Effect of hospitals on survival and postoperative mortality of stomach cancer : A population-based study on type, referral, and volume-effect in the northeast Netherlands

摘要: e15564 Background: To optimize treatment results of patients with stomach cancer some institutions prompt referral to high volume hospitals experienced surgeon's analogue esophageal cancer. We analyzed if evidence can be found for superior outcome depending on hospital type, pattern or volume. Methods: Data from all diagnosed primary invasive 1994–2006 were obtained the nationwide Netherlands Cancer Registry north-east part Netherlands. This area is served by one university (U), 4 teaching (T), and 18 non-teaching (N-T). Results: In study period, 5243 (65.6% men, 34.4% female), 44.5% underwent surgery. Older age, advanced stage proximal tumor location resulted in a lower probability resection. The 5 year relative survival (5yrsurv) was similar three types. However, tumors more often ref...