1. Association of facility type with overall survival in patients with nonsurgically managed pancreatic cancer.
- Author
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McAllister J, Amin S, and Lin C
- Subjects
- Adult, Aged, Aged, 80 and over, Carcinoma, Pancreatic Ductal mortality, Databases, Factual, Female, Humans, Kaplan-Meier Estimate, Male, Middle Aged, Pancreatic Neoplasms mortality, Proportional Hazards Models, Quality of Health Care, Retrospective Studies, United States epidemiology, Academic Medical Centers standards, Carcinoma, Pancreatic Ductal therapy, Health Facilities standards, Pancreatic Neoplasms therapy
- Abstract
Aim: To investigate the association between receiving treatment at academic centers and overall survival in pancreatic ductal adenocarcinoma patients who do not receive definitive surgery of the pancreatic tumor. Methods: Using the National Cancer Database, patients who were diagnosed with pancreatic ductal adenocarcinoma between 2004 to 2016 were identified. Results: Of 262,209 patients, 101,003 (38.5%) received treatment at academic centers. In the multivariable Cox regression analysis, patients who received treatment at a nonacademic facility had significantly worse overall survival compared with patients who were treated at an academic center (hazard ratio: 1.279; 95% CI: 1.268-1.290; p = 0.001). Conclusion: Compared with treatment at academic centers, treatment at nonacademic centers was associated with significantly worse overall survival in patients with nonsurgically managed pancreatic ductal adenocarcinoma.
- Published
- 2022
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