Variation in Hospital-Specific Rates of Suboptimal Lymphadenectomy and Survival in Colon Cancer: Evidence from the National Cancer Data Base

Variation in Hospital-Specific Rates of Suboptimal Lymphadenectomy and Survival in Colon Cancer: Evidence from the National Cancer Data Base

Background Little is known about between-hospital differences in the rate of suboptimal lymphadenectomy. This study characterizes variation in hospital-specific rates of suboptimal lymphadenectomy and its effect on overall survival in a national hospital-based registry. Methods Stage I–III colon can...

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Veröffentlicht in:Annals of surgical oncology 2016-12, Vol.23 (Suppl 5), p.674-683
Hauptverfasser: Becerra, Adan Z., Berho, Mariana E., Probst, Christian P., Aquina, Christopher T., Tejani, Mohamedtaki A., Gonzalez, Maynor G., Xu, Zhaomin, Swanger, Alex A., Noyes, Katia, Monson, John R., Fleming, Fergal J.
Format: Artikel
Sprache:eng
Schlagworte:
Age Factors
Aged
Aged, 80 and over
Colectomy - statistics & numerical data
Colon, Descending - surgery
Colon, Sigmoid - surgery
Colonic Neoplasms - pathology
Colorectal Cancer
Comorbidity
Databases, Factual
Female
Hospitals, High-Volume - standards
Hospitals, High-Volume - statistics & numerical data
Hospitals, Low-Volume - standards
Hospitals, Low-Volume - statistics & numerical data
Hospitals, Teaching - standards
Hospitals, Teaching - statistics & numerical data
Humans
Insurance, Health - statistics & numerical data
Lymph Node Excision - standards
Lymph Node Excision - statistics & numerical data
Lymphatic Metastasis
Male
Medicine
Medicine & Public Health
Middle Aged
Neoplasm Grading
Neoplasm Staging
Oncology
Sex Factors
Surgery
Surgical Oncology
Survival Rate
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Zusammenfassung:Background Little is known about between-hospital differences in the rate of suboptimal lymphadenectomy. This study characterizes variation in hospital-specific rates of suboptimal lymphadenectomy and its effect on overall survival in a national hospital-based registry. Methods Stage I–III colon cancer patients were identified from the 2003–2012 National Cancer Data Base. Bayesian multilevel logistic regression models were used to assess the impact of patient- and hospital-level factors on hospital-specific rates of suboptimal lymphadenectomy (
ISSN:1068-9265
1534-4681
DOI:10.1245/s10434-016-5551-2