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Hospital volume differences and five-year survival from breast cancer

Author

Listed:
  • Roohan, P.J.
  • Bickell, N.A.
  • Baptiste, M.S.
  • Therriault, G.D.
  • Ferrara, E.P.
  • Siu, A.L.

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 survival differences.

Suggested Citation

  • Roohan, P.J. & Bickell, N.A. & Baptiste, M.S. & Therriault, G.D. & Ferrara, E.P. & Siu, A.L., 1998. "Hospital volume differences and five-year survival from breast cancer," American Journal of Public Health, American Public Health Association, vol. 88(3), pages 454-457.
    • Handle: RePEc:aph:ajpbhl:1998:88:3:454-457_0
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    Cited by:

    1. Ting-Shou Chang & Chun-Ming Chang & Ta-Wen Hsu & Yaoh-Shiang Lin & Ning-Sheng Lai & Yu-Chieh Su & Kuang-Yung Huang & Hung-Lung Lin & Ching-Chih Lee, 2013. "The Combined Effect of Individual and Neighborhood Socioeconomic Status on Nasopharyngeal Cancer Survival," PLOS ONE, Public Library of Science, vol. 8(9), pages 1-9, September.
    2. Chin-Chia Wu & Ta-Wen Hsu & Chun-Ming Chang & Chia-Hui Yu & Yuh-Feng Wang & Ching-Chih Lee, 2014. "The Effect of Individual and Neighborhood Socioeconomic Status on Gastric Cancer Survival," PLOS ONE, Public Library of Science, vol. 9(2), pages 1-6, February.
    3. Tanke, Marit A.C. & Ikkersheim, David E., 2012. "A new approach to the tradeoff between quality and accessibility of health care," Health Policy, Elsevier, vol. 105(2), pages 282-287.
    4. Chun-Ming Chang & Wen-Yao Yin & Chang-Kuo Wei & Chun-Hung Lin & Kuang-Yung Huang & Shih-Pin Lin & Cheng-Hung Lee & Pesus Chou & Ching-Chih Lee, 2013. "The Association of Socioeconomic Status and Access to Low-Volume Service Providers in Breast Cancer," PLOS ONE, Public Library of Science, vol. 8(12), pages 1-1, December.
    5. Carmen Rodríguez-Reinado & Ana Delgado-Parrilla & Juan Alguacil, 2022. "Breast Cancer Treatment in Integrated Care Process in Andalusia: The Challenge of Multidisciplinarity," IJERPH, MDPI, vol. 19(19), pages 1-19, October.
    6. Chun-Ming Chang & Yu-Chieh Su & Ning-Sheng Lai & Kuang-Yung Huang & Sou-Hsin Chien & Yu-Han Chang & Wei-Cheng Lian & Ta-Wen Hsu & Ching-Chih Lee, 2012. "The Combined Effect of Individual and Neighborhood Socioeconomic Status on Cancer Survival Rates," PLOS ONE, Public Library of Science, vol. 7(8), pages 1-10, August.

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