The influence of hospital volume and surgical treatment delay on long-term survival after cancer surgery

Y. H. Yun; Y. A. Kim; Y. H. Min; S. Park; Y. J. Won; D. Y. Kim; I. J. Choi; Y. W. Kim; S. J. Park; J. H. Kim; D. H. Lee; S. J. Yoon; S. Y. Jeong; D. Y. Noh; D. S. Heo

doi:10.1093/annonc/mds101

The influence of hospital volume and surgical treatment delay on long-term survival after cancer surgery

Y. H. Yun, Y. A. Kim, Y. H. Min, S. Park, Y. J. Won, D. Y. Kim, I. J. Choi, Y. W. Kim, S. J. Park, J. H. Kim, D. H. Lee, S. J. Yoon, S. Y. Jeong, D. Y. Noh, D. S. Heo

Research output: Contribution to journal › Article › peer-review

132 Citations (Scopus)

Abstract

Background: We conducted a population-based retrospective cohort study to investigate the influence of hospital volume, delay of surgery, and both together on the long-term survival of postoperative cancer patients. Methods: Using information from the Korea Central Cancer Registry from 2001 through 2005 and the National Health Insurance claim database, we determined survival for 147 682 patients who underwent definitive surgery for any of six cancers. Results: Regardless of cancer site, surgical patients in low- to medium-volume hospitals showed significantly worse survival [adjusted hazard ratio (aHR) = 1.36-1.86] than those in high-volume hospitals in multivariable analyses. Among the latter, treatment delays > 1 month were not associated with worse survival for stomach, colon, pancreatic, or lung cancer but were for rectal [aHR = 1.28; 95% confidence interval (CI), 1.17-1.40] and breast (aHR = 1.59; 95% CI, 1.37-1.84) cancer. For patients in low- to medium-volume hospitals, treatment delay was associated with worse survival for all types of cancer (aHR = 1.78-3.81). Conclusion: Our findings suggest that the effect of hospital volume and surgical treatment delay on overall survival of cancer patients should be considered in formulating or revising national health policy.

Original language	English
Pages (from-to)	2731-2737
Number of pages	7
Journal	Annals of Oncology
Volume	23
Issue number	10
DOIs	https://doi.org/10.1093/annonc/mds101
Publication status	Published - 2012 Oct
Externally published	Yes

Keywords

Hospital volume
Surgical treatment delay
Survival

ASJC Scopus subject areas

Hematology
Oncology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1093/annonc/mds101

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Yun, Y. H., Kim, Y. A., Min, Y. H., Park, S., Won, Y. J., Kim, D. Y., Choi, I. J., Kim, Y. W., Park, S. J., Kim, J. H., Lee, D. H., Yoon, S. J., Jeong, S. Y., Noh, D. Y., & Heo, D. S. (2012). The influence of hospital volume and surgical treatment delay on long-term survival after cancer surgery. Annals of Oncology, 23(10), 2731-2737. https://doi.org/10.1093/annonc/mds101

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abstract = "Background: We conducted a population-based retrospective cohort study to investigate the influence of hospital volume, delay of surgery, and both together on the long-term survival of postoperative cancer patients. Methods: Using information from the Korea Central Cancer Registry from 2001 through 2005 and the National Health Insurance claim database, we determined survival for 147 682 patients who underwent definitive surgery for any of six cancers. Results: Regardless of cancer site, surgical patients in low- to medium-volume hospitals showed significantly worse survival [adjusted hazard ratio (aHR) = 1.36-1.86] than those in high-volume hospitals in multivariable analyses. Among the latter, treatment delays > 1 month were not associated with worse survival for stomach, colon, pancreatic, or lung cancer but were for rectal [aHR = 1.28; 95% confidence interval (CI), 1.17-1.40] and breast (aHR = 1.59; 95% CI, 1.37-1.84) cancer. For patients in low- to medium-volume hospitals, treatment delay was associated with worse survival for all types of cancer (aHR = 1.78-3.81). Conclusion: Our findings suggest that the effect of hospital volume and surgical treatment delay on overall survival of cancer patients should be considered in formulating or revising national health policy.",

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author = "Yun, {Y. H.} and Kim, {Y. A.} and Min, {Y. H.} and S. Park and Won, {Y. J.} and Kim, {D. Y.} and Choi, {I. J.} and Kim, {Y. W.} and Park, {S. J.} and Kim, {J. H.} and Lee, {D. H.} and Yoon, {S. J.} and Jeong, {S. Y.} and Noh, {D. Y.} and Heo, {D. S.}",

year = "2012",

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doi = "10.1093/annonc/mds101",

language = "English",

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AU - Yun, Y. H.

AU - Kim, Y. A.

AU - Min, Y. H.

AU - Park, S.

AU - Won, Y. J.

AU - Kim, D. Y.

AU - Choi, I. J.

AU - Kim, Y. W.

AU - Park, S. J.

AU - Kim, J. H.

AU - Lee, D. H.

AU - Yoon, S. J.

AU - Jeong, S. Y.

AU - Noh, D. Y.

AU - Heo, D. S.

PY - 2012/10

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N2 - Background: We conducted a population-based retrospective cohort study to investigate the influence of hospital volume, delay of surgery, and both together on the long-term survival of postoperative cancer patients. Methods: Using information from the Korea Central Cancer Registry from 2001 through 2005 and the National Health Insurance claim database, we determined survival for 147 682 patients who underwent definitive surgery for any of six cancers. Results: Regardless of cancer site, surgical patients in low- to medium-volume hospitals showed significantly worse survival [adjusted hazard ratio (aHR) = 1.36-1.86] than those in high-volume hospitals in multivariable analyses. Among the latter, treatment delays > 1 month were not associated with worse survival for stomach, colon, pancreatic, or lung cancer but were for rectal [aHR = 1.28; 95% confidence interval (CI), 1.17-1.40] and breast (aHR = 1.59; 95% CI, 1.37-1.84) cancer. For patients in low- to medium-volume hospitals, treatment delay was associated with worse survival for all types of cancer (aHR = 1.78-3.81). Conclusion: Our findings suggest that the effect of hospital volume and surgical treatment delay on overall survival of cancer patients should be considered in formulating or revising national health policy.

AB - Background: We conducted a population-based retrospective cohort study to investigate the influence of hospital volume, delay of surgery, and both together on the long-term survival of postoperative cancer patients. Methods: Using information from the Korea Central Cancer Registry from 2001 through 2005 and the National Health Insurance claim database, we determined survival for 147 682 patients who underwent definitive surgery for any of six cancers. Results: Regardless of cancer site, surgical patients in low- to medium-volume hospitals showed significantly worse survival [adjusted hazard ratio (aHR) = 1.36-1.86] than those in high-volume hospitals in multivariable analyses. Among the latter, treatment delays > 1 month were not associated with worse survival for stomach, colon, pancreatic, or lung cancer but were for rectal [aHR = 1.28; 95% confidence interval (CI), 1.17-1.40] and breast (aHR = 1.59; 95% CI, 1.37-1.84) cancer. For patients in low- to medium-volume hospitals, treatment delay was associated with worse survival for all types of cancer (aHR = 1.78-3.81). Conclusion: Our findings suggest that the effect of hospital volume and surgical treatment delay on overall survival of cancer patients should be considered in formulating or revising national health policy.

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The influence of hospital volume and surgical treatment delay on long-term survival after cancer surgery

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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