Patterns and Impact of Fragmented Care in Stage II and III Gastric Cancer.

ABSTRACT:

Background

Optimal management of stage II/III gastric cancer requires multidisciplinary care, often necessitating treatment at more than one facility. We aimed to determine patterns of "fragmented" care and its impact on outcomes, including concordance with National Comprehensive Cancer Network (NCCN) guidelines and overall survival.

Methods

The 2006-2016 National Cancer Database was queried for patients with clinical stage II/III gastric adenocarcinoma who received preoperative therapy in addition to surgery. Patients were stratified based on whether surgery and chemotherapy/chemoradiation were performed at one versus multiple facilities (termed "coordinated" and "fragmented" care, respectively). Multivariable logistic regression was performed to identify factors associated

SUBMITTER: Rhodin KE 

PROVIDER: S-EPMC9378672 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature