Evidence map›Paper›PMID 24633864›Full record

ArticleJournal of cancer research and clinical oncology2014

Level of hospital care and outcome of gastric cancer: a population-based evaluation of the Munich Cancer Registry.

Anne Schlesinger-Raab, André L Mihaljevic, Silvia Egert, Rebecca T Emeny, Karl-Walter Jauch, Jörg Kleeff, Alexander Novotny, Natascha C Nüssler, Miriam Rottmann, Wolfgang Schepp and 5 more

Abstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Anne Schlesinger-RaabDepartment of Medical Informatics, Biometry and Epidemiology (IBE), Munich Cancer Registry (MCR) of the Munich Cancer Centre (MCC), Klinikum Großhadern, Ludwig-Maximilians-University (LMU), Marchioninistr. 15, 81377, Munich, Germany, schlesi@ibe.med.uni-muenchen.de.
André L Mihaljevic
Silvia Egert
Rebecca T Emeny
Karl-Walter Jauch
Jörg Kleeff
Alexander Novotny
Natascha C Nüssler
Miriam Rottmann
Wolfgang Schepp
Wolfgang Schmitt
Gabriele Schubert-Fritschle
Bernhard Weber
Christoph Schuhmacher
Jutta Engel

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGastric cancer accounts for 5 % of cancer deaths. Successful implementation of guideline-recommended treatment procedures should result in population-based outcome improvements despite the still poor prognosis. In this context, the objective of this study was to compare the outcome of gastric cancer by different levels of hospital care. MATERIALS AND

methodsTotal of 8,601 patients with invasive gastric cancer documented between 1998 and 2012 by the Munich Cancer Registry were evaluated. Tumour and therapy characteristics and outcome were analysed in regard to five levels of hospital care: three levels were defined for general hospitals (level I-III), while university hospitals and speciality hospitals were grouped as separate classes. Survival was investigated using the Kaplan-Meier-method, computing relative survival, and by multivariate Cox proportional hazard regression.

resultsThe average age differed between 66 years in university hospitals and 75 years in hospitals providing a basic level of care (level I). No survival differences were found for patients treated in different levels of hospital care in 75 % of the patient cohort, namely the M0 patients. A better survival could only be shown for patients with M1 at diagnosis when treated in a university or level III hospital compared to those treated in other hospitals.

conclusionThe outcome difference of M1 patients is most likely caused by selection effects concerning health status differences and not by processes of health care attributable to level of hospital care. Thus, this study demonstrates and confirms appropriate treatment and care of gastric cancer over all levels of hospital care.

Indexed as

Hospital MortalityAgedAged, 80 and overFemaleGermanyHospitalsHumansMaleMiddle AgedPrognosisRegistriesStomach NeoplasmsTreatment Outcome

Identifiers

PMID24633864
PMCPMC11823913

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.