Identifying the Minimum Volume Threshold for Retroperitoneal Soft Tissue Sarcoma Resection: Merging National Data with Consensus Expert Opinion
作者: Anthony M. VillanoAlexander ZeymoKitty S. ChanNawar SharaWaddah B. Al-Refaie
作者单位: 1MedStar-Georgetown Surgical Outcomes Research Center, Washington, DC
2Department of Biostatistics, Bioinformatics and Biomathematics, Georgetown University, Washington, DC
3Department of Surgery, MedStar-Georgetown University Hospital, Washington, DC
4Georgetown-Howard Universities Center for Clinical and Translational Science, Washington, DC
5MedStar Health Research Institute, Hyattsville, MD
刊名: Journal of the American College of Surgeons, 2020, Vol.230 (1), pp.151-160.e2
来源数据库: Elsevier Journal
DOI: 10.1016/j.jamcollsurg.2019.09.013
原始语种摘要: Background(#br)The complexity of retroperitoneal soft tissue sarcoma (RPS) surgery has prompted international recommendations to regionalize it to high-volume hospitals (HVHs). A minimum procedural volume threshold for RPS is not yet defined, hampering effective referral and regionalization in the US. This multihospital study sought to establish an HVH threshold informed by national data and international expert opinion.(#br)Study Design(#br)The 2004–2015 National Cancer Database identified 8,721 surgically treated RPS patients. Multivariable models, using linear splines, identified annual volume thresholds predictive of overall and 90-day mortality. Transatlantic Australasian Retroperitoneal Soft Tissue Sarcoma Working Group members (n = 48) completed a 15-item survey regarding these...
全文获取路径: Elsevier  (合作)
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  • National 国民牌大客车
  • Data 数据