Hospital transfer after a breast cancer diagnosis: A population-based study in the Netherlands of the extent, predictive characteristics and its impact on time to treatment

Patients may transfer of hospital for clinical reasons but this may delay time to treatment. The purpose of this study is to provide insight in the extent of hospital transfer in breast cancer care; which type of patients transfer and what is the impact on time to treatment. We included 41,413 breas...

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Bibliographic Details
Published in:European journal of surgical oncology 2019-04, Vol.45 (4), p.560-566
Main Authors: Heeg, E., Schreuder, K., Spronk, P.E.R., Oosterwijk, J.C., Marang-van de Mheen, P.J., Siesling, S., Peeters, M.T.F.D. Vrancken
Format: Article
Language:English
Subjects:
Breast cancer
Discontinue of care
Hospital transfer
Treatment delay
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Summary:Patients may transfer of hospital for clinical reasons but this may delay time to treatment. The purpose of this study is to provide insight in the extent of hospital transfer in breast cancer care; which type of patients transfer and what is the impact on time to treatment. We included 41,413 breast cancer patients registered in the Netherlands Cancer Registry between 2014 and 2016. We investigated transfer of hospital between diagnosis and first treatment being surgery or neoadjuvant chemotherapy (NAC). Co-variate adjusted characteristics predictive for hospital transfer were determined. To adjust for possible treatment by indication bias we used propensity score matching (PSM). Time to treatment in patients with and without hospital transfer was compared. Among 41,413 patients, 8.5% of all patients transferred to another hospital between diagnosis and first treatment; 4.9% before primary surgery and 24.8% before NAC. Especially young (aged
ISSN:0748-7983
1532-2157
DOI:10.1016/j.ejso.2018.12.017