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Use of adjuvant radiotherapy at hospitals with and without on-site radiation services The views expressed herein do not necessarily represent the views of the Center for Medicare and Medicaid Services or the United States Government.

dc.contributor.authorWong, Sandra L.en_US
dc.contributor.authorWei, Yongliangen_US
dc.contributor.authorBirkmeyer, John D.en_US
dc.date.accessioned2007-09-20T18:08:18Z
dc.date.available2008-04-03T18:48:26Zen_US
dc.date.issued2007-02-15en_US
dc.identifier.citationWong, Sandra L.; Wei, Yongliang; Birkmeyer, John D. (2007). "Use of adjuvant radiotherapy at hospitals with and without on-site radiation services The views expressed herein do not necessarily represent the views of the Center for Medicare and Medicaid Services or the United States Government. ." Cancer 109(4): 796-801. <http://hdl.handle.net/2027.42/55929>en_US
dc.identifier.issn0008-543Xen_US
dc.identifier.issn1097-0142en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/55929
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=17211840&dopt=citationen_US
dc.description.abstractBACKGROUND. In many areas of health care, whether patients receive specific medical interventions often is influenced heavily by the local availability of resources for delivering those services. However, relations between resource availability and utilization are relatively unexplored in cancer care, including perioperative adjuvant therapy. METHODS. The authors studied associations between the on-site availability of radiation services and the use of adjuvant radiotherapy using the national, linked Surveillance, Epidemiology, and End Results-Medicare database (from 1992 to 2002). They examined 1 cancer for which the effectiveness of adjuvant radiotherapy was well established in randomized clinical trials (rectal cancer) and another cancer for which it was not (pancreatic cancer) (N = 10,198). The availability of on-site radiation services at the hospital where surgery was performed was assessed by using data from the American Hospital Association. In comparing rates of adjuvant radiotherapy, analyses were adjusted for both patient characteristics and other hospital attributes. RESULTS. For rectal cancer, the use of adjuvant radiotherapy was similar in patients who underwent surgery at centers with and without on-site radiation services (29% vs 29%, respectively). Among patients with pancreatic cancer, however, those who underwent surgery at hospitals with on-site radiation services were twice as likely to receive radiotherapy than patients who underwent surgery at hospitals without such services (43% vs 26%, respectively; adjusted odds ratio, 2.1; 95% confidence interval, 1.4–3.2). Adjusting for other factors, the groups had similar survival rates for each cancer. CONCLUSIONS. The availability of on-site radiation services significantly increased the likelihood that patients would receive radiotherapy, at least for cancers for which the effectiveness of such therapy was not well established. Cancer 2007. © 2007 American Cancer Society.en_US
dc.format.extent84963 bytes
dc.format.extent3118 bytes
dc.format.mimetypeapplication/pdf
dc.format.mimetypetext/plain
dc.publisherWiley Subscription Services, Inc., A Wiley Companyen_US
dc.subject.otherLife and Medical Sciencesen_US
dc.subject.otherCancer Research, Oncology and Pathologyen_US
dc.titleUse of adjuvant radiotherapy at hospitals with and without on-site radiation services The views expressed herein do not necessarily represent the views of the Center for Medicare and Medicaid Services or the United States Government.en_US
dc.typeArticleen_US
dc.rights.robotsIndexNoFollowen_US
dc.subject.hlbsecondlevelOncology and Hematologyen_US
dc.subject.hlbsecondlevelPublic Healthen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationumMichigan Surgical Collaborative for Outcomes Research and Evaluation, Department of Surgery, University of Michigan, Ann Arbor, Michigan ; Fax: (734) 647-9647 ; Department of Surgery, Division of Surgical Oncology, University of Michigan, 3303 Cancer Center, 1500 East Medical Center Drive, Ann Arbor, MI 48109en_US
dc.contributor.affiliationumMichigan Surgical Collaborative for Outcomes Research and Evaluation, Department of Surgery, University of Michigan, Ann Arbor, Michiganen_US
dc.contributor.affiliationumMichigan Surgical Collaborative for Outcomes Research and Evaluation, Department of Surgery, University of Michigan, Ann Arbor, Michiganen_US
dc.identifier.pmid17211840en_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/55929/1/22458_ftp.pdfen_US
dc.identifier.doihttp://dx.doi.org/10.1002/cncr.22458en_US
dc.identifier.sourceCanceren_US
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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