Evidence map›Paper›PMID 29849479›Full record

ArticleSarcoma2018

Improving Long-Term Outcomes for Patients with Extra-Abdominal Soft Tissue Sarcoma Regionalization to High-Volume Centers, Improved Compliance with Guidelines or Both?

Sanjay P Bagaria, Yu-Hui Chang, Richard J Gray, Jonathan B Ashman, Steven Attia, Nabil Wasif

Abstract read
In one paragraph

Article in Sarcoma, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Review
  2. Article
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  11. Surgery in reference centers improves survival of sarcoma patients: a nationwide study.Annals of oncology : official journal of the European Society for Medical Oncology · 2019
    Article
  12. Outcomes After Resection of Hepatocellular Carcinoma: Intersection of Travel Distance and Hospital Volume.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019
    Article
  13. In Reply.The oncologist · 2019
    Article
  14. 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

6 authors.

Sanjay P BagariaDepartment of Surgery, Section of Surgical Oncology, Mayo Clinic Florida, Jacksonville, FL, USA.ORCID 0000-0001-6677-8964
Yu-Hui ChangDepartment of Biostatistics, Mayo Clinic Arizona, Phoenix, AZ, USA.ORCID 0000-0002-4485-9306
Richard J GrayDepartment of Surgery, Section of Surgical Oncology, Mayo Clinic Arizona, Phoenix, AZ, USA.
Jonathan B AshmanDepartment of Radiation Oncology, Mayo Clinic Arizona, Phoenix, AZ, USA.
Steven AttiaDivision of Hematology and Oncology, Mayo Clinic Florida, Jacksonville, FL, USA.
Nabil WasifRobert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Surgical Outcomes Division, Mayo Clinic Arizona, Phoenix, AZ, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOptimization of outcomes of extra-abdominal STS is not clearly understood. We sought to determine whether hospital surgical volume and adherence to NCCN guidelines, or both, are associated with outcomes in the treatment of extra-abdominal soft tissue sarcoma (STS).

methodsThe National Cancer Database (NCDB) was queried for patients undergoing surgery for extra-abdominal STS diagnosed from 2003 to 2007. Mean annual hospital volume for STS surgery was divided into volume terciles (1T ≤3, 2T 4-10, and 3T ≥11 cases/year). Adherence to NCCN guidelines was determined. Primary outcome was overall survival.

resultsOur study population consisted of 13,684 patients with a median age of 56 years. 3T hospitals were more likely to adhere to NCCN guidelines for stage III patients (63% versus 47%;

conclusionsAdherence to NCCN guidelines, irrespective of hospital volume, is associated with improved overall survival for patients with extra-abdominal STS. High-volume hospitals more often adhere to guidelines, but low-volume hospitals that follow national guidelines may achieve comparable outcomes.

Identifiers

PMID29849479
PMCPMC5903348

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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.