naa a22 4500 510740820 CHVBK 20180411083027.0 cr unu---uuuuu 180411e20130901xx s 000 0 eng 10.1007/s11845-013-0906-1 doi (NATIONALLICENCE)springer-10.1007/s11845-013-0906-1 Life after the cancer strategy: analysis of surgical workload in the general hospital setting [Elektronische Daten] [E. Concannon, I. Robertson, F. Bennani, W. Khan, R. Waldron, K. Barry] Background: The National Cancer Strategy heralded a major reorganisation of the delivery of cancer services in Ireland. As a result of this policy, cancer care was centralised to eight centres. The impact of this strategy on hospitals no longer providing cancer services has not been analysed to date. Aim: The aim of this study was to examine the impact of centralisation of cancer services on surgical workload at Mayo General Hospital. Methods: Data pertaining to all surgical procedures performed in 2007 (prior to the introduction of the National Cancer Strategy) and 2011 were obtained using the Hospital Inpatient Enquiry system. Histopathology reports and theatre registers were also analysed to ensure accuracy of the data. Results: The numbers of elective and emergency surgical admissions during 2007 and 2011 were broadly similar (2,581 vs. 2,662). One hundred and thirty-five oncological procedures (colorectal and breast) were carried out in 2007 compared with 50 (colorectal) in 2011. This represents a 63% reduction in cancer surgery workload following the implementation of the National Cancer Strategy. There was a concomitant increase in surgery performed for benign conditions (laparoscopic cholecystectomy and hernia repair), which coincided with the innovative introduction of 43 ring-fenced surgical in-patient beds in June 2010. Conclusion: This study demonstrates the impact of the centralisation of cancer services on surgical workload in a non-cancer centre. Our results show that there continues to be a role for general hospitals in the provision of elective surgical services. Hospital network arrangements have the potential to facilitate such developments. Royal Academy of Medicine in Ireland, 2013 Centralisation nationallicence National Cancer Strategy nationallicence National Cancer Care programme nationallicence Oncological surgery nationallicence Re-configuration nationallicence National cancer forum nationallicence Cancer centre nationallicence Health network nationallicence Concannon E. Department of General Surgery, Mayo General Hospital, Castlebar, County Mayo, Ireland aut Robertson I. Department of General Surgery, Mayo General Hospital, Castlebar, County Mayo, Ireland aut Bennani F. Department of Histopathology, Mayo General Hospital, Castlebar, County Mayo, Ireland aut Khan W. Department of General Surgery, Mayo General Hospital, Castlebar, County Mayo, Ireland aut Waldron R. Department of General Surgery, Mayo General Hospital, Castlebar, County Mayo, Ireland aut Barry K. Department of General Surgery, Mayo General Hospital, Castlebar, County Mayo, Ireland aut Irish Journal of Medical Science Springer-Verlag 182/3(2013-09-01), 433-438 0021-1265 182:3<433 2013 182 11845 https://doi.org/10.1007/s11845-013-0906-1 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11845-013-0906-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Concannon E. Department of General Surgery, Mayo General Hospital, Castlebar, County Mayo, Ireland aut NATIONALLICENCE 700 1- Robertson I. Department of General Surgery, Mayo General Hospital, Castlebar, County Mayo, Ireland aut NATIONALLICENCE 700 1- Bennani F. Department of Histopathology, Mayo General Hospital, Castlebar, County Mayo, Ireland aut NATIONALLICENCE 700 1- Khan W. Department of General Surgery, Mayo General Hospital, Castlebar, County Mayo, Ireland aut NATIONALLICENCE 700 1- Waldron R. Department of General Surgery, Mayo General Hospital, Castlebar, County Mayo, Ireland aut NATIONALLICENCE 700 1- Barry K. Department of General Surgery, Mayo General Hospital, Castlebar, County Mayo, Ireland aut NATIONALLICENCE 773 0- Irish Journal of Medical Science Springer-Verlag 182/3(2013-09-01), 433-438 0021-1265 182:3<433 2013 182 11845 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer