RT Journal Article
SR Electronic
T1 Hepatic resection in Canada: rates and geographic variation
JF Canadian Journal of Surgery
JO CAN J SURG
FD Canadian Medical Association
SP E264
OP E268
VO 52
IS 6
A1 Ryan J. McColl
A1 Balpreet Brar
A1 William A. Ghali
A1 Elijah Dixon
YR 2009
UL http://canjsurg.ca/content/52/6/E264.abstract
AB Background: Liver resection (LR) is the only curative therapy for hepatic malignancy. Despite this, the rates of LR across Canada are unknown. We sought to determine the rate and regional variation of LR in Canada, its provinces and census divisions for the period 1995–2004.Methods: We obtained discharge data for 1995–2004 from all provinces but Quebec from the Canadian Institute for Health Information, and we searched for LR by residential site. Then we calculated rates and variations in rates.Results: The national age- and sex-adjusted rate of LR per 100 000 people aged 18 years and older increased from 3.22 in 1995 to 5.86 in 2004. There was a high degree of variation across provinces and census divisions.Conclusion: Liver resection volumes are increasing in Canada. Significant regional variation exists for LR in Canada, likely reflecting a variety of important supply–demand issues.