医院规模差异与乳腺癌患者的五年生存率
Hospital volume differences and five-year survival from breast cancer.
作者信息
Roohan P J, Bickell N A, Baptiste M S, Therriault G D, Ferrara E P, Siu A L
机构信息
New York State Department of Health, Albany, USA.
出版信息
Am J Public Health. 1998 Mar;88(3):454-7. doi: 10.2105/ajph.88.3.454.
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.
摘要
目的
本研究旨在确定医院规模对乳腺癌女性患者长期生存的影响。
方法
采用生存分析和比例风险模型评估5年生存率和死亡风险，并对临床和社会人口统计学变量进行调整。
结果
5年后，来自低手术量医院的患者全因死亡率比来自高手术量医院的患者高60%。
结论
乳腺癌手术病例的医院规模对5年生存率有显著的积极影响。需要开展研究以确定护理过程，尤其是术后辅助治疗，是否导致了生存差异。
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本文引用的文献
1
THE ENVIRONMENT AND DISEASE: ASSOCIATION OR CAUSATION?环境与疾病：关联还是因果关系？
Proc R Soc Med. 1965 May;58(5):295-300. doi: 10.1177/003591576505800503.
2
Radiotherapy after breast-preserving surgery in women with localized cancer of the breast.保乳手术后局部乳腺癌女性患者的放射治疗。
N Engl J Med. 1993 Jun 3;328(22):1587-91. doi: 10.1056/NEJM199306033282202.
3
The relation between health insurance coverage and clinical outcomes among women with breast cancer.乳腺癌女性的医疗保险覆盖范围与临床结局之间的关系。
N Engl J Med. 1993 Jul 29;329(5):326-31. doi: 10.1056/NEJM199307293290507.
4
Lumpectomy compared with lumpectomy and radiation therapy for the treatment of intraductal breast cancer.保乳手术与保乳手术加放射治疗用于治疗导管内乳腺癌的比较。
N Engl J Med. 1993 Jun 3;328(22):1581-6. doi: 10.1056/NEJM199306033282201.
5
The effect of comorbidity on 3-year survival of women with primary breast cancer.合并症对原发性乳腺癌女性患者3年生存率的影响。
Ann Intern Med. 1994 Jan 15;120(2):104-10. doi: 10.7326/0003-4819-120-2-199401150-00002.
6
Determinants of receiving breast-conserving surgery. The Surveillance, Epidemiology, and End Results Program, 1983-1986.接受保乳手术的决定因素。监测、流行病学和最终结果计划，1983 - 1986年。
Cancer. 1994 May 1;73(9):2344-51. doi: 10.1002/1097-0142(19940501)73:9<2344::aid-cncr2820730917>3.0.co;2-v.
7
8
Racial differences in survival from breast cancer. Results of the National Cancer Institute Black/White Cancer Survival Study.乳腺癌生存的种族差异。美国国立癌症研究所黑/白癌症生存研究结果。
JAMA. 1994 Sep 28;272(12):947-54. doi: 10.1001/jama.272.12.947.
9
10
Five-year results of a randomized clinical trial comparing total mastectomy and segmental mastectomy with or without radiation in the treatment of breast cancer.一项比较全乳切除术与保乳手术加或不加放疗治疗乳腺癌的随机临床试验的五年结果。
N Engl J Med. 1985 Mar 14;312(11):665-73. doi: 10.1056/NEJM198503143121101.
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