Management of patients with biliary atresia in France:: Results of a decentralized policy 1986-2002
Management of patients with biliary atresia in France:: Results of a decentralized policy 1986-2002
复制标题
DOI:
10.1002/hep.21219
复制
发表时间:
2006-07-01
期刊:
影响因子:
13.5
通讯作者:
Chardot, Christophe
中科院分区:
文献类型:
--
作者:
Serinet, Marie-Odile;Broue, Pierre;Chardot, Christophe
This study analyzed the results of the decentralized management of biliary atresia (BA) in France, where an improved collaboration between centers has been promoted since 1997. Results were compared to those obtained in England and Wales, where BA patients have been centralized in three designated centers since 1999. According to their birth dates, BA patients were divided into two cohorts: cohort A, with patients born between 1986 and 1996, had 472 patients; and cohort 13, with patients born between 1997 and 2002, had 271 patients. Survival rates were calculated according to the Kaplan-Meier method and compared by using the log rank test and the Cox model. Four-year overall BA patient survival was 73.6% (95% CI 69.5%-77.7%) and 87.1% (CI 82.6%-91.6%) in cohorts A and B, respectively (P