Journal of the American College of Surgeons
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Objective measurement of outcomes in surgical care lack standard definitions, effective and consistent surveillance, and identification of significant postdischarge events. ⋯ Adverse outcomes of inpatient deaths, prLOS, and 90-DPd readmissions and deaths provide an objective target for care redesign and improvement. The postdischarge period is the greatest source of adverse outcomes in LC. Composite measurement of adverse outcomes becomes a meaningful tool for the design of surgical warranties for episode-based payment initiatives.
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The purpose of this study was to determine the overall survival (OS) of patients with resectable gastric cancer treated with preoperative chemoradiation therapy and gastrectomy. ⋯ Patients with gastric cancer who undergo diagnostic laparoscopy, preoperative chemoradiation, and gastrectomy have a high frequency of obtaining an R0 resection and excellent OS rates. Nodal status after surgery remains an important determinant of OS.