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Increased survival of non low-grade and deep-seated soft tissue sarcoma after surgical management in high-volume hospitals
- Source :
- European Journal of Cancer, 110, 98-106. ELSEVIER SCI LTD, European Journal of Cancer, 110, 98. Elsevier Limited, European Journal of Cancer, 110, 98-106. Elsevier Ltd., European Journal of Cancer, 110, pp. 98-106, European Journal of Cancer, 110, 98-106
- Publication Year :
- 2019
-
Abstract
- Background: Diagnosing and treating soft tissue sarcomas (STSs) remains challenging, stressing the urgency for centralisation. This nationwide survey aimed to evaluate the centralisation of STS surgery and its effect on survival.Methods: Patients operated for primary STS from 2006 to 2015 were queried from the Netherlands Cancer Registry. Hospitals in which STS surgery was performed were allocated into three categories: low-volume (1-9 resections per year), medium-volume (10-19 resections) or high-volume (>= 20 resections). Differences in tumour characteristics and outcome were calculated. A multivariable regression analysis was performed to adjust for case-mix.Results: Of the 5282 identified patients, 42% was treated in low-volume hospitals, 7.7% in medium-volume hospitals and 51% in high-volume hospitals, with a significant trend over time towards treatment in a high-volume hospital (p Conclusion: Centralisation of STS surgery has increased in the past decade. Surgery in a highvolume hospital improved survival of patients with non low-grade and deep-seated tumours, and therefore these patients should be referred to such a hospital. (C) 2019 Elsevier Ltd. All rights reserved.
- Subjects :
- Adult
Centralisation
medicine.medical_specialty
Cancer Research
Hospitals, Low-Volume
Survival
Improved survival
Subgroup analysis
Soft Tissue Neoplasms
Nationwide survey
DIAGNOSIS
Tumours of the digestive tract Radboud Institute for Health Sciences [Radboudumc 14]
All institutes and research themes of the Radboud University Medical Center
SDG 3 - Good Health and Well-being
Internal medicine
medicine
Humans
Net Survival
Netherlands
Soft tissue sarcoma
business.industry
Soft tissue
Sarcoma
Middle Aged
medicine.disease
Cancer registry
Tumor Burden
Survival Rate
Oncology
Relative risk
Surgery
business
Hospitals, High-Volume
Subjects
Details
- Language :
- English
- ISSN :
- 09598049
- Volume :
- 110
- Database :
- OpenAIRE
- Journal :
- European Journal of Cancer
- Accession number :
- edsair.doi.dedup.....753c3b279b286dfb46ee5db1ef31a691