The association of hospital volume with rectal cancer surgery outcomes

Title
The association of hospital volume with rectal cancer surgery outcomes
Authors
최선근
Keywords
Mortality . OSHPD . Rectal cancer . Surgical outcomes . Volume
Issue Date
2013
Publisher
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
Series/Report no.
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE ; Vol.28 no.2 Startpage 191 Endpage 196
Abstract
Purpose An association between hospital volume and postoperative mortality has been identified for several oncologic surgical procedures. Our objective was to analyze differences in surgical outcomes for patients with rectal cancer according to hospital volume in the state of California. Methods A cross-sectional study from 2000 to 2005 was performed using the state of California Office of Statewide Health Planning and Development database. Hospitals were categorized into low (≤30)-, medium (31? 60)-, and high (>60)-volume groups based on the total number of rectal cancer operations performed during the study period. Results Overall, 7,187 rectal cancer operations were performed. Of the 321 hospitals in the study cohort, 72 % (n0232), 20 % (n065), and 8 % (n024) were low-, medium-, and high-volume hospitals, respectively. Postoperative mortality was significantly lower- in high-volume hospitals (0.9 %) when compared to medium- (1.1 %) and low-volume hospitals (2.1 %; p<0.001). High-volume hospitals also performed more sphincter-preserving procedures (64 %) when compared to medium- (55 %) and low-volume hospitals (51 %; p<0.001). Conclusions These data indicate that hospital volume correlates with improved outcomes in rectal cancer surgery. Rectal cancer patients may benefit from lower mortality and increased sphincter preservation in higher-volume centers.
URI
http://dspace.inha.ac.kr/handle/10505/31548
ISSN
0179-1958
Appears in Collections:
Medical School/College of Medicine (의학전문대학원/의과대학) > Medical Science (의학) > Journal Papers, Reports(의학 논문, 보고서)
Files in This Item:
33166.pdfDownload

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse