The influence of facility volume on patient treatments and survival outcomes in nasopharyngeal carcinoma
Head & Neck May 21, 2021
Goshtasbi K, Abiri A, Lehrich BM, et al. - Researchers conducted the study for analyzing the influence of facility case‐volume on nasopharyngeal carcinoma (NPC) treatments and overall survival (OS). The 2004–2015 National Cancer Database was queried for patients with NPC who received definitive treatment. In total, 8,260 patients (5‐year OS: 63.4%) were involved. On cox proportional‐hazard multivariate regression after adjusting for age, gender, income, insurance, comorbidity index, histology, AJCC clinical stage, and treatment type, high‐volume facilities were linked to lower mortality risk than low‐volume and intermediate‐volume facilities. Higher facility volume was an independent predictor of improved OS in NPC, implying that referrals to high-volume medical centers may have a survival benefit.
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