschirurgie, Uniklinik Köln, Kerpener Str. 62, 50937, Köln, Deutschland.
Chirurg. 2021 Nov;92(11):1021-1024. doi: 10.1007/s00104-021-01517-3. Epub 2021 Oct 1.
A positive association between the number of operations and postoperative hospital mortality, the so-called caseload-treatment result relation, has been confirmed many times in the literature; however, the definition of the underlying volumes is not uniform. The number of 26 resections/year/institution, which has now been established by the Federal Joint Committee as the future minimum caseload requirement, is discussed in this statement of the surgical working group upper gastrointestinal tract (CAOGI) and the quality committee of the German Society for General and Visceral Surgery (DGAV), taking the treatment situation in Germany and the current data situation into account.
手术数量与术后医院死亡率之间的正相关关系,即所谓的病例量-治疗结果关系,已在文献中多次得到证实;然而,基础手术量的定义并不统一。联邦联合委员会现已确定每年/机构26例切除术为未来最低病例量要求,本上消化道外科工作组(CAOGI)声明以及德国普通和内脏外科学会(DGAV)质量委员会在考虑德国治疗情况和当前数据情况的基础上对此进行了讨论。