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. 2015 Oct;210(4):643-7.
doi: 10.1016/j.amjsurg.2015.05.002. Epub 2015 Jun 27.

Surgery in high-volume hospitals not commission on cancer accreditation leads to increased cancer-specific survival for early-stage lung cancer

Elizabeth A David  1 , David T Cooke  2 , Yingjia Chen  3 , Andrew Perry  2 , Robert J Canter  4 , Rosemary Cress  5
Affiliations

Surgery in high-volume hospitals not commission on cancer accreditation leads to increased cancer-specific survival for early-stage lung cancer

Elizabeth A David et al. Am J Surg. 2015 Oct.

Abstract

Background: Quality of oncologic outcomes is of paramount importance in the care of patients with non-small cell lung cancer (NSCLC). We sought to evaluate the relationship of hospital volume for lobectomy on cancer-specific survival in NSCLC patients treated in California, as well as the influence of Commission on Cancer (CoC) accreditation.

Methods: The California Cancer Registry was queried from 2004 to 2011 for cases of Stage I NSCLC and 8,345 patients were identified. Statistical analysis was used to determine prognostic factors for cancer-specific survival.

Results: A total of 7,587 patients were treated surgically. CoC accreditation was not significant for cancer-specific survival, but treatment in high-volume centers was associated with longer survival when compared with low- and medium-volume centers (hazard ratio 1.77, 1.474 to 2.141 and hazard ratio 1.23, 1.058 to 1.438).

Conclusion: These data suggest that surgical treatment in high-volume hospitals is associated with longer cancer-specific survival for early-stage NSCLC, but that CoC accreditation is not.

Keywords: Cancer-specific survival; Commission on cancer accreditation; Lobectomy; Non–small cell lung cancer; Sublobar resection; Thoracic surgery.

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Figures

Figure 1
Figure 1. Kaplan-Meier Cancer Specific Survival Curves
A. Hospital Volume, (log-rank test, p<0.0001) B. CoC Accreditation (log-rank test, p<.001)
See this image and copyright information in PMC

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