کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6183991 1254199 2008 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Surgical care of young women diagnosed with ovarian cancer: A population-based perspective
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
پیش نمایش صفحه اول مقاله
Surgical care of young women diagnosed with ovarian cancer: A population-based perspective
چکیده انگلیسی

ObjectiveTo characterize primary surgical care for women with ovarian cancer aged ≤ 50 years versus > 50 years.MethodsA statewide hospital discharge database was used to identify women undergoing primary surgery for ovarian cancer from 1990 to 2000. Logistic regression models were used to evaluate differences in demographic characteristics and short-term outcomes comparing women ≤ 50 years versus > 50 years.ResultsWomen ≤ 50 years comprised 30.2% (n = 731) of 2417 identified cases. The 30-day mortality rate was 54% lower among women ≤ 50 years (1.2% vs. 2.6%, P = 0.0100). Women ≤ 50 years were less likely to be managed by high-volume surgeons versus women > 50 years (47.1% vs. 59.5%, P < 0.0001). Younger women managed by high-volume surgeons had longer lengths of stay (5.7 days vs. 7.7 days, P < 0.0001), longer ICU stays (0.2 days vs. 0.5 days, P = 0.0020), more billed procedures (4.2 vs. 5.5, P < 0.0001), higher adjusted cost of hospital-related care ($46,590 vs. $97,538, P < 0.0001) and more comorbidities (1.0 vs. 1.6, P < 0.0001) than those treated by lower-volume surgeons. Women ≤ 50 years were as likely to be managed at high volume centers as low volume centers (57.7% vs. 61.3% P = 0.0968). A similar trend in outcomes was observed in younger women treated at high-versus low-volume hospitals as high-versus low-volume surgeons.ConclusionPrimary surgical care for ovarian cancer in women ≤ 50 years is often performed by low-volume providers at low-volume centers. In light of positive volume-outcome data for malignancies treated with complex operative procedures, further efforts to characterize the surgical care of young women with ovarian cancer are warranted.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Gynecologic Oncology - Volume 111, Issue 2, November 2008, Pages 221-225
نویسندگان
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