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Comparative Study
. 2025 Sep;27(9):3811-3818.
doi: 10.1007/s12094-025-03902-4. Epub 2025 Apr 10.

Comparison of oncological care in a hospital center before and after the integration of specialized oncology services

C Quero #  1 , D Martín-García #  2   3   4 , F Rivas-Ruiz  4 , M García-Aranda  2   3   4 , M Redondo  5   6   7
Affiliations
Comparative Study

Comparison of oncological care in a hospital center before and after the integration of specialized oncology services

C Quero et al. Clin Transl Oncol. 2025 Sep.

Abstract

Background: Cancer represents a continuous challenge for global public health, with steadily increasing incidence and mortality rates.

Methods: This manuscript presents a comprehensive and retrospective analysis of oncological care in a hospital, evaluating quality indicators after the introduction of a specialized oncology service at the center. Initially, it was implemented partially and then fully, allowing for the comparison of three different periods: without service, with partial service, and with full service. The data used was obtained from the TumorRegistry of the Costa del Sol Hospital (HTRCSH).

Results: Throughout this study, significant improvements were identified in various indicators, such as a reduction in the percentage of patients admitted through the emergency service (p=0.001), the percentage of primary cancers of unknown origin (p=0.006), and the percentage of cancers with regional extension (p=0.004). Additionally, there was a notable increase in the percentage of inclusion of the complete tumor stage information in the patient's medical record (p=0.004), the percentage of patients receiving adjuvant treatment (p=0.001), and the percentage of patients with an intention for radical treatment (p=0.007).

Conclusions: These results underscore the importance of oncology services in improving care for cancer patients. Despite the limitations, our study highlights important areas for future research, which will be addressed through additional data collection and more detailed analyses.

Keywords: Cancer; Oncology service; Patients care; Quality; Treatments.

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Conflict of interest statement

Declarations. Conflicts of interest: The authors declare no conflicts of interest. Human and animal rights: All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent: For this type of study, formal consent is not required.

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