Surgical treatment of esophageal cancer: Quality and accessibility in Quebec

01-16-2018 | Cancérologie

Notice Santécom: 108923

Esophageal cancer is uncommon in Quebec (500 new cases in 2017). Few patients with this disease are eligible for esophagectomy, a complex surgery which quality of care and clinical outcomes depend on many organizational conditions as well as on the volume of interventions and on the surgeon’s expertise.

In this opinion, the Institut national d’excellence en santé et services sociaux (INESSS) proposes strategies to improve the quality of care and services with regard to treatment of patients suffering from esophageal cancer, more specifically of those who are undergoing esophageal surgery. The impact of centralizing care and services is considered from different perspectives. This report with recommendations presents: a) a review of quality standards related to esophageal surgery; b) a picture of the practice of esophagectomy in Quebec; and c) a review of the literature and the results of a consultation on the perspective of patients.

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