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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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Background: Although the mortality rate in cancers has been decreased recently, it is still one of the leading causes of death in most of the countries. This study analyzed the relationship between surgery volume and in hospital mortality of cancer patients. The purpose of this study is to investigate the relationship in Korean healthcare environment and to provide information for the policy development in reducing cancer mortality. Methods: The study sample was the 20,517 cancer patients who underwent surgery and discharged during a month period between 2008-2011. The data were collected in Patient Survey by Korean Institute of Social Affairs. Logistic regression was used to analyse a comprehensive analytic model that includes a binary dependent variable indicating death discharge and independent variables such as surgery volume, organizational characteristics of hospitals, socio-economical characteristics of the patients, and severity of disease indicators. Results: In chi-square test, as the surgery volume increases, the in-hospitals mortality showed a downward trends. In regression analysis, the relationship between surgery volume and mortality showed significant negative associations in all types of cancer except for pancreatic cancer. Conclusion: In the absence of other information patients undergoing cancer surgery can reduce their risk of operative death by selecting a high-volume hospital. Therefore, policies to enhance centralization of cancer surgery services should be considered.
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참고문헌 (23)
참고문헌 신청
Birkmeyer JD / 2002 / Batista I, (2002) Hospital volume and surgical mortality in the United States / N Engl J Med 346(15):1128~1137
Kim MG / 2014 / Comparison of the outcomes for laparoscopic gastrectomy performed by the same surgeon between a low-volume hospital and a high-volume center / Surg Endosc 28(5):1563~1570
Damle RN / 2014 / Surgeon volume and elective resection for colon cancer: an analysis of outcomes and use of laparoscopy / J Am Coll Surg 218(6):1223~1230
Luchtenborg M / 2013 / High procedure volume is strongly associated with improved survival after lung cancer surgery / J Clin Oncol 31(25):3141~3146
Avritscher EB / 2014 / Serious postoperative infections following resection of common solid tumors: outcomes, costs, and impact of hospital surgical volume / Support Care Cancer 22(2):527~535
Kim MG / 2014 / Comparison of the outcomes for laparoscopic gastrectomy performed by the same surgeon between a low-volume hospital and a high-volume center / Surg Endosc 28(5):1563~1570
Damle RN / 2014 / Surgeon volume and elective resection for colon cancer: an analysis of outcomes and use of laparoscopy / J Am Coll Surg 218(6):1223~1230
Luchtenborg M / 2013 / High procedure volume is strongly associated with improved survival after lung cancer surgery / J Clin Oncol 31(25):3141~3146
Avritscher EB / 2014 / Serious postoperative infections following resection of common solid tumors: outcomes, costs, and impact of hospital surgical volume / Support Care Cancer 22(2):527~535
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