作者
Raymond N Kuo, Kuo‐Piao Chung, Mei‐Shu Lai
发表日期
2013/2
期刊
Health Services Research
卷号
48
期号
1
页码范围
26-46
简介
Objective
This study explored the association of surgical volume versus process quality with breast cancer survival and recurrence.
Data Sources/Study Setting
Population‐based cancer registration data and National Health Insurance claim data.
Study Design
This population‐based study linked Taiwan's Cancer Database with Taiwan's National Health Insurance Database to collect data on all patients diagnosed with breast cancer in 2003–2004 who received surgical treatment.
Principal Findings
This study included 6,396 female breast cancer patients, reported by 26 hospitals. After controlling for patient and provider characteristics, Cox's regression models did not reveal any association between a physician's surgical volume and breast cancer recurrence or survival, although hospital volume was marginally associated with positive 5‐year recurrence (HR: 1.001, 95%CI: 1.000, 1.001). After controlling for …
引用总数
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