European Journal of Surgical Oncology
Volume 36 , Pages S3-S13 , September 2010

The quality of cancer care initiative in the Netherlands

  • M.W.J.M. Wouters

      Affiliations

    • Department of Surgical Oncology, The Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands
    • Corresponding Author InformationCorresponding author. Tel.: +31 20 5129111.
    • ,
  • M.L.E.A. Jansen-Landheer

      Affiliations

    • Chief Executive Officer of Comprehensive Cancer Centre Amsterdam, Amsterdam, The Netherlands
    • ,
  • C.J.H. van de Velde

      Affiliations

    • Chair of Quality of Cancer Care task force of the Dutch Cancer Society, Amsterdam, The Netherlands
    • Department of Surgical Oncology, Leiden University Medical Center, Leiden, The Netherlands

,Accepted 1 June 2010.

References 

  1. Institute of Medicine committee on Quality of Health Care in America . Crossing the quality Chasm: a new health system for the 21st Century. Washington, D.C: National Academy Press; 2001;
  2. Birkmeyer JD, Siewers AE, Finlayson EV, et al. Hospital volume and surgical mortality in the United States. N Engl J Med. 2002;346(15):1128–1137
  3. Lemmens VE, Verheij CD, Janssen-Heijnen ML, et al. Mixed adherence to clinical practice guidelines for colorectal cancer in the Southern Netherlands in 2002. Eur J Surg Oncol. 2006;32(2):168–173
  4. Li WW, Visser O, Ubbink DT, et al. The influence of provider characteristics on resection rates and survival in patients with localized non-small cell lung cancer. Lung Cancer. 2008;60(3):441–451
  5. Coleman MP, Gatta G, Verdecchia A, et al. EUROCARE-3 summary: cancer survival in Europe at the end of the 20th century. Ann Oncol. 2003;14(Suppl. 5):v128–v149
  6. Moller H, Linklater KM, Robinson D. A visual summary of the EUROCARE-4 results: a UK perspective. Br J Cancer. 2009;101(Suppl. 2):S110–S114
  7. Engelen MJ, Kos HE, Willemse PH, et al. Surgery by consultant gynecologic oncologists improves survival in patients with ovarian carcinoma. Cancer. 2006;106(3):589–598
  8. Gouma DJ, van Geenen RC, van Gulik TM, et al. Rates of complications and death after pancreaticoduodenectomy: risk factors and the impact of hospital volume. Ann Surg. 2000;232(6):786–795
  9. van Lanschot JJ, Hulscher JB, Buskens CJ, et al. Hospital volume and hospital mortality for esophagectomy. Cancer. 2001;91(8):1574–1578
  10. Wouters MW, Wijnhoven BP, Karim-Kos HE, et al. High-volume versus low-volume for esophageal resections for cancer: the essential role of case-mix adjustments based on clinical data. Ann Surg Oncol. 2007;
  11. Wouters MW, Karim-Kos HE, Le Cessie S, et al. Centralization of esophageal cancer surgery: does it improve clinical outcome?. Ann Surg Oncol. 2009;
  12. Gouma DJ, de Wit LT, Berge Henegouwen MI, et al. Hospital experience and hospital mortality following partial pancreaticoduodenectomy in the Netherlands. Ned Tijdschr Geneeskd. 1997;141(36):1738–1741
  13. van Heek NT, Kuhlmann KF, Scholten RJ, et al. Hospital volume and mortality after pancreatic resection: a systematic review and an evaluation of intervention in the Netherlands. Ann Surg. 2005;242(6):781–788discussion
  14. Wouters MW, Krijnen P, Le Cessie S, et al. Volume- or outcome-based referral to improve quality of care for esophageal cancer surgery in the Netherlands. J Surg Oncol. 2009;99(8):481–487
  15. Hiotis K, Ye W, Sposto R, et al. Predictors of breast conservation therapy: size is not all that matters. Cancer. 2005;103(5):892–899
  16. Rutegard M, Lagergren P. No influence of surgical volume on patients’ health-related quality of life after esophageal cancer resection. Ann Surg Oncol. 2008;15(9):2380–2387
  17. Verhoef C, van de Weyer R, Schaapveld M, et al. Better survival in patients with esophageal cancer after surgical treatment in University hospitals: a plea for performance by surgical oncologists. Ann Surg Oncol. 2007;14(5):1678–1687
  18. Chen SC, Bravata DM, Weil E, et al. A comparison of dermatologists’ and primary care physicians’ accuracy in diagnosing melanoma: a systematic review. Arch Dermatol. 2001;137(12):1627–1634
  19. Khan J, Damato BE. Accuracy of choroidal melanoma diagnosis by general ophthalmologists: a prospective study. Eye (Lond). 2007;21(5):595–597
  20. Lee SH, Chung IK, Kim SJ, et al. An adequate level of training for technical competence in screening and diagnostic colonoscopy: a prospective multicenter evaluation of the learning curve. Gastrointest Endosc. 2008;67(4):683–689
  21. Lemmens VE, van Lijnschoten I, Janssen-Heijnen ML, et al. Pathology practice patterns affect lymph node evaluation and outcome of colon cancer: a population-based study. Ann Oncol. 2006;17(12):1803–1809
  22. van Vliet EP, Eijkemans MJ, Poley JW, et al. Staging of esophageal carcinoma in a low-volume EUS center compared with reported results from high-volume centers. Gastrointest Endosc. 2006;63(7):938–947
  23. van Vliet EP, Hermans JJ, De Wever W, et al. Radiologist experience and CT examination quality determine metastasis detection in patients with esophageal or gastric cardia cancer. Eur Radiol. 2008;18(11):2475–2484
  24. Wong SL, Ji H, Hollenbeck BK, et al. Hospital lymph node examination rates and survival after resection for colon cancer. J Am Med Assoc. 2007;298(18):2149–2154
  25. In:  Fritz A,  Percy C,  Jack A,  Shanmugaratnam K,  Sobin L,  Parkin DM,  Whelan S editor. International classification of diseases for oncology. 3rd ed.. Geneva: WHO; 2000;
  26. In:  Wittekind C,  Greene FL,  Hutter RVP,  Klimpfinger M,  Sobin LH editor. TNM atlas. Berlin: Springer-Verlag; 2004;
  27. Schouten LJ, Jager JJ, van den Brandt PA. Quality of cancer registry data: a comparison of data provided by clinicians with those of registration personnel. Br J Cancer. 1993;68(5):974–977
  28. Schouten LJ, Hoppener P, van den Brandt PA, et al. Completeness of cancer registration in Limburg, the Netherlands. Int J Epidemiol. 1993;22(3):369–376
  29. den DM, van de Velde CJ. Quality assurance in surgical oncology: the tale of the Dutch rectal cancer TME trial. J Surg Oncol. 2008;97(1):5–7
  30. Peeters KC, Marijnen CA, Nagtegaal ID, et al. The TME trial after a Median follow-up of 6 years: increased local control but no survival benefit in irradiated patients with resectable rectal carcinoma. Ann Surg. 2007;246(5):693–701
  31. Peeters KC, van de Velde CJ. Surgical quality assurance in rectal cancer treatment: the key to improved outcome. Eur J Surg Oncol. 2005;31(6):630–635
  32. van Gijn W, Wouters MW, Peeters KC, et al. Nationwide outcome registrations to improve quality of care in rectal surgery. An initiative of the European society of surgical oncology. J Surg Oncol. 2009;99(8):491–496
  33. Norstein J, Langmark F. Results of rectal cancer treatment: a national experience. In:  Soreide O,  Norstein J editor. Rectal cancer surgery: optimisation-standardisation-documentation. Oslo, Norway: Springer; 1997;p. 17–28
  34. Berenguer CM, Ochsner MG, Lord SA, et al. Improving surgical site Infections: using national surgical quality improvement program data to institute surgical care improvement project protocols in improving surgical outcomes. J Am Coll Surg. 2010;210(5):pp. 737–41,741–3
  35. Khuri SF, Henderson WG, Daley J, et al. Successful implementation of the department of veterans affairs’ national surgical quality improvement program in the private sector: the patient safety in surgery study. Ann Surg. 2008;248(2):329–336
  36. Rowell KS. Use of national surgical quality improvement program data as a catalyst for quality improvement; 2007.
  37. Khuri SF, Daley J, Henderson W, et al. The Department of veterans affairs’ NSQIP: the first national, validated, outcome-based, risk-adjusted, and peer-controlled program for the measurement and enhancement of the quality of surgical care. National VA surgical quality improvement program. Ann Surg. 1998;228(4):491–507
  38. Begg CB, Cramer LD, Hoskins WJ, et al. Impact of hospital volume on operative mortality for Major cancer surgery. JAMA. 1998;280(20):1747–1751
  39. Birkmeyer JD, Sun YT, Goldfaden A, et al. Volume and process of care in high-risk cancer surgery. Cancer. 2006;106(11):2476–2481
  40. Dimick JB, Cattaneo SM, Lipsett PA, et al. Hospital volume is related to clinical and economic outcomes of esophageal resection in Maryland. Ann Thorac Surg. 2001;72(2):334–339
  41. Dimick JB, Pronovost PJ, Cowan JA, et al. Variation in postoperative complication rates after high-risk surgery in the United States. Surgery. 2003;134(4):534–540
  42. Dimick JB, Wainess RM, Upchurch GR, et al. National trends in outcomes for esophageal resection. Ann Thorac Surg. 2005;79(1):212–216
  43. Finlayson EV, Goodney PP, Birkmeyer JD. Hospital volume and operative mortality in cancer surgery: a national study. Arch Surg. 2003;138(7):721–725
  44. Kuo EY, Chang Y, Wright CD. Impact of hospital volume on clinical and economic outcomes for esophagectomy. Ann Thorac Surg. 2001;72(4):1118–1124
  45. Lin HC, Xirasagar S, Lee HC, et al. Hospital volume and inpatient mortality after cancer-related gastrointestinal resections: the experience of an Asian country. Ann Surg Oncol. 2006;13(9):1182–1188
  46. Patti MG, Corvera CU, Glasgow RE, et al. A Hospital’s annual rate of esophagectomy influences the operative mortality rate. J Gastrointest Surg. 1998;2(2):186–192
  47. Rouvelas I, Lindblad M, Zeng W, et al. Impact of hospital volume on long-term survival after esophageal cancer surgery. Arch Surg. 2007;142(2):113–117
  48. Swisher SG, Deford L, Merriman KW, et al. Effect of operative volume on morbidity, mortality, and hospital use after esophagectomy for cancer. J Thorac Cardiovasc Surg. 2000;119(6):1126–1132
  49. Urbach DR, Bell CM, Austin PC. Differences in operative mortality between high- and low-volume hospitals in Ontario for 5 major surgical procedures: estimating the number of lives potentially saved through regionalization. CMAJ. 2003;168(11):1409–1414
  50. Wenner J, Zilling T, Bladstrom A, et al. The influence of surgical volume on hospital mortality and 5-year survival for carcinoma of the oesophagus and gastric cardia. Anticancer Res. 2005;25(1B):419–424
  51. Dimick JB, Cowan JA, Colletti LM, et al. Hospital teaching status and outcomes of complex surgical procedures in the United States. Arch Surg. 2004;139(2):137–141
  52. Bachmann MO, Alderson D, Edwards D, et al. Cohort study in South and West England of the influence of specialization on the management and outcome of patients with oesophageal and gastric cancers. Br J Surg. 2002;89(7):914–922
  53. Birkmeyer JD, Stukel TA, Siewers AE, et al. Surgeon volume and operative mortality in the United States. N Engl J Med. 2003;349(22):2117–2127
  54. Gillison EW, Powell J, McConkey CC, et al. Surgical workload and outcome after resection for carcinoma of the oesophagus and cardia. Br J Surg. 2002;89(3):344–348
  55. Dimick JB, Goodney PP, Orringer MB, et al. Specialty training and mortality after esophageal cancer resection. Ann Thorac Surg. 2005;80(1):282–286
  56. Callahan MA, Christos PJ, Gold HT, et al. Influence of surgical subspecialty training on in-hospital mortality for gastrectomy and colectomy patients. Ann Surg. 2003;238(4):629–636
  57. Damhuis RA, Meurs CJ, Dijkhuis CM, et al. Hospital volume and post-operative mortality after resection for gastric cancer. Eur J Surg Oncol. 2002;28(4):401–405
  58. Hannan EL, Radzyner M, Rubin D, et al. The influence of hospital and surgeon volume on in-hospital mortality for colectomy, gastrectomy, and lung lobectomy in patients with cancer. Surgery. 2002;131(1):6–15
  59. Wainess RM, Dimick JB, Upchurch GR, et al. Epidemiology of surgically treated gastric cancer in the United States, 1988–2000. J Gastrointest Surg. 2003;7(7):879–883
  60. Nomura E, Tsukuma H, Ajiki W, et al. Population-based study of relationship between hospital surgical volume and 5-year survival of stomach cancer patients in Osaka, Japan. Cancer Sci. 2003;94(11):998–1002
  61. Birkmeyer JD, Warshaw AL, Finlayson SR, et al. Relationship between hospital volume and late survival after pancreaticoduodenectomy. Surgery. 1999;126(2):178–183
  62. Fong Y, Gonen M, Rubin D, et al. Long-term survival is superior after resection for cancer in high-volume centers. Ann Surg. 2005;242(4):540–544
  63. Glasgow RE, Mulvihill SJ. Hospital volume influences outcome in patients undergoing pancreatic resection for cancer. West J Med. 1996;165(5):294–300
  64. Ho V, Heslin MJ. Effect of hospital volume and experience on in-hospital mortality for pancreaticoduodenectomy. Ann Surg. 2003;237(4):509–514
  65. Kotwall CA, Maxwell JG, Brinker CC, et al. National estimates of mortality rates for radical pancreaticoduodenectomy in 25,000 patients. Ann Surg Oncol. 2002;9(9):847–854
  66. Lieberman MD, Kilburn H, Lindsey M, et al. Relation of perioperative deaths to hospital volume among patients undergoing pancreatic resection for malignancy. Ann Surg. 1995;222(5):638–645
  67. Neoptolemos JP, Russell RC, Bramhall S, et al. UK pancreatic cancer Group Low mortality following resection for pancreatic and periampullary tumours in 1026 patients: UK Survey of specialist pancreatic units. Br J Surg. 1997;84(10):1370–1376
  68. Nordback L, Parviainen M, Raty S, et al. Resection of the head of the pancreas in Finland: effects of hospital and surgeon on short-term and long-term results. Scand J Gastroenterol. 2002;37(12):1454–1460
  69. Simunovic M, Rempel E, Theriault ME, et al. Influence of hospital characteristics on operative death and survival of patients after major cancer surgery in Ontario. Can J Surg. 2006;49(4):251–258
  70. Sosa JA, Bowman HM, Gordon TA, et al. Importance of hospital volume in the overall management of pancreatic cancer. Ann Surg. 1998;228(3):429–438
  71. Choti MA, Bowman HM, Pitt HA, et al. Should hepatic resections be performed at high-volume referral centers?. J Gastrointest Surg. 1998;2(1):11–20
  72. Dimick JB, Pronovost PJ, Cowan JA, et al. Postoperative complication rates after hepatic resection in Maryland hospitals. Arch Surg. 2003;138(1):41–46
  73. Dimick JB, Wainess RM, Cowan JA, et al. National trends in the use and outcomes of hepatic resection. J Am Coll Surg. 2004;199(1):31–38
  74. Gordon TA, Bowman HM, Bass EB, et al. Complex gastrointestinal surgery: impact of provider experience on clinical and economic outcomes. J Am Coll Surg. 1999;189(1):46–56
  75. Billingsley KG, Morris AM, Dominitz JA, et al. Surgeon and hospital characteristics as predictors of major adverse outcomes following colon cancer surgery: understanding the volume–outcome relationship. Arch Surg. 2007;142(1):23–31
  76. Marusch F, Koch A, Schmidt U, et al. Effect of caseload on the short-term outcome of colon surgery: results of a multicenter study. Int J Colorectal Dis. 2001;16(6):362–369
  77. Schrag D, Panageas KS, Riedel E, et al. Surgeon volume compared to hospital volume as a predictor of outcome following primary colon cancer resection. J Surg Oncol. 2003;83(2):68–78
  78. Meyerhardt JA, Catalano PJ, Schrag D, et al. Association of hospital procedure volume and outcomes in patients with colon cancer at high risk for recurrence. Ann Intern Med. 2003;139(8):649–657
  79. Rabeneck L, Davila JA, Thompson M, et al. Surgical volume and long-term survival following surgery for colorectal cancer in the veterans affairs health-care system. Am J Gastroenterol. 2004;99(4):668–675
  80. Prystowsky JB, Bordage G, Feinglass JM. Patient outcomes for segmental colon resection according to surgeon’s training, certification, and experience. Surgery. 2002;132(4):663–670
  81. McArdle CS, Hole DJ. Influence of volume and specialization on survival following surgery for colorectal cancer. Br J Surg. 2004;91(5):610–617
  82. Harling H, Bulow S, Moller LN, et al. Hospital volume and outcome of rectal cancer surgery in Denmark 1994–99. Colorectal Dis. 2005;7(1):90–95
  83. Hodgson DC, Zhang W, Zaslavsky AM, et al. Relation of hospital volume to Colostomy rates and survival for patients with rectal cancer. J Natl Cancer Inst. 2003;95(10):708–716
  84. Schrag D, Panageas KS, Riedel E, et al. Hospital and surgeon procedure volume as Predictors of outcome following rectal cancer resection. Ann Surg. 2002;236(5):583–592
  85. Marusch F, Koch A, Schmidt U, et al. Hospital caseload and the results achieved in patients with rectal cancer. Br J Surg. 2001;88(10):1397–1402
  86. Meyerhardt JA, Tepper JE, Niedzwiecki D, et al. Impact of hospital procedure volume on surgical operation and long-term outcomes in high-risk curatively resected rectal cancer: findings from the Intergroup 0114 study. J Clin Oncol. 2004;22(1):166–174
  87. Engel J, Kerr J, Eckel R, et al. Influence of hospital volume on local recurrence and survival in a population Sample of rectal cancer patients. Eur J Surg Oncol. 2005;31(5):512–520
  88. Wibe A, Eriksen MT, Syse A, et al. Effect of hospital caseload on long-term outcome after standardization of rectal cancer surgery at a national level. Br J Surg. 2005;92(2):217–224
  89. Martling A, Cedermark B, Johansson H, et al. The surgeon as a prognostic factor after the introduction of total mesorectal excision in the treatment of rectal cancer. Br J Surg. 2002;89(8):1008–1013
  90. Engel AF, Oomen JL, Knol DL, et al. Operative mortality after colorectal resection in the Netherlands. Br J Surg. 2005;92(12):1526–1532
  91. Harmon JW, Tang DG, Gordon TA, et al. Hospital volume can serve as a surrogate for surgeon volume for achieving excellent outcomes in colorectal resection. Ann Surg. 1999;230(3):404–411
  92. Rogers SO, Wolf RE, Zaslavsky AM, et al. Relation of surgeon and hospital volume to processes and outcomes of colorectal cancer surgery. Ann Surg. 2006;244(6):1003–1011
  93. Renzulli P, Lowy A, Maibach R, et al. The influence of the surgeon’s and the hospital’s caseload on survival and local recurrence after colorectal cancer surgery. Surgery. 2006;139(3):296–304
  94. Kee F, Wilson RH, Harper C, et al. Influence of hospital and clinician workload on survival from colorectal cancer: cohort study. BMJ. 1999;318(7195):1381–1385
  95. Bach PB, Cramer LD, Schrag D, et al. The influence of hospital volume on survival after resection for lung cancer. N Engl J Med. 2001;345(3):181–188
  96. Goodney PP, Lucas FL, Stukel TA, et al. Surgeon specialty and operative mortality with lung resection. Ann Surg. 2005;241(1):179–184
  97. Elting LS, Pettaway C, Bekele BN, et al. Correlation between annual volume of cystectomy, professional staffing, and outcomes: a statewide, population-based study. Cancer. 2005;104(5):975–984
  98. Konety BR, Dhawan V, Allareddy V, et al. Impact of hospital and surgeon volume on in-hospital mortality from radical cystectomy: data from the health care utilization project. J Urol. 2005;173(5):1695–1700
  99. Konety BR, Allareddy V, Modak S, et al. Mortality after major surgery for urologic cancers in specialized urology hospitals: are they any better?. J Clin Oncol. 2006;24(13):2006–2012
  100. McCabe JE, Jibawi A, Javle P. Defining the minimum hospital case-load to achieve optimum outcomes in radical cystectomy. BJU Int. 2005;96(6):806–810
  101. Taub DA, Miller DC, Cowan JA, et al. Impact of surgical volume on mortality and length of stay after nephrectomy. Urology. 2004;63(5):862–867
  102. Begg CB, Riedel ER, Bach PB, et al. Variations in morbidity after radical prostatectomy. N Engl J Med. 2002;346(15):1138–1144
  103. Ellison LM, Heaney JA, Birkmeyer JD. The effect of hospital volume on mortality and resource use after radical prostatectomy. J Urol. 2000;163(3):867–869
  104. Yao SL, Lu-Yao G. Population-based study of relationships between hospital volume of prostatectomies, patient outcomes, and length of hospital stay. J Natl Cancer Inst. 1999;91(22):1950–1956
  105. Hu JC, Gold KF, Pashos CL, et al. Role of surgeon volume in radical prostatectomy outcomes. J Clin Oncol. 2003;21(3):401–405
  106. Elit L, Bondy SJ, Paszat L, et al. Outcomes in surgery for ovarian cancer. Gynecol Oncol. 2002;87(3):260–267
  107. Schrag D, Earle C, Xu F, et al. Associations between hospital and surgeon procedure volumes and patient outcomes after ovarian cancer resection. J Natl Cancer Inst. 2006;98(3):163–171
  108. Goff BA, Matthews BJ, Wynn M, et al. Ovarian cancer: patterns of surgical care across the United States. Gynecol Oncol. 2006;103(2):383–390
  109. Ioka A, Tsukuma H, Ajiki W, et al. Influence of hospital procedure volume on ovarian cancer survival in Japan, a country with low incidence of ovarian cancer. Cancer Sci. 2004;95(3):233–237
  110. Kumpulainen S, Grenman S, Kyyronen P, et al. Evidence of benefit from centralised treatment of ovarian cancer: a nationwide population-based survival analysis in Finland. Int J Cancer. 2002;102(5):541–544
  111. Junor EJ, Hole DJ, McNulty L, et al. Specialist gynaecologists and survival outcome in ovarian cancer: a Scottish national study of 1866 patients. Br J Obstet Gynaecol. 1999;106(11):1130–1136
  112. Gilligan MA, Neuner J, Zhang X, et al. Relationship between number of breast cancer operations performed and 5-Year survival after treatment for early-stage breast cancer. Am J Public Health. 2007;97(3):539–544
  113. Harcourt KF, Hicks KL. Is there a relationship between case volume and survival in breast cancer?. Am J Surg. 2003;185(5):407–410
  114. Nomura E, Tsukuma H, Ajiki W, et al. Population-based study of the relationship between hospital surgical volume and 10-year survival of breast cancer patients in Osaka, Japan. Cancer Sci. 2006;97(7):618–622
  115. Polednak AP. Hospital volume and survival of breast cancer patients in Connecticut. Am J Public Health. 1999;89(6):946–947
  116. Roohan PJ, Bickell NA, Baptiste MS, et al. Hospital volume differences and five-year survival from breast cancer. Am J Public Health. 1998;88(3):454–457
  117. Skinner KA, Helsper JT, Deapen D, et al. Breast cancer: do specialists make a difference?. Ann Surg Oncol. 2003;10(6):606–615
  118. Guller U, Safford S, Pietrobon R, et al. High hospital volume is associated with better outcomes for breast cancer surgery: analysis of 233,247 patients. World J Surg. 2005;29(8):994–999
  119. Allgood PC, Bachmann MO. Effects of specialisation on treatment and outcomes in screen-detected breast cancers in Wales: cohort study. Br J Cancer. 2006;94(1):36–42
  120. Ingram DM, McEvoy SP, Byrne MJ, et al. Surgical caseload and outcomes for women with invasive breast cancer treated in Western Australia. Breast. 2005;14(1):11–17
  121. Sainsbury R, Haward B, Rider L, et al. Influence of clinician workload and patterns of treatment on survival from breast cancer. Lancet. 1995;345(8960):1265–1270
  122. Stefoski MJ, Haward RA, Johnston C, et al. Surgeon workload and survival from breast cancer. Br J Cancer. 2003;89(3):487–491

☆ On behalf of the ’Quality of cancer care’ task force of the Signalling Committee Cancer of the Dutch Cancer Society (the committees full report is available on www.kwfkankerbestrijding.nl).

PII: S0748-7983(10)00180-0

doi: 10.1016/j.ejso.2010.06.004

European Journal of Surgical Oncology
Volume 36 , Pages S3-S13 , September 2010

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