Variation in treatment and outcome in patients with Non-small cell lung cancer by region, hospital type and volume in the Netherlands

Michel W.J.M. Wouters (1) , Sabine Siesling (2, 3) , Marlies L Jansen-Landheer (4) , Marloes A.G. Elferink (2) , José Belderbos (5) , Jan-Willem W. Coebergh (6, 7) , Franz Mnh Schramel (8)

1 Department of Thoracic Surgery
2 Comprehensive Cancer Centre North East
3 University of Twente
4 Comprehensive Cancer Centre Amsterdam
5 Department of Radiation Oncology
6 Comprehensive Cancer Centre South
7 Department of Epidemiology
8 Department of Pulmonology

Care processes for patients with NSCLC can vary by provider, which may lead to unwanted variation in outcomes. Therefore, in modern health care an increased focus on guideline development and implementation is seen. It is expected that more guideline adherence leads to a higher number of patients receiving optimal treatment for their cancer which could improve overall survival.

Mots clés: Non-Small Cell Lung Cancer; variation; quality of care; hospital volume; resection rate; guideline adherence

Michel W.J.M. Wouters, Sabine Siesling, Marlies L Jansen-Landheer, Marloes A.G. Elferink, José Belderbos, et al.. Variation in treatment and outcome in patients with Non-small cell lung cancer by region, hospital type and volume in the Netherlands. EJSO - European Journal of Surgical Oncology, 2010, 36, ⟨10.1016/j.ejso.2010.06.020⟩. ⟨hal-00612394⟩