1. [General practitioner density is not associated with survival in patients with hepatocellular carcinoma].
- Author
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Barrault F, Dramé M, Heurgue A, Piardi T, Bernard-Chabert B, Hoeffel C, Sommacale D, and Thiéfin G
- Subjects
- Carcinoma, Hepatocellular mortality, France epidemiology, Humans, Liver Neoplasms mortality, Retrospective Studies, Survival Analysis, Carcinoma, Hepatocellular therapy, General Practitioners statistics & numerical data, Liver Neoplasms therapy
- Abstract
Objective: To determine if the density of general practitioners (GPs) had an impact on overall survival of patients with hepatocellular carcinoma (HCC) and stage of HCC at initial diagnosis in a North-Eastern region of France., Methods: This retrospective study was performed with 246 consecutive HCC patients referred to a multidisciplinary meeting dedicated to hepatobiliary tumors in the Reims University Hospital from 2012 to 2016. The following data were collected: clinico-biological and radiological data, GP density in patient residence area, stage of HCC at diagnosis, treatment. Survival curves were calculated by Kaplan-Meier method and compared with log-rank test., Results: Fifty-one patients (20.7%) were living in a low GP density area (2.2 to 6.8 GPs/10000 inhabitants) and 195 (79.3%) in a high GP density area (6.8 à 12.6 GPs/10000 inhabitants). Overall survival of patients living in a low GP density area was not statistically different from that of patients living in a high GP density area (median survival of 11.7 and 14.8 months respectively; p = 0.58). The tumor stage at initial diagnosis and the delay between diagnosis and case presentation at the multidisciplinary meeting were not significantly different between high and low GP density areas., Conclusion: In a cohort of patients with HCC referred to a regional multidisciplinary meeting dedicated to hepatobiliary cancers, the GP density in residence area of patients with HCC did not influence significantly their survival nor the stage of HCC at diagnosis.
- Published
- 2018
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