Healthcare facility volume and evidence-based practice implementation in surgical care of patients with common cancers.

ABSTRACT:

Background

Implementation of evidence-based practices (EBPs) can serve as an indicator of quality for common cancers. This study evaluated the impact of hospital volume on EBP implementation for common cancers.

Methods

This retrospective cohort study of adults who underwent curative-intent treatment for breast, colon, melanoma, and thyroid cancer from 2010 to 2020 used data from the National Cancer Database. Eight EBP measures, two per disease site, were evaluated across facility volume quartiles using mixed-effects logistic regression models adjusted for patient and facility characteristics.

Results

There were 2,893,655 patients (breast n ​= ​1,731,433, colon n ​= ​481,858, melanoma. n ​= ​418,841, thyroid n ​= ​261,523) (median age 63). EBP implementation was higher

SUBMITTER: Montgomery KB 

PROVIDER: S-EPMC12757905 | biostudies-literature | 2026 Feb

REPOSITORIES: biostudies-literature