Impact of hospital surgical volume on complete gross resection (CGR) rates following primary debulking surgery for advanced stage epithelial ovarian carcinoma.

Nasioudis, D ; Kahn, R ; et al.

In: Gynecologic oncology, Jg. 154 (2019-08-01), Heft 2, S. 401-404

academicJournal

Background: To investigate the impact of hospital surgical volume on the rate of complete gross resection for patients with advanced stage epithelial ovarian carcinoma undergoing primary debulking surgery.

Methods: The National Cancer Data Base was used to identify patients undergoing between 2010 and 2014 for an advanced stage (III-IV) epithelial ovarian cancer. For analyses purposes facility surgical volume was divided into tertiles (high, intermediate and low). Patients with bulky stage III disease who underwent primary debulking surgery with known residual disease status were selected for further analysis.

Results: A total of 8894 patients with macroscopic peritoneal disease were included. Rates of complete gross resection for patients managed in low, intermediate and high-volume centers were 41.0%, 41.6% and 43.3% respectively (p = 0.20). After controlling for year of diagnosis, age, insurance status, presence of co-morbidities, histology, size of peritoneal implants, stage, and complexity of surgery, patients undergoing primary debulking surgery at low (OR: 0.85, 95% CI: 0.74, 0.97, p = 0.013) and intermediate (OR: 0.90, 95% CI: 0.82, 0.99, p = 0.043) volume centers had a lower likelihood of achieving complete gross resection compared to those managed in high volume centers.

Conclusions: After controlling for multiple potential confounders, patients receiving surgery in high volume centers had a higher likelihood of complete gross resection following primary debulking surgery for advanced-stage epithelial ovarian cancer.

Titel:	Impact of hospital surgical volume on complete gross resection (CGR) rates following primary debulking surgery for advanced stage epithelial ovarian carcinoma.
Autor/in / Beteiligte Person:	Nasioudis, D ; Kahn, R ; Chapman-Davis, E ; Frey, MK ; Caputo, TA ; Witkin, SS ; Holcomb, K
Zeitschrift:	Gynecologic oncology, Jg. 154 (2019-08-01), Heft 2, S. 401-404
Veröffentlichung:	New York, Academic Press., 2019
Medientyp:	academicJournal
ISSN:	1095-6859 (electronic)
DOI:	10.1016/j.ygyno.2019.05.016
Schlagwort:	Adult Aged Carcinoma, Ovarian Epithelial mortality Cytoreduction Surgical Procedures mortality Databases, Factual Female Humans Middle Aged Neoplasm Staging Outcome Assessment, Health Care statistics & numerical data Ovarian Neoplasms mortality Retrospective Studies Treatment Outcome United States Carcinoma, Ovarian Epithelial surgery Cytoreduction Surgical Procedures statistics & numerical data Hospitals, High-Volume statistics & numerical data Ovarian Neoplasms surgery
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [Gynecol Oncol] 2019 Aug; Vol. 154 (2), pp. 401-404. <i>Date of Electronic Publication: </i>2019 May 31. MeSH Terms: Carcinoma, Ovarian Epithelial / surgery ; Cytoreduction Surgical Procedures / statistics & numerical data ; Hospitals, High-Volume / statistics & numerical data ; Ovarian Neoplasms / surgery ; Adult ; Aged ; Carcinoma, Ovarian Epithelial / mortality ; Cytoreduction Surgical Procedures / mortality ; Databases, Factual ; Female ; Humans ; Middle Aged ; Neoplasm Staging ; Outcome Assessment, Health Care / statistics & numerical data ; Ovarian Neoplasms / mortality ; Retrospective Studies ; Treatment Outcome ; United States Contributed Indexing: Keywords: Cytoreductive surgery; Ovarian cancer; Residual tumor Entry Date(s): Date Created: 20190605 Date Completed: 20191014 Latest Revision: 20191210 Update Code: 20240513

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