Hospital volume differences and five-year survival from breast cancer

被引：202

作者：

Roohan, PJ ^{[1
]}

Bickell, NA ^{[1
]}

Baptiste, MS ^{[1
]}

Therriault, GD ^{[1
]}

Ferrara, EP ^{[1
]}

Siu, AL ^{[1
]}

机构：

[1] New York State Dept Hlth, Off Managed Care, Albany, NY 12237 USA

来源：

AMERICAN JOURNAL OF PUBLIC HEALTH | 1998年 / 88卷 / 03期

关键词：

D O I：

10.2105/AJPH.88.3.454

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objectives. The purpose of this study was to determine the effect of hospital volume on long-term survival for women with breast cancer. Methods. Survival analysis and proportional-hazard modeling were used to assess 5-year survival and risk of death, adjusting for clinical and sociodemographic variables. Results. At 5 years, patients from very low-volume hospitals had a 60% greater risk of all-cause mortality than patients from high-volume hospitals. Conclusions. Hospital volume of breast cancer surgical cases has a strong positive effect on 5-year survival. Research is needed to identify whether processes of cart, especially postsurgical adjuvant treatments. contribute to survival differences.

引用

页码：454 / 457

页数：4

共 26 条

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