Key result
High hospital volume for lung cancer resection was associated with higher 5-year survival compared to low-volume hospitals (44% vs 33%, P<0.001).
Why the study?
Does resection at high-volume hospitals improve survival in older patients with stage I-IIIA non-small-cell lung cancer?
Cohort (n=2,118)
Yes
Does resection at high-volume hospitals improve survival in older patients with stage I-IIIA non-small-cell lung cancer?
Absolute Event Rate: 44% vs 33%
p-value: p=<0.001
Patients undergoing lung cancer resection at high-volume hospitals have significantly better 5-year survival and lower postoperative complication rates compared to those at low-volume hospitals.
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Association supports volume-outcome research; should not yet change referral practices pending prospective trials.
Bach et al. (2001) conducted a cohort in Stage I, II, or IIIA non-small-cell lung cancer (n=2,118). High hospital volume vs. Low hospital volume was evaluated on 5-year survival (p=<0.001). High hospital volume for lung cancer resection was associated with higher 5-year survival compared to low-volume hospitals (44% vs 33%, P<0.001).
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