{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T07:17:35Z","timestamp":1790839055861,"version":"4.1.0"},"reference-count":29,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2024,4,27]],"date-time":"2024-04-27T00:00:00Z","timestamp":1714176000000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,8,29]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Reasons for structural and outcome differences in esophageal cancer surgery in Western Europe remain unclear. This questionnaire study aimed to identify differences in the organization of esophageal cancer surgical care in Western Europe. A cross-sectional international questionnaire study was conducted among upper gastrointestinal (GI) surgeons from Western Europe. One surgeon per country was selected based on scientific output and active membership in the European Society for Diseases of the Esophagus or (inter)national upper GI committee. The questionnaire consisted of 51 structured questions on the structural organization of esophageal cancer surgery, surgical training, and clinical audit processes. Between October 2021 and October 2022, 16 surgeons from 16 European countries participated in this study. In 5 countries (31%), a volume threshold was present ranging from 10 to 26 annual esophagectomies, in 7 (44%) care was centralized in designated centers, and in 4 (25%) no centralizing regulations were present. The number of centers performing esophageal cancer surgery per country differed from 4 to 400, representing 0.5\u20134.9 centers per million inhabitants. In 4 countries (25%), esophageal cancer surgery was part of general surgical training and 8 (50%) reported the availability of upper GI surgery fellowships. A national audit for upper GI surgery was present in 8 (50%) countries. If available, all countries use the audit to monitor the quality of care. Substantial differences exist in the organization and centralization of esophageal cancer surgical care in Western Europe. The exchange of experience in the organizational aspects of care could further improve the results of esophageal cancer surgical care in Europe.<\/jats:p>","DOI":"10.1093\/dote\/doae033","type":"journal-article","created":{"date-parts":[[2024,4,27]],"date-time":"2024-04-27T01:41:30Z","timestamp":1714182090000},"source":"Crossref","is-referenced-by-count":15,"title":["Western European Variation in the Organization of Esophageal Cancer Surgical Care"],"prefix":"10.1093","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5677-1264","authenticated-orcid":false,"given":"Maurits R","family":"Visser","sequence":"first","affiliation":[{"name":"Department of Surgery, University Medical Center Utrecht , Utrecht , the Netherlands"},{"name":"Scientific Bureau, Dutch Institute for Clinical Auditing , Leiden , the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daan M","family":"Voeten","sequence":"additional","affiliation":[{"name":"Department of Surgery, Amsterdam UMC location University of Amsterdam , Amsterdam , the Netherlands"},{"name":"Cancer Treatment and Quality of Life, Cancer Center Amsterdam , Amsterdam , the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne S","family":"Gisbertz","sequence":"additional","affiliation":[{"name":"Department of Surgery, Amsterdam UMC location University of Amsterdam , Amsterdam , the Netherlands"},{"name":"Cancer Treatment and Quality of Life, Cancer Center Amsterdam , Amsterdam , the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jelle P","family":"Ruurda","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Medical Center Utrecht , Utrecht , the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael P","family":"Achiam","sequence":"additional","affiliation":[{"name":"Department of Surgery and Transplantation, Copenhagen University Hospital Rigshospitalet , Copenhagen , Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magnus","family":"Nilsson","sequence":"additional","affiliation":[{"name":"Department of Upper Gastrointestinal Diseases, Karolinska University Hospital and Department of Clinical Science Technology and Interventions , Stockholm , Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheraz R","family":"Markar","sequence":"additional","affiliation":[{"name":"Nuffield Department of Surgical Sciences, University of Oxford , Oxford , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel","family":"Pera","sequence":"additional","affiliation":[{"name":"Section of Gastrointestinal Surgery, Hospital del Mar, Department of Surgery, Universitat Aut\u00f2noma de Barcelona, Hospital del Mar Medical Research Institute (IMIM) , Barcelona , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riccardo","family":"Rosati","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, IRCCS San Raffaele Scientific Institute , Milan , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guillaume","family":"Piessen","sequence":"additional","affiliation":[{"name":"Department of Digestive and Oncological Surgery, Claude Huriez University Hospital , Lille , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Nafteux","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, University Hospitals Leuven , Leuven , Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian A","family":"Gutschow","sequence":"additional","affiliation":[{"name":"Department of Surgery and Transplantation, University Hospital Zurich , Zurich , Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1859-9213","authenticated-orcid":false,"given":"Peter P","family":"Grimminger","sequence":"additional","affiliation":[{"name":"Department of General , Visceral and Transplant Surgery, , Mainz , Germany"},{"name":"University Medical Center of the Johannes Gutenberg University Mainz , Visceral and Transplant Surgery, , Mainz , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jari V","family":"R\u00e4s\u00e4nen","sequence":"additional","affiliation":[{"name":"Department of General Thoracic and Esophageal Surgery , Heart and Lung Centre, , Helsinki , Finland"},{"name":"Helsinki University Hospital , Heart and Lung Centre, , Helsinki , Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John V","family":"Reynolds","sequence":"additional","affiliation":[{"name":"Trinity St. James\u2019s Cancer Institute, St. James\u2019s Hospital , Dublin , Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans-Olaf","family":"Johannessen","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, Oslo University Hospital , Oslo , Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pedro","family":"Vieira","sequence":"additional","affiliation":[{"name":"Digestive Cancer Unit, Champalimaud Clinical Centre \u2013 Champalimaud Foundation , Lisbon , Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Weitzendorfer","sequence":"additional","affiliation":[{"name":"Department of Surgery, Paracelsus Medical University Salzburg , Salzburg , Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aristotelis","family":"Kechagias","sequence":"additional","affiliation":[{"name":"Department of Surgery, Athens Metropolitan Hospital , Athens , Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark 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