Hospital of diagnosis and probability of having surgical treatment for resectable gastric cancer
作者： M. van Putten , R. H. A. Verhoeven , J. W. van Sandick , J. T. M. Plukker , V. E. P. P. Lemmens
DOI: 10.1002/BJS.10054
关键词:
摘要: __Background__ Gastric cancer surgery is increasingly being centralized in the Netherlands, whereas diagnosis often made hospitals where gastric not performed. The aim of this study was to assess whether hospital affects probability undergoing and its impact on overall survival. __Methods__ All patients with potentially curable according stage (cT1/1b-4a, cN0-2, cM0) diagnosed between 2005 2013 were selected from Netherlands Cancer Registry. Multilevel logistic regression used examine diagnosis. effect variation among survival during intervals 2005-2009 2010-2013 examined by using Cox analysis. __Results__ A total 5620 cancer, 91 hospitals, included. proportion who underwent ranged 53·1 83·9 per cent (P < 0·001); after multivariable adjustment for patient tumour characteristics it 57·0 78·2 0·001). Multivariable showed that 2010 a low curative treatment had worse (hazard ratio 1·21; P __Conclusion__ large receiving indicates decision-making suboptimal. Place chance
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