Improved survival for extremity soft tissue sarcoma treated in high‐volume facilities

Background and Objectives The purpose of this investigation was to determine the effect of hospital volume on treatment decisions, treatment results, and overall patient survival in extremity soft tissue sarcoma. Methods The National Cancer Database was used to identify patients ≥18 years of age wit...

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Bibliographic Details
Published in:Journal of surgical oncology 2018-06, Vol.117 (7), p.1479-1486
Main Authors: Abarca, Tyler, Gao, Yubo, Monga, Varun, Tanas, Munir R., Milhem, Mohammed M., Miller, Benjamin J.
Format: Article
Language:English
Subjects:
Cancer surgery
Cohort Studies
Databases, Factual
Extremities - pathology
Extremities - surgery
Female
Follow-Up Studies
hospital volume
Hospitals, High-Volume - statistics & numerical data
Humans
Limb Salvage - mortality
Male
Middle Aged
National Cancer Database
Patients
Prognosis
Propensity Score
Sarcoma
Sarcoma - mortality
Sarcoma - pathology
Sarcoma - surgery
survival
Survival Rate
treatment
Treatment Outcome
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Summary:Background and Objectives The purpose of this investigation was to determine the effect of hospital volume on treatment decisions, treatment results, and overall patient survival in extremity soft tissue sarcoma. Methods The National Cancer Database was used to identify patients ≥18 years of age with non‐metastatic soft tissue sarcoma of the extremity treated with surgery. Patients in high‐ and low‐volume centers were matched by propensity score and placed into two equal comparative groups of 2437 patients each. Results Chemotherapy was used at a higher rate in high‐volume centers (22% vs 17%, P 
ISSN:0022-4790
1096-9098
DOI:10.1002/jso.25052