Hospital volume and 5-year survival in head and neck cancer patients in Osaka, Japan
Hospital volume and 5-year survival in head and neck cancer patients in Osaka, Japan
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日本大阪的医院数量和头颈癌患者的 5 年生存率
DOI：
10.1093/jjco/hyab132
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发表时间：
2021
影响因子：
2.4
通讯作者：
Miyashiro Isao
中科院分区：
文献类型：
--
作者：
Koyama Shihoko;Tabuchi Takahiro;Okawa Sumiyo;Taniyama Yukari;Nakata Kayo;Morishima Toshitaka;Miyashiro Isao
背景以前很少有研究探讨医院容量与头颈部癌症患者死亡风险之间的关系。本研究的目的是探讨医院容量和5年生存率之间的关联，从诊断头颈部cancer patients.MethodsUsing从人口为基础的大坂癌症登记处的数据，医院容量被分为三个卷组根据2009年和2011年之间确定的头颈部癌症治疗的数量。我们使用考克斯比例风险模型分析了3069例0-79岁患者的住院量与5年生存率之间的关系，并根据患者的特征进行了调整。结果与高住院量的头颈部癌症患者相比，在中、低住院量治疗的患者死亡风险更高（中等医院量：风险比= 1.26; 95%置信区间，1.09-1.46，低医院量：风险比= 1.24; 95%置信区间，1.06-1.46）。结论我们发现中等和低医院容量的死亡危险风险显着高于高医院容量头颈部癌症的医院数量。
BackgroundFew previous studies have examined the relationship between hospital volume and hazard of death for head and neck cancer patients. The purpose of this study was to examine the association between hospital volume and 5-year survival from diagnosis among head and neck cancer patients.MethodsUsing data from the population-based Osaka Cancer Registry, hospital volume was divided into three volume groups according to the number of head and neck cancer treatments identified between 2009 and 2011. We analysed the association between hospital volume and 5-year survival among 3069 patients aged 0–79 using Cox proportional hazard models, adjusting for characteristics of patients.ResultsCompared with head and neck cancer patients in high-hospital volume, patients treated in middle- and low-hospital volume were found to have a higher risk of death (middle-hospital volume: hazard ratio = 1.26; 95% confidence interval, 1.09–1.46, low-hospital volume: hazard ratio = 1.24; 95% confidence interval, 1.06–1.46).ConclusionsWe found a significantly higher risk of hazard of death in middle- and low-hospital volume than in high-hospital volume for head and neck cancer.