Traveling to a High-volume Center is Associated With Improved Survival for Patients With Esophageal Cancer.

ABSTRACT:

Background

An association between volume and outcomes has been observed for esophagectomy, though little is known about why or how patients choose low- or high-volume centers. The purpose of this study was to evaluate how travel burden and hospital volume influence treatment and outcomes of patients with locally advanced esophageal cancer.

Methods

Predictors of receiving esophagectomy for patients with T1-3N1M0 mid or distal esophageal cancer in the National Cancer Data Base from 2006 to 2011 were identified using multivariable logistic regression. Survival was compared using propensity score-matched groups: patients in the bottom quartile of travel distance who underwent treatment at low-volume facilities (Local) and patients in the top quartile of travel distance who under

SUBMITTER: Speicher PJ 

PROVIDER: S-EPMC5143210 | biostudies-literature | 2017 Apr

REPOSITORIES: biostudies-literature