The Volume-Outcome Effect Calls for Centralization of Care in Esophageal Adenocarcinoma: Results From a Large National Cancer Registry.
Adenocarcinoma
/ epidemiology
Aged
Delivery of Health Care
/ organization & administration
Disease Management
Esophageal Neoplasms
/ epidemiology
Female
Hospitals
/ statistics & numerical data
Humans
Male
Middle Aged
Morbidity
/ trends
Population Surveillance
/ methods
Registries
Survival Rate
/ trends
United States
/ epidemiology
Journal
The American journal of gastroenterology
ISSN: 1572-0241
Titre abrégé: Am J Gastroenterol
Pays: United States
ID NLM: 0421030
Informations de publication
Date de publication:
04 2021
04 2021
Historique:
entrez:
13
5
2021
pubmed:
14
5
2021
medline:
22
6
2021
Statut:
ppublish
Résumé
Using the National Cancer Database, we assessed the relationship between facility overall esophageal adenocarcinoma (EAC) case volume and survival. We categorized facilities into volume quintiles based on annual EAC patient volume and performed a multivariable Cox proportional hazards regression between facility patient volume and survival. In a cohort of 116,675 patients, facilities with higher vs lower (≥25 vs 1-4 cases) annual EAC patient volume demonstrated improved survival (adjusted hazard ratio: 0.80. 95% confidence interval: 0.70-0.91). This robust volume-outcome effect calls for centralization of care for EAC patients at high annual case volume facilities.
Identifiants
pubmed: 33982952
doi: 10.14309/ajg.0000000000001046
pii: 00000434-202104000-00035
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
811-815Subventions
Organisme : NIDDK NIH HHS
ID : T32 DK007038
Pays : United States