D. Verhoeven MD, PhD, P. Bogaerts MD, P. Bernaerts MD, W. Demey MD
The use of survival data to compare hospitals remains controversial. Recently three studies could not find an association between outcome and volume. More important than the volume of surgery seems to be the concentration of oncological care in centres with multidisciplinary teams around the patient. A framework for implementing Value-Based health care has to be defined, measuring outcomes that matter to patients and cost.