Hospital volume differences and five-year survival... Catalogue en ligne

Titre :	Hospital volume differences and five-year survival from breast cancer. (1998)
Auteurs :	P.J. ROOHAN ; M.S. BAPTISTE ; N.A. BICKELL ; E.P. FERRARA ; A.L. SIU ; G.D. THERRIAULT ; New York State Department of Health. Albany. USA
Type de document :	Article
Dans :	American journal of public health (vol. 88, n° 3, 1998)
Pagination :	454-457
Langues:	Anglais
Mots-clés :	Cancer ; Sein ; Homme ; Femme ; Survie ; Létalité ; Hospitalisation ; Chirurgie ; Etats Unis ; Amérique du Nord ; Amérique ; Epidémiologie ; Glande mammaire [pathologie]
Résumé :	[BDSP. Notice produite par INIST wR0xl9bS. Diffusion soumise à autorisation]. 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 care, especially postsurgical adjuvant treatments, contribute to survival differences.

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