Hospital volume differences and five-year survival from breast cancer

被引：203

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

[1]

ABE O, 1992, LANCET, V339, P71

[2] THE RELATION BETWEEN SURVIVAL AND AGE AT DIAGNOSIS IN BREAST-CANCER [J].

ADAMI, HO ;

MALKER, B ;

HOLMBERG, L ;

PERSSON, I ;

STONE, B .

NEW ENGLAND JOURNAL OF MEDICINE, 1986, 315 (09) :559-563

[3] THE RELATION BETWEEN HEALTH-INSURANCE COVERAGE AND CLINICAL OUTCOMES AMONG WOMEN WITH BREAST-CANCER [J].

AYANIAN, JZ ;

KOHLER, BA ;

ABE, T ;

EPSTEIN, AM .

NEW ENGLAND JOURNAL OF MEDICINE, 1993, 329 (05) :326-331

[4] TREATMENT MODALITY AND QUALITY DIFFERENCES FOR BLACK AND WHITE BREAST-CANCER PATIENTS TREATED IN COMMUNITY HOSPITALS [J].

DIEHR, P ;

YERGAN, J ;

CHU, J ;

FEIGL, P ;

GLAEFKE, G ;

MOE, R ;

BERGNER, M ;

RODENBAUGH, J .

MEDICAL CARE, 1989, 27 (10) :942-954

[5]

*EARL BREAST CANC, 1992, LANCET, V339, P1

[6] RACIAL-DIFFERENCES IN SURVIVAL FROM BREAST-CANCER - RESULTS OF THE NATIONAL-CANCER-INSTITUTE BLACK/WHITE CANCER SURVIVAL STUDY [J].

ELEY, JW ;

HILL, HA ;

CHEN, VW ;

AUSTIN, DF ;

WESLEY, MN ;

MUSS, HB ;

GREENBERG, RS ;

COATES, RJ ;

CORREA, P ;

REDMOND, CK ;

HUNTER, CP ;

HERMAN, AA ;

KURMAN, R ;

BLACKLOW, R ;

SHAPIRO, S ;

EDWARDS, BK .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1994, 272 (12) :947-954

[7] GEOGRAPHIC-VARIATION IN THE TREATMENT OF LOCALIZED BREAST-CANCER [J].

FARROW, DC ;

HUNT, WC ;

SAMET, JM .

NEW ENGLAND JOURNAL OF MEDICINE, 1992, 326 (17) :1097-1101

[8] LUMPECTOMY COMPARED WITH LUMPECTOMY AND RADIATION-THERAPY FOR THE TREATMENT OF INTRADUCTAL BREAST-CANCER [J].

FISHER, B ;

COSTANTINO, J ;

REDMOND, C ;

FISHER, E ;

MARGOLESE, R ;

DIMITROV, N ;

WOLMARK, N ;

WICKERHAM, DL ;

DEUTSCH, M ;

ORE, L ;

MAMOUNAS, E ;

POLLER, W ;

KAVANAH, M .

NEW ENGLAND JOURNAL OF MEDICINE, 1993, 328 (22) :1581-1586

[9] 5-YEAR RESULTS OF A RANDOMIZED CLINICAL-TRIAL COMPARING TOTAL MASTECTOMY AND SEGMENTAL MASTECTOMY WITH OR WITHOUT RADIATION IN THE TREATMENT OF BREAST-CANCER [J].

FISHER, B ;

BAUER, M ;

MARGOLESE, R ;

POISSON, R ;

PILCH, Y ;

REDMOND, C ;

FISHER, E ;

WOLMARK, N ;

DEUTSCH, M ;

MONTAGUE, E ;

SAFFER, E ;

WICKERHAM, L ;

LERNER, H ;

GLASS, A ;

SHIBATA, H ;

DECKERS, P ;

KETCHAM, A ;

OISHI, R ;

RUSSELL, I .

NEW ENGLAND JOURNAL OF MEDICINE, 1985, 312 (11) :665-673

[10] 8-YEAR RESULTS OF A RANDOMIZED CLINICAL-TRIAL COMPARING TOTAL MASTECTOMY AND LUMPECTOMY WITH OR WITHOUT IRRADIATION IN THE TREATMENT OF BREAST-CANCER [J].

FISHER, B ;

REDMOND, C ;

POISSON, R ;

MARGOLESE, R ;

WOLMARK, N ;

WICKERHAM, L ;

FISHER, E ;

DEUTSCH, M ;

CAPLAN, R ;

PILCH, Y ;

GLASS, A ;

SHIBATA, H ;

LERNER, H ;

TERZ, J ;

SIDOROVICH, L .

NEW ENGLAND JOURNAL OF MEDICINE, 1989, 320 (13) :822-828

← 1 2 3 →