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Variation in survival after surgery for peri-ampullary cancer in a regional cancer network.


ABSTRACT: Centralisation of specialist surgical services requires that patients are referred to a regional centre for surgery. This process may disadvantage patients who live far from the regional centre or are referred from other hospitals by making referral less likely and by delaying treatment, thereby allowing tumour progression. The aim of this study is to explore the outcome of surgery for peri-ampullary cancer (PC) with respect to referring hospital and travel distance for treatment within a network served by five hospitals.Review of a unit database was undertaken of patients undergoing surgery for PC between January 2006 and May 2014.394 patients were studied. Although both the median travel distance for patients from the five hospitals (10.8, 86, 78.8, 54.7 and 89.2 km) (p?

SUBMITTER: Amr B 

PROVIDER: S-EPMC5341358 | biostudies-literature | 2017 Mar

REPOSITORIES: biostudies-literature

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Variation in survival after surgery for peri-ampullary cancer in a regional cancer network.

Amr Bassem B   Shahtahmassebi Golnaz G   Aroori Somaiah S   Bowles Matthew J MJ   Briggs Christopher D CD   Stell David A DA  

BMC surgery 20170307 1


<h4>Background</h4>Centralisation of specialist surgical services requires that patients are referred to a regional centre for surgery. This process may disadvantage patients who live far from the regional centre or are referred from other hospitals by making referral less likely and by delaying treatment, thereby allowing tumour progression. The aim of this study is to explore the outcome of surgery for peri-ampullary cancer (PC) with respect to referring hospital and travel distance for treatm  ...[more]

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