Impact of hospital volume on surgical management and outcomes for early-stage cervical cancer.

ABSTRACT:

Objective

To determine whether process and outcome measures varied for patients with early-stage cervical cancer based on hospital surgical volume.

Methods

Using the National Cancer Database, we identified women with stages IA2 - IB1 cervical cancer (2011-2013). Annual hospital volume was calculated using number of hysterectomies performed in the prior year and grouped into patient level-quartiles. Centers in the highest quartile of volume were defined as HVCs; those in the lowest quartile, as LVCs. Demographics, type/mode of hysterectomy, lymph node assessment, NCCN-compliant surgery (radical hysterectomy (RH) with LND), and survival outcomes were compared across quartiles of hospital volume. Cox Proportional Hazards model was performed to determine impact of volume on mort

SUBMITTER: Aviki EM 

PROVIDER: S-EPMC8277823 | biostudies-literature | 2020 May

REPOSITORIES: biostudies-literature