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- Publisher Website: 10.1007/s11605-009-0990-8
- Scopus: eid_2-s2.0-71049119837
- PMID: 19730957
- WOS: WOS:000272303000028
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Article: Surgeon volume is predictive of 5-year survival in patients with hepatocellular carcinoma after resection: A population-based study
Title | Surgeon volume is predictive of 5-year survival in patients with hepatocellular carcinoma after resection: A population-based study |
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Authors | |
Keywords | Hepatocellular carcinoma Physician volume Survival Taiwan Hospital volume |
Issue Date | 2009 |
Citation | Journal of Gastrointestinal Surgery, 2009, v. 13, n. 12, p. 2284-2291 How to Cite? |
Abstract | Background and Aim: No study has examined associations between physician volume or hospital volume and survival in patients with liver malignancies in the hepatitis B virus-endemic areas such as Taiwan. This study was to examine the effect of hospital and surgeon volume on 5-year survival and to determine whether hospital or surgeon volume is the stronger predictor in patients with hepatocellular carcinoma after hepatic resection in Taiwan. Methods: Using the 1997-1999 Taiwan National Health Insurance Research Database and the 1997-2004 Cause of Death Data File, we identified 2,799 patients who underwent hepatic resection and 1,836 deaths during the 5-year follow-up period. The Cox proportional hazard regressions were performed to adjust for patient demographics, comorbidity, physician, and hospital characteristics when assessing the association of hospital and surgeon volume with 5-year survival. Results: When we examined the effect of physician and hospital volumes separately, both physician and hospital volumes significantly predicted 5-year survival after adjusting for characteristics of patient, surgeon, and hospital. However, after we adjusted for characteristics of physician and hospital, only physician volume remained a significant predictor of the 5-year survival. Conclusions: Physician volume is a stronger predictor of 5-year survival in hepatocellular carcinoma patients receiving hepatic resection. © 2009 The Society for Surgery of the Alimentary Tract. |
Persistent Identifier | http://hdl.handle.net/10722/241178 |
ISSN | 2023 Impact Factor: 2.2 2023 SCImago Journal Rankings: 0.941 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Lin, Herng Ching | - |
dc.contributor.author | Lin, Chia Chin | - |
dc.date.accessioned | 2017-05-26T03:37:01Z | - |
dc.date.available | 2017-05-26T03:37:01Z | - |
dc.date.issued | 2009 | - |
dc.identifier.citation | Journal of Gastrointestinal Surgery, 2009, v. 13, n. 12, p. 2284-2291 | - |
dc.identifier.issn | 1091-255X | - |
dc.identifier.uri | http://hdl.handle.net/10722/241178 | - |
dc.description.abstract | Background and Aim: No study has examined associations between physician volume or hospital volume and survival in patients with liver malignancies in the hepatitis B virus-endemic areas such as Taiwan. This study was to examine the effect of hospital and surgeon volume on 5-year survival and to determine whether hospital or surgeon volume is the stronger predictor in patients with hepatocellular carcinoma after hepatic resection in Taiwan. Methods: Using the 1997-1999 Taiwan National Health Insurance Research Database and the 1997-2004 Cause of Death Data File, we identified 2,799 patients who underwent hepatic resection and 1,836 deaths during the 5-year follow-up period. The Cox proportional hazard regressions were performed to adjust for patient demographics, comorbidity, physician, and hospital characteristics when assessing the association of hospital and surgeon volume with 5-year survival. Results: When we examined the effect of physician and hospital volumes separately, both physician and hospital volumes significantly predicted 5-year survival after adjusting for characteristics of patient, surgeon, and hospital. However, after we adjusted for characteristics of physician and hospital, only physician volume remained a significant predictor of the 5-year survival. Conclusions: Physician volume is a stronger predictor of 5-year survival in hepatocellular carcinoma patients receiving hepatic resection. © 2009 The Society for Surgery of the Alimentary Tract. | - |
dc.language | eng | - |
dc.relation.ispartof | Journal of Gastrointestinal Surgery | - |
dc.subject | Hepatocellular carcinoma | - |
dc.subject | Physician volume | - |
dc.subject | Survival | - |
dc.subject | Taiwan | - |
dc.subject | Hospital volume | - |
dc.title | Surgeon volume is predictive of 5-year survival in patients with hepatocellular carcinoma after resection: A population-based study | - |
dc.type | Article | - |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1007/s11605-009-0990-8 | - |
dc.identifier.pmid | 19730957 | - |
dc.identifier.scopus | eid_2-s2.0-71049119837 | - |
dc.identifier.volume | 13 | - |
dc.identifier.issue | 12 | - |
dc.identifier.spage | 2284 | - |
dc.identifier.epage | 2291 | - |
dc.identifier.isi | WOS:000272303000028 | - |
dc.identifier.issnl | 1091-255X | - |