Evidence map›Paper›PMID 27259567›Full record

ArticleInternational journal of colorectal disease2016

Influence of hospital type on survival in stage IV colorectal cancer.

Nobuaki Hoshino, Suguru Hasegawa, Koya Hida, Kenji Kawada, Ryosuke Okamura, Madoka Hamada, Yoshinori Munemoto, Yoshiharu Sakai, Masahiko Watanabe, Japan Society of Laparoscopic Colorectal Surgery

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Article in International journal of colorectal disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

10 authors.

Nobuaki HoshinoDepartment of Surgery, Kyoto University Graduate School of Medicine, 54 Shogoin-Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan. hoshinob@kuhp.kyoto-u.ac.jp.
Suguru HasegawaDepartment of Surgery, Kyoto University Graduate School of Medicine, 54 Shogoin-Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan.
Koya HidaDepartment of Surgery, Kyoto University Graduate School of Medicine, 54 Shogoin-Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan.
Kenji KawadaDepartment of Surgery, Kyoto University Graduate School of Medicine, 54 Shogoin-Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan.
Ryosuke OkamuraDepartment of Surgery, Kyoto University Graduate School of Medicine, 54 Shogoin-Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan.
Madoka HamadaDepartment of Gastrointestinal Surgery, Kansai Medical University Hirakata Hospital, Osaka, Japan.
Yoshinori MunemotoDepartment of Surgery, Fukui-ken Saiseikai Hospital, Fukui, Japan.
Yoshiharu SakaiDepartment of Surgery, Kyoto University Graduate School of Medicine, 54 Shogoin-Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan.
Masahiko WatanabeDepartment of Surgery, Kitasato University School of Medicine, Kanagawa, Japan.
Japan Society of Laparoscopic Colorectal Surgery

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHospital factors along with various patient and surgeon factors are considered to affect the prognosis of colorectal cancer. Hospital volume is well known, but little is known regarding other hospital factors.

methodsWe reviewed data on 853 patients with stage IV colorectal cancer who underwent elective palliative primary tumor resection between January 2006 and December 2007. To detect the hospital factors that could influence the prognosis of incurable colorectal cancer, the relationships between patient/hospital factors and overall survival were analyzed. Among hospital factors, hospital type (Group A: university hospital or cancer center; Group B: community hospital), hospital volume, and number of colorectal surgeons were examined.

resultsIn univariate analysis, Group A hospitals showed significantly better prognosis than Group B hospitals (p = 0.034), while hospital volume and number of colorectal surgeons were not associated with overall survival. After adjustment for patient factors in multivariate analysis, hospital type was significantly associated with overall survival (hazard ratio: 1.31; 95 % confidence interval: 1.05-1.63; p = 0.016). However, there was no significant difference in short-term outcomes between hospital types.

conclusionsHospital type was identified as a hospital factor that possibly affects the prognosis of stage IV colorectal cancer patients.

Indexed as

HospitalsAgedColorectal NeoplasmsFemaleHumansMaleMiddle AgedNeoplasm StagingSurvival AnalysisTreatment OutcomeColorectal neoplasmsHospital factorsStage IVSurvival

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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.