Evidence map›Paper›PMID 41317677›Full record

ArticleAmerican journal of surgery2026

Healthcare facility volume and evidence-based practice implementation in surgical care of patients with common cancers.

Kelsey B Montgomery, Nicole Rademacher, Joshua S Richman, Smita Bhatia, Kristy K Broman

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of surgery, 2026. 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

5 authors.

Kelsey B MontgomeryDepartment of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Nicole RademacherDepartment of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Joshua S RichmanDepartment of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA; Institute for Cancer Outcomes and Survivorship, Birmingham, AL, USA.
Smita BhatiaInstitute for Cancer Outcomes and Survivorship, Birmingham, AL, USA; Department of Pediatrics, University of Alabama at Birmingham, Birmingham, AL, USA.
Kristy K BromanDepartment of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA; Institute for Cancer Outcomes and Survivorship, Birmingham, AL, USA; Birmingham VA Medical Center, Birmingham, AL, USA. Electronic address: kristybroman@uabmc.edu.

Funding

DEEP SOUTH TRANSLATIONAL RESEARCH MENTORED CAREER DEVELOPMENT PROGRAMKL2TR003097 · NCATS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SAAG, KENNETH G · 2019 to 2023
$5.2M
Leveraging Health Systems to Increase Implementation of Evidence-Based Surgical Cancer CareK08CA283001 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI BROMAN, KRISTY KUMMEROW · 2023 to 2025
$592k
AHRQ HHS T32 HS013852NCATS NIH HHS KL2 TR003097NCI NIH HHS K08 CA283001
6 · The paper itself

Abstract

backgroundImplementation of evidence-based practices (EBPs) can serve as an indicator of quality for common cancers. This study evaluated the impact of hospital volume on EBP implementation for common cancers.

methodsThis retrospective cohort study of adults who underwent curative-intent treatment for breast, colon, melanoma, and thyroid cancer from 2010 to 2020 used data from the National Cancer Database. Eight EBP measures, two per disease site, were evaluated across facility volume quartiles using mixed-effects logistic regression models adjusted for patient and facility characteristics.

resultsThere were 2,893,655 patients (breast n ​= ​1,731,433, colon n ​= ​481,858, melanoma. n ​= ​418,841, thyroid n ​= ​261,523) (median age 63). EBP implementation was higher at the highest-volume sites compared to lowest (range by measure: 71 ​%-95 ​% and 60 ​%-90 ​% respectively). The adjusted odds of receiving EBP was greater at higher-volume facilities for six of eight measures.

conclusionVolume-associations in EBP implementation may influence system-level decision making around care allocation for common cancers.

Indexed as

Breast NeoplasmsColonic NeoplasmsEvidence-Based PracticeHospitals, High-VolumeHospitals, Low-VolumeNeoplasmsThyroid NeoplasmsAdultAgedFemaleHumansMaleMelanomaMiddle AgedRetrospective StudiesUnited States

Identifiers

PMID41317677
PMCPMC12757905

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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.