Question Title

* 1. European Country (write)

Question Title

* 2. Age (years)

Question Title

* 3. Surgical Speciality

Question Title

* 4. General surgery’s sub specialty formal training or long lasting clinical work  in

Question Title

* 5. Years of practice

Question Title

* 6. You are active in:

Question Title

* 7. How would you describe your professional setting?

Question Title

* 8. Number  of surgical procedures performed for malignant + benign diseases of the oesophagus in your division/section/unit , in 2017

Question Title

* 9. Number of surgical procedures  for diseases of the oesophagus
YOU HAVE PERSONALLY  performed in 2017

Question Title

* 10. Do you think that centralization of surgery for benign oesophageal diseases
would improve the therapeutic results in terms of reduced morbidity and
better functional results?

Question Title

* 11. What type of  benign  esophageal diseases  would you recommend to
centralize for surgical therapy ?

  YES NO
Cervical diverticula
Thoracic and epicardial diverticula
Achalasia
GERD
Type II-III-IV hiatus hernias
Redo surgery

Question Title

* 12. What organization prerequisites  would you recommend, in order  to centralize surgery for oesophageal benign diseases?

Question Title

* 13. Only for centralization of oesophageal benign diseases

  YES NO
Surgical centre’s location according to geographic/population criteria
Surgical centre ’s location in a tertiary hospital (24 hr/ 7 days centre)
Surgical centre’s location in a day surgery facility
Surgical centre’s structural requirements : Endoscopy,  Radiology, Pathology,

Intensive care unit)
Surgical centre’s structural requirements : Endoscopy,  Radiology, Pathology,

GI -motility laboratory,   Intensive care unit     
Minimal number of beds for ordinary hospitalization (≥ 10)
Minimal number of procedures per centre/year

 ≥ 100                                                                     
50- 100
30-50
Certified surgeon expertise and  qualification in oesophagology                           
(at least 100 procedures /year in the last 5 years) 
Minimal number of surgeons (≥ 2)
Multidisciplinary team scheduled meeting

Question Title

* 14. What outcomes parameters would you recommend for the national health service accreditation or the certification according to the
International Standardisation Organisation (ISO) ?

  YES NO
In-hospital mortality ( adjusted for procedure’s complexity )
Postoperative morbidity ( adjusted for procedure’s complexity )
Disease oriented  follow-up (short -medium-long term  after surgery) with evaluation

 of the grade of satisfaction and of  improvement of quality of life
Audit on quality of care
High expertise level  and experience documented through scientific  publications,

grants or honorary positions, teaching and training activities
Links and collaborations with other expert centres at the national and international levels with network capacity and organization
Thank you very much for your time and expertise

T