Comparing outcomes for non-metastatic rectal cancer in academic vs community centers: A propensity-matched analysis of the National Cancer Database
American Journal of Surgery May 17, 2021
Horsey ML, Sparks AD, Simpkins A, et al. - Since there exists little information about the influence of hospital academic status on results post-rectal cancer surgery, researchers herein used the National Cancer Database (2010–2016) to compare these outcomes for nonmetastatic rectal adenocarcinoma at academic vs community institutions. Participants were patients with nonmetastatic rectal adenocarcinoma who had resection. After propensity score matching, 15,096 patients were included per facility cohort. Academic centers were shown to be related to significantly reduced odds of conversion and positive margins with significantly elevated odds of ≥12 regional nodes assessed. Reduced odds of 30 and 90-day mortality as well as reduced 5-year mortality hazard was reported for academic programs. Following matching for facility procedural volume, the outcomes post-surgery for non-metastatic rectal cancer did not differ between academic and community centers.
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