Surgeon and hospital-related risk factors in colorectal cancer surgery
2011 (English)In: Colorectal Disease, ISSN 1462-8910, E-ISSN 1463-1318, Vol. 13, no 12, 1370-1376 p.Article in journal (Refereed) Published
AIM: The aim of this study was to identify surgeon and hospital-related factors in a well-defined population-based cohort; the results of this study could possibly be used to improve outcome in colorectal cancer.
METHOD: Data from the colonic (1997-2006) and rectal (1995-2006) cancer registers of the Uppsala/Örebro Regional Oncology Centre were used to assess 1697 patients with rectal and 2692 with colonic cancer. Putative risk factors and their impact on long-term survival were evaluated using the Cox proportional hazard model.
RESULTS: The degree of specialization of the operating surgeon had no significant effect on long-term survival. When comparing the surgeons with the highest degree of specialization, noncolorectal surgeons demonstrated a slightly lower long-term survival for rectal cancer stage I and II (HR, 2.03; 95% CI, 1.05-3.92). Surgeons with a high case-load were not associated with better survival in any analysis model. Regional hospitals had a lower survival rate for rectal cancer stage III surgery (HR, 1.47; 95% CI, 1.08-2.00).
CONCLUSION: Degree of specialization, surgeon case-load and hospital category could not be identified as important factors when determining outcome in colorectal cancer surgery in this study.
Place, publisher, year, edition, pages
Wiley-Blackwell, 2011. Vol. 13, no 12, 1370-1376 p.
Colon cancer, rectal cancer, formal competence, case load, hospital category, long-term survival, population based
Surgery Gastroenterology and Hepatology Cancer and Oncology
IdentifiersURN: urn:nbn:se:umu:diva-83418DOI: 10.1111/j.1463-1318.2010.02468.xISI: 000296960300014PubMedID: 20969714OAI: oai:DiVA.org:umu-83418DiVA: diva2:667085