Do Hospital Characteristics Influence Cancer-Specific Survival for Early Stage Lung Cancer?

Details

• Alternative Title:
  Am J Surg
• Personal Author:
  David, Elizabeth A ; Chen, Yingjia ; Cooke, David T ; Perry, Andrew ; Canter, Robert J ; Cress, Rosemary
• Description:
  Background
  
  Quality of oncologic outcomes is of paramount importance in the care of patients with non-small cell lung cancer (NSCLC). We sought to evaluate the relationship of hospital volume for lobectomy on cancer-specific survival in NSCLC patients treated in California, as well as the influence of Committee on Cancer (CoC) accreditation.
  
  Methods
  
  The California Cancer Registry was queried from 2004–2011 for cases of Stage I NSCLC and 8,345 patients were identified. Statistical analysis was used to determine prognostic factors for cancer-specific survival.
  
  Results
  
  7,587 patients were treated surgically. CoC accreditation was not significant for cancer-specific survival, but treatment in high volume centers was associated with longer survival when compared to low and medium volume centers (HR 1.77, 1.474–2.141 and HR 1.23, 1.058–1.438).
  
  Conclusions
  
  These data suggest that surgical treatment in high volume hospitals is associated with longer cancer-specific survival for early-stage NSCLC, but that CoC accreditation is not.
  
  
• Subjects:
  Accreditation Aged Article California Cancer Specific Survival Carcinoma, Non-Small-Cell Lung Commission On Cancer Accreditation Female Hospitals, High-Volume Humans Lobectomy Lung Neoplasms Male Middle Aged Neoplasm Staging Non-small Cell Lung Cancer Pneumonectomy Registries Retrospective Studies Sublobar Resection Survival Rate Thoracic Surgery Treatment Outcome

  More +
• Source:
  Am J Surg. 210(4):643-647.
• Pubmed ID:
  26193801
• Pubmed Central ID:
  PMC4575899
• Document Type:
  Journal Article
• Funding:
  HHSN261201000034C/PHS HHS/United States ; HHSN261201000035C/PHS HHS/United States ; HHSN261201000140C/PHS HHS/United States ; P30 CA093373/CA/NCI NIH HHS/United States ; P30CA93373/CA/NCI NIH HHS/United States ; U58DP003862-01/DP/NCCDPHP CDC HHS/United States
• Volume:
  210
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:a6f03180d7c7c34be6d693f148243930414d96cb5da063511d36fdf45415fdd8
• Download URL:
  https://stacks.cdc.gov/view/cdc/36194/cdc_36194_DS1.pdf
• File Type:
  [PDF - 194.04 KB ]