AI Article Synopsis
- The study investigates the impact of hospital type on treatment and survival outcomes for patients with gastric neuroendocrine tumors (gNETs), highlighting a potential advantage of academic centers.
- Data from the National Cancer Database (NCDB) for patients treated between 2004 and 2016 shows that those at academic institutions had significantly better median survival rates compared to community programs.
- After adjusting for various factors, it was found that patients receiving treatment at academic hospitals, especially those undergoing surgery and chemotherapy, had better overall survival outcomes.
Article Abstract
Background: Gastric neuroendocrine tumors (gNETs) are rare cancers for which surgery may improve survival. We aim to determine if facility type affects treatment and survival outcomes.
Methods: The NCDB was queried for patients with gNET from 2004-2016 and stratified into Academic/Research Program (ARP), Community Cancer Program (CCP), Comprehensive Community Cancer Program (CCCP), or Integrated Network Cancer Program (INCP). Overall survival along with clinical and demographic features was compared.
Results: Median survival was improved in patients treated at an academic program: 137.3 months versus 88.0, 96.3, and 100.2 for CCP, CCCP, INCP, respectively (P < .0001). Patients treated at academic centers were more likely to have surgery (64.2% vs 59.1%, 57.5%, 51.4%, P < .0001). After propensity matching for age, race, grade, stage, insurance status, and comorbidity score, survival benefit from treatment at an academic center remained (P = .03), particularly for patients undergoing surgery (P < .0001) and chemotherapy (P = .04).
Conclusion: Patients with gNET treated at an academic hospital had improved median survival after propensity matching and may benefit from treatment at academic rather than community medical centers.
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| http://dx.doi.org/10.1177/00031348221109460 | DOI Listing |
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