医院服务量作为结肠直肠癌治疗模式的指标
Jason M Lizalek1, Jamie Eske2, Katryna K Thomas3
1Department of Surgery, University of Nebraska Medical Center, Omaha, Nebraska.
The Journal of surgical research
|August 29, 2024
概括
医院癌症治疗量会影响患者的护理. 高容量中心可能会过度治疗早期结肠癌,而低容量中心可能会治疗不足,影响标准治疗模式.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 癌症治疗方法 癌症治疗方法
背景情况:
- 医院对癌症护理的方法显著影响患者治疗结果.
- 医院服务量 (SV) 对不同癌症阶段的治疗模式的影响尚不清楚.
- 这项研究调查了转移性结直肠癌的医院SV与早期阶段的非标准治疗之间的联系.
研究的目的:
- 确定转移性结肠直肠癌的医院服务量 (SV) 是否预测了I-III阶段结肠癌的非标准治疗模式.
- 分析医院级SV与接受非标准化疗的可能性之间的关联.
- 根据医院治疗量来确定癌症护理中的潜在差异.
主要方法:
- 利用国家癌症数据库 (2010-2017) 分析结肠癌患者数据.
- 采用多变量逻辑回归来调整临床病理特征.
- 评估了转移性结肠直肠癌的医院SV与I-III阶段结肠癌患者的非标准治疗方法之间的关系.
主要成果:
- 在转移性结肠直肠癌的医院SV和I-III阶段结肠癌的化疗过度治疗之间发现了显著的关联.
- 与最低的SV医院相比,在最高的SV医院的患者过度治疗的几率是1.29倍.
- 最高的SV医院在II-III阶段的疾病中,与最低的SV医院相比,治疗不足的几率是0.64倍.
结论:
- 转移性结肠癌的医院服务量是I-III阶段非标准治疗模式的关键指标.
- 大量的癌症中心更容易过度治疗.
- 低体积的中心与较高的治疗不足的可能性有关,突出显示了护理差异.
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