Associations of hospital volume and hospital competition with short-term, middle-term and long-term patient outcomes after breast cancer surgery: a retrospective population-based study.

ABSTRACT:

Objectives

For oncological care, there is a clear tendency towards centralisation and collaboration aimed at improving patient outcomes. However, in market-based healthcare systems, this trend is related to the potential trade-off between hospital volume and hospital competition. We analyse the association between hospital volume, competition from neighbouring hospitals and outcomes for patients who underwent surgery for invasive breast cancer (IBC).

Outcome measures

Surgical margins, 90 days re-excision, overall survival.

Design, setting, participants

In this population-based study, we use data from the Netherlands Cancer Registry. Our study sample consists of 136 958 patients who underwent surgery for IBC between 2004 and 2014 in the Netherlands.

Results

Our

SUBMITTER: van der Schors W 

PROVIDER: S-EPMC9045096 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature