2014
DOI: 10.1002/cncr.29134
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The rise in metastasectomy across cancer types over the past decade

Abstract: BACKGROUND: Although studies of metastasectomy have been limited primarily to institutional experiences, reports of favorable long-term outcomes have generated increasing interest. In the current study, the authors attempted to define the national practice patterns in metastasectomy for 4 common malignancies with varying responsiveness to systemic therapy. METHODS: The National (Nationwide) Inpatient Sample was used to estimate the national incidence of metastasectomy for colorectal cancer, lung cancer, breast… Show more

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Cited by 135 publications
(100 citation statements)
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“…In the United States, although operative mortality rates are improving, the average inpatient mortality rates after metastectomy for colorectal, lung, and breast cancers in 2011 were 1.5% to 2.5%. Mortality rates are approximately 2-fold higher at low-volume hospitals than at high-volume centers (24). A mortality rate of 4% (e.g., at a low-volume hospital or in a high-risk procedure) results in a number needed to harm (NNH) of 25.…”
Section: Can Sabr or Surgery Improve Os?mentioning
confidence: 99%
See 1 more Smart Citation
“…In the United States, although operative mortality rates are improving, the average inpatient mortality rates after metastectomy for colorectal, lung, and breast cancers in 2011 were 1.5% to 2.5%. Mortality rates are approximately 2-fold higher at low-volume hospitals than at high-volume centers (24). A mortality rate of 4% (e.g., at a low-volume hospital or in a high-risk procedure) results in a number needed to harm (NNH) of 25.…”
Section: Can Sabr or Surgery Improve Os?mentioning
confidence: 99%
“…Between 2000 and 2011, metastectomy rates for colorectal cancer, lung cancer, breast cancer, and melanoma in the United States increased at an average annual percentage rate of 4% to 6% per year (24). In Europe, pulmonary metastectomy now represents 15% to 50% of the workload of thoracic surgical departments (25).…”
Section: Introductionmentioning
confidence: 99%
“…1-3 More than 50% of CRC patients develop metastatic disease to their liver over the course of their life, 4 and liver metastasis is a leading cause of death from CRC. 5-7 Unfortunately, surgical resection of isolated liver metastases of CRC (LM-CRC) is curative in only 20%-30% of patients, 8 , 9 and systemic therapy provides limited survival benefit. 10 Patients with unresectable LM-CRC have a poor prognosis with a median survival of only two years.…”
Section: Introductionmentioning
confidence: 99%
“…Whereas such treatments were once reserved for palliation, today surgery, SBRT, and interventional radiological procedures are applied with rapidly increasing frequency with the hopes that they will improve patient outcomes [12][13][14]. SBRT is an attractive option because it can be used on a wide variety of targets, it is typically a non-invasive, convenient outpatient procedure, and advanced radiation technology and expertise are now readily available throughout most modern health systems.…”
Section: Discussionmentioning
confidence: 99%