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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。
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N Engl J Med. 1993 Jun 3;328(22):1581-6. doi: 10.1056/NEJM199306033282201.
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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。
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Treatment differences and other prognostic factors related to breast cancer survival. Delivery systems and medical outcomes.与乳腺癌生存相关的治疗差异及其他预后因素。给药系统与医疗结果。
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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。
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Does practice make perfect? Part I: The relation between hospital volume and outcomes for selected diagnostic categories.熟能生巧吗？第一部分：特定诊断类别的医院诊疗量与治疗结果之间的关系。
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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.

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.

DOI:10.2105/ajph.88.3.454
PMID:9518982
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1508346/
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。