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1 Cover Page The handle holds various files of this Leiden University dissertation. Author: Dikken, Johannes Leen Title: Gastric cancer : staging, treatment, and surgical quality assurance Issue Date:

2 phd thesis Leiden University Medical Center, Leiden, the Netherlands Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital, Amsterdam, the Netherlands Memorial Sloan-Kettering Cancer Center, New York, USA

3

4 Promotiecommissie promotores prof. dr. C.J.H. van de Velde prof. dr. M. Verheij co-promotores dr. A. Cats dr. V.E.P.P. Lemmens overige leden prof. dr. H. Putter prof. dr. R.A.E.M. Tollenaar dr. N.C.T. van Grieken dr. J.W. van Sandick drs. M.W.J.M. Wouters Nederlands Kanker Instituut - Antoni van Leeuwenhoek Ziekenhuis Vrije Universiteit Amsterdam Nederlands Kanker Instituut - Antoni van Leeuwenhoek Ziekenhuis Integraal Kankercentrum Zuid Erasmus Medisch Centrum VU Medisch Centrum Nederlands Kanker Instituut - Antoni van Leeuwenhoek ziekenhuis Nederlands Kanker Instituut - Antoni van Leeuwenhoek ziekenhuis dit proefschrift werd mede mogelijk gemaakt door KWF Kankerbestrijding, AngioDynamics, Bard Medical, ChipSoft, Covidien, Eli Lilly, Erbe, GlaxoSmithKline, Integraal Kankercentrum Zuid, J.E. Jurriaanse Stichting, Johnson & Johnson Medical, Jo Keur Fonds, Lustra Beurs, Maag Lever Darm Stichting, Michael van Vloten Fonds, Nutricia Advanced Medical Nutrition, Olympus, Pfizer, Roche, Sanofi, Stichting Extracurriculaire Activiteiten Haagse Chirurgen en Uitgeverij Jaap ISBN Druk GVO drukkers & vormgevers B.V. Ponsen & Looijen 2012 Johan Dikken, Leiden, Nederland

5 gastric cancer staging, treatment, and surgical quality assurance proefschrift ter verkrijging van de graad van Doctor aan de Universiteit Leiden, op gezag van Rector Magnificus prof. mr. P.F. van der Heijden, volgens besluit van het College voor Promoties te verdedigen op woensdag 26 september 2012 klokke uur door Johannes Leen Dikken geboren te Apeldoorn in 1983

6 Contents introduction 1. General introduction and outline of this thesis 7 part i. staging and prognostication 2. The new American Joint Committee on Cancer/International Union Against Cancer staging system for adenocarcinoma of the stomach: increased complexity without clear improvement in predictive accuracy Annals of Surgical Oncology Prospective impact of tumor grade assessment in biopsies on tumor stage and prognostic grouping in gastroesophageal adenocarcinoma: relevance of the 7 th edition AJCC staging manual revision Cancer Conditional probability of survival nomogram for one, two, and three year survivors after an R0 resection for gastric cancer Annals of Surgical Oncology Performance of a nomogram predicting disease-specific survival after an R0 resection for gastric cancer in patients receiving postoperative chemoradiotherapy Submitted part ii. multimodality treatment 6. Treatment of resectable gastric cancer Therapeutic Advances in Gastroenterology Impact of the extent of surgery and postoperative chemoradiotherapy on recurrence patterns in gastric cancer Journal of Clinical Oncology Preoperative chemotherapy does not influence the number of evaluable lymph nodes in resected gastric cancer European Journal of Surgical Oncology Neo-adjuvant chemotherapy followed by surgery and chemotherapy or by surgery and chemoradiotherapy for patients with resectable gastric cancer (CRITICS) BMC Cancer

7 part iii. surgical quality assurance 10. Quality of care indicators for the surgical treatment of gastric cancer: a systematic review Annals of Surgical Oncology Increased incidence and survival for esophageal cancer but not for gastric cardia cancer in the Netherlands European Journal of Cancer Gastric cancer: decreasing incidence but stable survival in the Netherlands Submitted 13. Changes in treatment patterns and their influence on short-term mortality and long-term survival in patients with stage I-III gastric cancer in the Netherlands Submitted 14. Effect of hospital volume on postoperative mortality and survival after esophageal and gastric cancer surgery in the Netherlands between 1989 and 2009 European Journal of Cancer The influence of hospital type on outcomes after esophageal and gastric cancer surgery British Journal of Surgery Differences in outcomes of esophageal and gastric cancer surgery across Europe British Journal of Surgery discussion 17. General discussion and summary 261 appendices Summary in Dutch (Nederlandse samenvatting) Acknowledgements (Dankwoord) List of publications Curriculum vitae

8

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