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Influence of hospital type on survival in stage IV colorectal cancer

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International Journal of Colorectal Disease Aims and scope Submit manuscript

Abstract

Purpose

Hospital factors along with various patient and surgeon factors are considered to affect the prognosis of colorectal cancer. Hospital volume is well known, but little is known regarding other hospital factors.

Methods

We reviewed data on 853 patients with stage IV colorectal cancer who underwent elective palliative primary tumor resection between January 2006 and December 2007. To detect the hospital factors that could influence the prognosis of incurable colorectal cancer, the relationships between patient/hospital factors and overall survival were analyzed. Among hospital factors, hospital type (Group A: university hospital or cancer center; Group B: community hospital), hospital volume, and number of colorectal surgeons were examined.

Results

In univariate analysis, Group A hospitals showed significantly better prognosis than Group B hospitals (p = 0.034), while hospital volume and number of colorectal surgeons were not associated with overall survival. After adjustment for patient factors in multivariate analysis, hospital type was significantly associated with overall survival (hazard ratio: 1.31; 95 % confidence interval: 1.05–1.63; p = 0.016). However, there was no significant difference in short-term outcomes between hospital types.

Conclusions

Hospital type was identified as a hospital factor that possibly affects the prognosis of stage IV colorectal cancer patients.

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Acknowledgments

The authors completed this study in collaboration with the following in data collection: Seiichiro Yamamoto (National Cancer Center Hospital), Hiroya Kuroyanagi (Cancer Institute ARIAKE Hospital), Atsushi Ikeda (Kitasato University), Koki Otsuka (Iwate Medical University), Shungo Endo (Showa University Northern Yokohama Hospital), Masaaki Ito (National Cancer Hospital East), Michitoshi Goto (Juntendo University), Shuji Saito (Shizuoka Cancer Center), Akiyoshi Kanazawa (Osaka Red Cross Hospital), Tadashi Suda (St. Marianna University), Hisanaga Horie (Jichi Medical University), Yousuke Kinjo (Kyoto University), Yoshiro Kubo (Shikoku Cancer Center), Koichi Hanai (Fujita Health University), Hiroyuki Bando (Ishikawa Prefectural Central Hospital), Yosuke Fukunaga (Bell-land General Hospital), Yasuhiro Munakata (Nagano Municipal Hospital), Toshimasa Yatsuoka (Saitama Cancer Center), Takashi Yamaguchi (Kyoto Medical Center), Hirotoshi Hasegawa (Keio University), Hitoshi Idani and Kanyu Nakano (Fukuyama Municipal Hospital), Shoichi Fujii (Yokohama City University), Ichiro Takemasa (Osaka University), Toshiaki Watanabe (Teikyo University), Yoshihisa Saida (Toho University Ohashi Medical Center), Tomohisa Furuhata (Sapporo Medical University), Kunihiko Nagakari (Juntendo University Urayasu Hospital), Ichio Suzuka (Kagawa Prefectural Central Hospital), Shigeki Yamaguchi (Saitama Medical University), Yoshiaki Kuriu (Kyoto Prefectural University), Kohei Murata (Suita Municipal Hospital), Kiyoshi Maeda (Osaka City University), Takeshi Ueki (Kyusyu University), Masafumi Inomata (Oita University), Hiroshi Hirukawa (Tachikawa General Hospital), Takao Ichihara (Nishinomiya Municipal Central Hospital), Kazuya Okamoto (Fujinomiya City General Hospital), Takao Hinoi (Hiroshima University), and Katsuichi Matsuo (Fukuoka University).

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Authors and Affiliations

  1. Department of Surgery, Kyoto University Graduate School of Medicine, 54 Shogoin-Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan

    Nobuaki Hoshino, Suguru Hasegawa, Koya Hida, Kenji Kawada, Ryosuke Okamura & Yoshiharu Sakai

  2. Department of Gastrointestinal Surgery, Kansai Medical University Hirakata Hospital, Osaka, Japan

    Madoka Hamada

  3. Department of Surgery, Fukui-ken Saiseikai Hospital, Fukui, Japan

    Yoshinori Munemoto

  4. Department of Surgery, Kitasato University School of Medicine, Kanagawa, Japan

    Masahiko Watanabe

Authors
  1. Nobuaki Hoshino
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  2. Suguru Hasegawa
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  3. Koya Hida
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  4. Kenji Kawada
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  5. Ryosuke Okamura
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  6. Madoka Hamada
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  7. Yoshinori Munemoto
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  8. Yoshiharu Sakai
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  9. Masahiko Watanabe
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Consortia

Japan Society of Laparoscopic Colorectal Surgery

Corresponding author

Correspondence to Nobuaki Hoshino.

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The authors declare that they have no conflict of interest.

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Hoshino, N., Hasegawa, S., Hida, K. et al. Influence of hospital type on survival in stage IV colorectal cancer. Int J Colorectal Dis 31, 1443–1449 (2016). https://doi.org/10.1007/s00384-016-2611-9

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  • DOI: https://doi.org/10.1007/s00384-016-2611-9

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