Hospital of diagnosis and probability of having surgical treatment for resectable gastric cancer. BJS 2016; 103: 233-241.
Published: 1st December 2015
Authors: M. van Putten, R. H. A. Verhoeven, J. W. van Sandick, J. T. M. Plukker, V. E. P. P. Lemmens, B. P. L. Wijnhoven et al.
Gastric cancer surgery is increasingly being centralized in the Netherlands, whereas the diagnosis is often made in hospitals where gastric cancer surgery is not performed. The aim of this study was to assess whether hospital of diagnosis affects the probability of undergoing surgery and its impact on overall survival.
All patients with potentially curable gastric cancer according to stage (
A total of 5620 patients with potentially curable gastric cancer, diagnosed in 91 hospitals, were included. The proportion of patients who underwent surgery ranged from 53·1 to 83·9 per cent according to hospital of diagnosis (
The large variation in probability of receiving surgery for gastric cancer between hospitals of diagnosis and its impact on overall survival indicates that gastric cancer decision‐making is suboptimal.Full text
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