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Ann Thorac Surg 2007;84:693-701
© 2007 The Society of Thoracic Surgeons

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Reviews

Standards for Thoracic Surgical Oncology in a Single-Payer Healthcare System

^a The Ottawa Hospital, Ottawa, Ontario, Canada
^b Cancer Care Ontario, Toronto, Ontario, Canada
^c Program in Evidence-Based Care, McMaster University, Hamilton, Ontario, Canada
^d Ottawa Regional Cancer Centre, Ottawa, Ontario, Canada

Accepted for publication March 19, 2007.

^_* Address correspondence to Dr Sundaresan, c/o Tom Oliver, McMaster University, 1280 Main St W, DTC, 3rd Floor, Hamilton, Ontario, L8S 4L8, Canada (Email: olivert{at}mcmaster.ca).

Through systematic literature review and a consensus-based approach from an expert panel, standards on the organization for delivering thoracic cancer surgery in a single-payer healthcare environment were developed. Thirty-two studies and six organizational reports were identified. Results from 32 studies showed a trend toward higher volumes and improved patient outcomes, and six consensus reports provided recommendations on thoracic care standards. Thoracic surgical oncology standards in a single-payer healthcare system were developed. The benefits associated with the implementation of thoracic cancer surgery standards should result in increased regionalization of care, improved processes of care, and better patient outcomes.

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