Variation in primary site resection practices for advanced colon cancer: a study using the National Cancer Data Base.

ABSTRACT:

Background

Treatment of metastatic colon cancer may be driven as much by practice patterns as by features of disease. To optimize management, there is a need to better understand what is determining primary site resection use.

Methods

We evaluated all patients with stage IV cancers in the National Cancer Data Base from 2002 to 2012 (50,791 patients, 1,230 hospitals). We first identified patient characteristics associated with primary tumor resection. Then, we assessed nationwide variation in hospital resection rates.

Results

Overall, 27,387 (53.9%) patients underwent primary site resection. Factors associated with resection included younger age, having less than 2 major comorbidities, and white race (P < .001). Nationwide, hospital-adjusted primary tumor resection rat

SUBMITTER: Healy MA 

PROVIDER: S-EPMC5055429 | biostudies-literature | 2016 Oct

REPOSITORIES: biostudies-literature