J Prev Med Public Health.
2017 Sep;50(5):283-293. 10.3961/jpmph.17.043.
A Survival Analysis of Gastric or Colorectal Cancer Patients Treated With Surgery: Comparison of Capital and a Non-capital City
- Affiliations
-
- 1Department of Preventive Medicine, Kyungpook National University School of Medicine, Daegu, Korea.
- 2Daegu-Kyungpook Regional Cancer Center, Kyungpook National University Medical Center, Daegu, Korea.
- 3Department of Preventive Medicine and Public Health, Yeungnam University College of Medicine, Daegu, Korea. drkslee@ynu.ac.kr
- 4Colorectal Cancer Center, Kyungpook National University Medical Center, Daegu, Korea.
- 5Gastric Cancer Center, Kyungpook National University Medical Center, Daegu, Korea.
- KMID: 2393529
- DOI: http://doi.org/10.3961/jpmph.17.043
Abstract
OBJECTIVES
The objective of the present study was to compare prognosis of patients with gastric or colorectal cancer according to places where they received surgeries.
METHODS
The cancer patients underwent surgeries in sampled hospitals located in Daegu were matched 1:1 to the patients who visited sampled hospitals in Seoul using propensity score method. After the occurrences of death were examined, Kaplan-Meier method was used for survival analysis and the log-rank test was performed to compare the survival curves.
RESULTS
A total of six out of 291 gastric cancer patients who had surgeries in Daegu died (2.1%) and ten deaths (3.4%) occurred from patients went Seoul hospitals. Out of 84 gastric cancer patients who had chemotherapy after surgeries in Daegu, 13 (15.5%) patients died while 18 (21.4%) deaths occurred among patients underwent surgeries in Seoul. Six deaths (6.9%) out of 87 colorectal cancer patients who had surgeries in Daegu were reported. Five patients (5.7%) died among the patients underwent surgeries in Seoul. Among the colorectal cancer patients with chemotherapy after surgeries, 13 patients (12.4%) who visited hospitals in Daegu and 14 (13.3%) patients who used medical centers in Seoul died. There were no significant differences according to places where patients used medical services.
CONCLUSIONS
The result of this study is expected to be used as basic data for policy making to resolve centralization problem of cancer patients and to help patients to make rational choices in selection of medical centers.
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Pathologic Separation of Capital Femoral Epiphysis due to an Osteosarcoma
- ERRATUM: Comparison between Craniospinal Irradiation and Limited-Field Radiation in Patients with Non-metastatic Bifocal Germinoma
- Effects of Intellectual Capital on Organizational Performance of Nurses in Medium and Small Hospitals
- Is Work Group Social Capital Associated With Sickness Absence? A Study of Workplace Registered Sickness Absence at the Work Group Level
- Influences of Burnout, Emotional labor, and Positive Psychological Capital on Job Satisfaction of Nurses
