Association of Radical Hysterectomy Surgical Volume and Survival for Early-Stage Cervical Cancer.

ABSTRACT:

Objective

To examine the association between surgical volume and survival of women with early-stage cervical cancer who underwent radical hysterectomy.

Methods

This is a nationwide multicenter retrospective study examining consecutive women with clinical stage IB1-IIB cervical cancer who underwent radical hysterectomy and pelvic lymphadenectomy from 2004 to 2008 (N=5,964). The surgical volume per site over the 5-year period was defined as low-volume (fewer than 32 surgeries, 46 [39.7%] institutions, n=649 [10.9%]), mid-volume (32-104 surgeries, 60 [51.7%] institutions, n=3,662 [61.4%]), and high-volume (105 surgeries or more, 10 [8.6%] institutions, n=1,653 [27.7%]). Surgical volume-specific survival was examined with multivariable analysis and propensity score matching.

SUBMITTER: Matsuo K 

PROVIDER: S-EPMC9045958 | biostudies-literature | 2019 Jun

REPOSITORIES: biostudies-literature