title: [Economic aspects of oncological esophageal surgery : Centralization is essential].
abstract: The incidence of esophageal carcinoma has increased in recent years in Germany. The aim of this article is a discussion of the economic aspects of oncological esophageal surgery within the German diagnosis-related groups (DRG) system focusing on the association between minimum caseload requirements and outcome quality as well as costs. The margins for the DRG classification G03A are low and quickly exhausted if complications determine the postoperative course. A current study using nationwide German hospital discharge data proved a significant difference in hospital mortality between clinics with and without achieving the minimum caseload requirements for esophagectomy. Data from the USA clearly showed that besides patient-relevant parameters, the caseload of a surgeon is relevant for the cost of treatment. Such cost-related analyses do not exist in Germany at present. Scientific validation of reliable minimum caseload numbers for oncological esophagectomy is desirable in the future.
authors.affiliation: Medizincontrolling, Universitätsklinikum Leipzig, AöR, Leipzig, Deutschland.
authors.forename: N
authors.initials: N
authors.lastname: von Dercks
authors.affiliation: Klinik für Viszeral-, Transplantations-, Thorax- und Gefäßchirurgie, Universitätsklinikum Leipzig, AöR, Liebigstr. 20, 04103, Leipzig, Deutschland. ines.gockel@medizin.uni-leipzig.de.
authors.forename: I
authors.initials: I
authors.lastname: Gockel
authors.affiliation: Klinik für Viszeral-, Transplantations-, Thorax- und Gefäßchirurgie, Universitätsklinikum Leipzig, AöR, Liebigstr. 20, 04103, Leipzig, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Mehdorn
authors.affiliation: Klinik für Allgemein- und Viszeralchirurgie, Sana Klinikum Offenbach GmbH, Offenbach, Deutschland.
authors.forename: D
authors.initials: D
authors.lastname: Lorenz
mesh_terms: D002497:Centralized Hospital Services / Q000191:economics* / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D003953:Diagnosis-Related Groups / Q000191:economics; D004938:Esophageal Neoplasms / Q000191:economics* / Q000401:mortality / Q000601:surgery*; D016629:Esophagectomy / Q000191:economics* / Q000706:statistics & numerical data; D005858:Germany; D017052:Hospital Mortality; D006801:Humans; D007902:Length of Stay / Q000191:economics / Q000706:statistics & numerical data; D009313:National Health Programs / Q000191:economics* / Q000706:statistics & numerical data; D012051:Reimbursement Mechanisms / Q000191:economics / Q000706:statistics & numerical data
keywords: Case volume; Economic aspects; Minimum caseload requirements of the joint federal committee; Oncologic esophagectomy; Outcome quality – costs