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Toward a Consensus on Centralization in Surgery

Vonlanthen, R; Lodge, P; Barkun, J; Farges, O; Rogiers, X; Soreide, K; Kehlet, H; Reynolds, J; Käser, S; Naredi, P; Borel-Rinkes, I; Biondo, S

Objectives: To critically assess centralization policies for highly specialized surgeries in Europe and North America and propose recommendations. Background/methods: Most countries are increasingly forced to maintain quality medicine at a reasonable cost. An all-inclusive perspective, including health care providers, payers, society as a whole and patients, has ubiquitously failed, arguably for different reaso...


Effect of Neoadjuvant Chemotherapy Followed by Surgical Resection on Survival i...

Al-Batran, SE; Homann, N; Pauligk, C; Illerhaus, G; Martens, UM; Stoehlmacher, J; Schmalenberg, H; Luley, KB; Prasnikar, N; Egger, M; Probst, S

IMPORTANCE: Surgical resection has a potential benefit for patients with metastatic adenocarcinoma of the stomach and gastroesophageal junction. OBJECTIVE: To evaluate outcome in patients with limited metastatic disease who receive chemotherapy first and proceed to surgical resection. DESIGN, SETTING, AND PARTICIPANTS: The AIO-FLOT3 (Arbeitsgemeinschaft Internistische Onkologie-fluorouracil, leucovorin, oxalipl...

Date: 2017   |   Origin: Saúde - CUF

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