title: Variations among 5 European countries for curative treatment of resectable oesophageal and gastric cancer: A survey from the EURECCA Upper GI Group (EUropean REgistration of Cancer CAre).
abstract: BACKGROUND
  EURECCA (EUropean REgistration of Cancer CAre) is a network aiming to improve cancer care by auditing outcome. EURECCA initiated an international survey to share and compare patient outcome for oesophagogastric cancer. The present study assessed how a uniform dataset could be introduced for oesophagogastric cancer in Europe.
  
  
  METHODS
  Participating countries presented data using common data items describing patients', disease, strategies, and outcome characteristics. Patients treated with curative surgery for squamous cell carcinoma (SCC) or adenocarcinoma (ACA) were included.
  
  
  RESULTS
  United Kingdom, the Netherlands, France, Spain and Ireland participated. There were differences in data source ranging from national registries to large collaborative groups. 4668 oesophagogastric cancer cases over a 12 months period were included. The predominant histological type was ACA. Disease stage tended to be earlier in France and Ireland. In oesophageal and junctional cancers neoadjuvant chemoradiotherapy was preferred in the Netherlands and Ireland contrasting with chemotherapy in the UK and France. All countries used perioperative chemotherapy in gastric cancer but 1/3 of patients received this treatment. The mean R0 resection rate was 86% for oesophageal and junctional resections and 88% for gastric resections. Postoperative mortality varied from 1% to 7%.
  
  
  CONCLUSIONS
  This European survey shown that implementing a uniform treatment and outcome data format of oesophagogastric cancer is feasible. It identified differences in disease presentation, treatment approaches and outcome, which need to be investigated, especially by increasing the number of participating countries. Future comparisons will facilitate developments in treatment for the benefit of patient outcomes.
authors.affiliation: Department of Surgery, Royal Marsden NHS Foundation Trust, London, United Kingdom; Department of Digestive and Oncological Surgery, C Huriez University Hospital, Lille, France.
authors.forename: M
authors.initials: M
authors.lastname: Messager
authors.affiliation: Department of Surgery, Leiden University Medical Centre, Leiden, The Netherlands.
authors.forename: W O
authors.initials: WO
authors.lastname: de Steur
authors.affiliation: Department of Surgery, Antoni van Leeuwenhoek Ziekenhuis, Amsterdam, The Netherlands.
authors.forename: J W
authors.initials: JW
authors.lastname: van Sandick
authors.affiliation: Department of Surgery, St James's Hospital and Trinity College, Dublin, Ireland.
authors.forename: J
authors.initials: J
authors.lastname: Reynolds
authors.affiliation: Section of Gastrointestinal Surgery, Hospital Universitario del Mar, Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Universitat Autònoma de Barcelona, Barcelona, Spain.
authors.forename: M
authors.initials: M
authors.lastname: Pera
authors.affiliation: Department of Digestive and Oncological Surgery, C Huriez University Hospital, Lille, France.
authors.forename: C
authors.initials: C
authors.lastname: Mariette
authors.affiliation: Department of Surgery, Addenbrookes Hospital, Cambridge, United Kingdom.
authors.forename: R H
authors.initials: RH
authors.lastname: Hardwick
authors.affiliation: Department of Surgery, Leiden University Medical Centre, Leiden, The Netherlands.
authors.forename: E
authors.initials: E
authors.lastname: Bastiaannet
authors.affiliation: Department of Surgery, Leiden University Medical Centre, Leiden, The Netherlands.
authors.forename: P G
authors.initials: PG
authors.lastname: Boelens
authors.affiliation: Department of Surgery, Leiden University Medical Centre, Leiden, The Netherlands.
authors.forename: C J H
authors.initials: CJ
authors.lastname: van deVelde
authors.affiliation: Department of Surgery, Royal Marsden NHS Foundation Trust, London, United Kingdom. Electronic address: william.allum@rmh.nhs.uk.
authors.forename: W H
authors.initials: WH
authors.lastname: Allum
mesh_terms: D000230:Adenocarcinoma / Q000401:mortality / Q000473:pathology / Q000601:surgery; D000328:Adult; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000401:mortality / Q000473:pathology / Q000601:surgery; D003430:Cross-Sectional Studies; D018572:Disease-Free Survival; D004938:Esophageal Neoplasms / Q000401:mortality* / Q000473:pathology / Q000601:surgery*; D016629:Esophagectomy / Q000379:methods / Q000401:mortality; D004943:Esophagogastric Junction / Q000473:pathology / Q000601:surgery*; D005260:Female; D005602:France; D005743:Gastrectomy / Q000379:methods / Q000401:mortality; D006801:Humans; D007494:Ireland; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D012042:Registries; D018570:Risk Assessment; D013030:Spain; D013274:Stomach Neoplasms / Q000401:mortality* / Q000473:pathology / Q000601:surgery*; D016019:Survival Analysis; D006113:United Kingdom
keywords: EURECCA; Gastric cancer; International audit; Oesophageal cancer; Outcomes