Document Detail


Is there a relationship between case volume and survival in breast cancer?
MedLine Citation:
PMID:  12727557     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Several studies have suggested that case volume predicts survival in breast cancer, that patients treated in hospitals with larger case volumes survive longer. The present study is a review of cases from the Blue Mountain Regional Tumor Registry and tests that hypothesis. METHODS: A review was made of 2,409 breast cancer cases accessioned from nine hospitals between 1980 and 1995, tabulating hospital annual case volume, stage at diagnosis, age, treatment, and 5-year relative survival rate. Correlations and probabilities are presented. RESULTS: Survival correlates with stage at diagnosis (P <0.001), but not with hospital case volume (P = 0.40). CONCLUSIONS: If, as in this study, survival correlates with stage at diagnosis and not with case volume, then improving survival requires identifying cases earlier. To do that requires improving saturation of the population at risk with effective screening and improving access to healthcare. That implies dispersing services instead of concentrating them in high-volume centers.
Authors:
Keith F Harcourt; Kay L Hicks
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  185     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  2003 May 
Date Detail:
Created Date:  2003-05-02     Completed Date:  2003-05-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  407-10     Citation Subset:  AIM; IM    
Affiliation:
Blue Mountain Oncology Program, Blue Mountain Regional Tumor Registry, 2316 Eastgate Street, Suite 105, Walla Walla, WA 99362, USA. kpharcourt@centurytel.net
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MeSH Terms
Descriptor/Qualifier:
Breast Neoplasms / mortality*,  pathology,  surgery*
Female
Humans
Neoplasm Staging
Registries
Retrospective Studies
Surgery Department, Hospital / utilization*
Survival Rate
United States
Workload

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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