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Cancer surgery was linked to mortality

Health. The latest episode of Cash Investigation looked at access to care. It shows that cancer surgery performed at establishments with little exercise leads to excess mortality, such as 84% ​​for breastfeeding. Focus on Chaumont establishments.

On Thursday 13 January, Cash Investigation presented a program with an emphasis on health. Elise Lucet’s team has, among other things, examined the relationship between the number of cancer surgeries performed each year and the patient’s recovery.

One report (pdf) Health insurance issued in 2018 under the heading “Improving the quality of the health system and controlling expenditure” emphasizes that the more an establishment conducts operations, the greater the likelihood of recovery. On the other hand, the fewer operations, the greater the risk of death.

For good reason, since the athlete needs to repeat his gestures to maintain his level, the surgeon needs to practice to maintain good control of his gestures. In the case of breast cancer, a patient who is operated on in an institution that performs less than 30 operations annually has a mortality rate after one year, increasing by 84% compared to a center that performs 150 operations per year.

Limits below standards

To refer patients to an appropriate office, France 2 has identified cancer surgeries performed in hospitals in France. In Chaumont, she visited the Health Cooperation Group (GCS) South Haut-Marnais Eslan (which operates at the hospital), the Chaumont-le-Bois Medical and Surgery Center and the hospital.

According to this data, between 2016 and 2018, GCS was Pôle de Health of South Haut-Marnais Elsan has performed on average less than ten digestive cancer operations * each year. Same for gynecological diseases, neck and throat cancer and breast cancer.

At the Chaumont le Bois Medical and Surgery Center, which also belongs to the Elsan group, less than ten digestive, gynecological, throat, breast and urinary tract cancers were treated in each specialty.

On the side of the hospital are listed 13 operations on digestive cancer. For gynecology, breast, otolaryngology and urology, less than ten are counted in each branch.

However, the Directive of 29 March 2007 sets a minimum threshold for the effectiveness of cancer treatment. Breast, digestive, urinary and breast cancer procedures require 30 annual procedures. In the case of gynecology and otolaryngology, the threshold is set for 20 surgeries. Chaumont hospitals are therefore below this threshold.

Where to go?

In addition to these figures, the health insurance report emphasizes the need to raise these thresholds: “The work presented here supports the hypothesis that a threshold of 150 operations per year (for breast cancer, ed.) Can be applied in France. with benefits in terms of short-term and long-term survival “.

Not all cancers have an annual minimum threshold for surgery. This applies to ovarian cancer. In a health insurance study, it is also recommended to put in 20 interventions per year.

In Haute-Marne, François-I Clinicis located in Saint Dizier has a minimum efficacy threshold above the criteria for gastrointestinal and breast cancer, with 46 and 51 operations per year respectively. For urinary tract surgery, Saint Dizier Hospital performs an average of 31 operations per year.

Dijon has several establishments with benchmarks above the standards. Dijon University Hospital conducts 321 digestive cancers each year, 122 in gynecology, 233 in otolaryngology, 383 in thoracic surgery and 194 in urology. The only drawback to this hospital is breast cancer where less than 10 operations are performed each year.

Julia Guinamard

j.guinamard@jhm.fr

* The data provided by France 2 distinguish between “less than 10” and 0.

The newspaper JHM contacted the clinic and the hospital but was unanswered.

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