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- Title
Public health briefs. Hospital volume differences and five-year survival from breast cancer.
- Authors
Roohan PJ; Bickell NA; Baptiste MS; Therriault GD; Ferrara EP; Siu AL
- Abstract
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.
- Publication
American Journal of Public Health, 1998, Vol 88, Issue 3, p454
- ISSN
0090-0036
- Publication type
Academic Journal
- DOI
10.2105/AJPH.88.3.454