Management of gastroesophageal cancer: A perspective from Catalonia

摘要: The territory in Spain is administratively organized within 17 autonomous communities. National health system then composed of independent regional systems that hold primary jurisdiction on care planning and organization each region. Catalonia (7 million inhabitants) has its own structure, organization, databases allow us to assess the relationship between volume surgical outcomes subjects with esophageal gastric cancer. Similar other European regions, incidence trends have shown a decrease cancer an increase occurrence cardia adenocarcinoma. Moreover, declining trend mortality rate was also detected. No clinical guidelines for diagnosis treatment esophago-gastric or audits been implemented Catalonia, but retrospective prospective data obtained 1996–2005 period confirmed spontaneous centralization high-risk procedures, such as resection limited number centers. In early 2012, authorities approved surgery into 7 15 hospitals, respectively. However, this process should be considered first step expanded forthcoming years. It would desirable carry out transparent manner, using not only morbidity rates, quality life well teaching research measures. present review based local available recorded from literature allows authors their personal perspective current multidisciplinary approach themanagement patients