Although the association of high-volume centres with superior outcomes has been established in numerous countries for numerous cancer types, a new study has confirmed this relationship in England in hospitals treating patients with non-small-cell lung cancer (NSCLC). Data from 12,862 patients who underwent surgical resection for their tumours between 2004 and 2008 were analysed, from a total pool of >134,000 patients with NSCLC. Hospitals performing >150 resections per year had higher rates of survival than those performing <70 (hazard ratio [HR] 0.78, 95% CI 0.67–0.90). Furthermore, high-volume centres achieved these superior results despite having patients who were older, had lower socioeconomic status and more comorbidities than low-volume centres.
References
Lüchtenborg, M. et al. High procedure volume is strongly associated with improved survival after lung cancer surgery. J. Clin. Oncol. 10.1200/JCO.2013.49.0219
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High-volume centres associated with best outcomes. Nat Rev Clin Oncol 10, 547 (2013). https://doi.org/10.1038/nrclinonc.2013.150
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DOI: https://doi.org/10.1038/nrclinonc.2013.150