Matches in SemOpenAlex for { <https://semopenalex.org/work/W4312588794> ?p ?o ?g. }
Showing items 1 to 72 of
72
with 100 items per page.
- W4312588794 endingPage "S315" @default.
- W4312588794 startingPage "S315" @default.
- W4312588794 abstract "Introduction: Minimizing fragmented care (FC) or care received from multiple institutions was identified as a priority for improving cancer patients’ outcomes by the Institute of Medicine. The negative impact of FC has been explored in multiple malignancies, however, no data exists exploring its effect in pancreatic adenocarcinoma (PDAC). This study characterizes patient- and hospital-level factors associated with fragmented care (FC) in PDAC patients and its impact in overall survival (OS). Methods: All patients/stages treated for PDAC (2005-2017) in the Texas Cancer Registry were included. Patient, hospital and treatment factors were analyzed in multivariate models to identify factors predicting FC and OS. Results: Of 18,079 patients, 44%(7,932) had FC. In FC group, 30% and 45% received some treatment at NIH-Designated and High-Volume hospitals versus 11% and 26% in the No-FC group, respectively. Across all SEER stages, FC was associated with improved OS (FIG.1). FC (HR .74, p< .0001), surgery (HR .59, p<.0001), adjuvant (HR .88, p<.0001) or neoadjuvant chemotherapy (HR .86, p<.0001) were all associated with improved OS. Hispanics were less likely to receive FC (OR .82, p <.0001) while patients initially treated at NIH-D and HV-C were also more likely to receive FC (OR 1.73, p <.0001; OR 1.54 p<.0001 respectively). Conclusions: Contrary to what has been reported in other disease sites, FC was associated with improved survival in this cohort of PDAC patients. While typically a marker of worse quality of care, FC in this patient population may represent improved access to higher level of specialized care." @default.
- W4312588794 created "2023-01-05" @default.
- W4312588794 creator A5011909438 @default.
- W4312588794 creator A5030177394 @default.
- W4312588794 creator A5031442486 @default.
- W4312588794 creator A5032446538 @default.
- W4312588794 creator A5032525529 @default.
- W4312588794 creator A5034674540 @default.
- W4312588794 creator A5050339524 @default.
- W4312588794 creator A5067568215 @default.
- W4312588794 creator A5085283718 @default.
- W4312588794 creator A5090568358 @default.
- W4312588794 date "2022-01-01" @default.
- W4312588794 modified "2023-10-14" @default.
- W4312588794 title "Fragmentation of Care in Pancreas Cancer, Not Always a Bad Thing?" @default.
- W4312588794 doi "https://doi.org/10.1016/j.hpb.2022.05.663" @default.
- W4312588794 hasPublicationYear "2022" @default.
- W4312588794 type Work @default.
- W4312588794 citedByCount "0" @default.
- W4312588794 crossrefType "journal-article" @default.
- W4312588794 hasAuthorship W4312588794A5011909438 @default.
- W4312588794 hasAuthorship W4312588794A5030177394 @default.
- W4312588794 hasAuthorship W4312588794A5031442486 @default.
- W4312588794 hasAuthorship W4312588794A5032446538 @default.
- W4312588794 hasAuthorship W4312588794A5032525529 @default.
- W4312588794 hasAuthorship W4312588794A5034674540 @default.
- W4312588794 hasAuthorship W4312588794A5050339524 @default.
- W4312588794 hasAuthorship W4312588794A5067568215 @default.
- W4312588794 hasAuthorship W4312588794A5085283718 @default.
- W4312588794 hasAuthorship W4312588794A5090568358 @default.
- W4312588794 hasBestOaLocation W43125887941 @default.
- W4312588794 hasConcept C121608353 @default.
- W4312588794 hasConcept C126322002 @default.
- W4312588794 hasConcept C143998085 @default.
- W4312588794 hasConcept C2776694085 @default.
- W4312588794 hasConcept C2778527826 @default.
- W4312588794 hasConcept C2780210213 @default.
- W4312588794 hasConcept C2908647359 @default.
- W4312588794 hasConcept C38180746 @default.
- W4312588794 hasConcept C71924100 @default.
- W4312588794 hasConcept C72563966 @default.
- W4312588794 hasConcept C99454951 @default.
- W4312588794 hasConceptScore W4312588794C121608353 @default.
- W4312588794 hasConceptScore W4312588794C126322002 @default.
- W4312588794 hasConceptScore W4312588794C143998085 @default.
- W4312588794 hasConceptScore W4312588794C2776694085 @default.
- W4312588794 hasConceptScore W4312588794C2778527826 @default.
- W4312588794 hasConceptScore W4312588794C2780210213 @default.
- W4312588794 hasConceptScore W4312588794C2908647359 @default.
- W4312588794 hasConceptScore W4312588794C38180746 @default.
- W4312588794 hasConceptScore W4312588794C71924100 @default.
- W4312588794 hasConceptScore W4312588794C72563966 @default.
- W4312588794 hasConceptScore W4312588794C99454951 @default.
- W4312588794 hasLocation W43125887941 @default.
- W4312588794 hasOpenAccess W4312588794 @default.
- W4312588794 hasPrimaryLocation W43125887941 @default.
- W4312588794 hasRelatedWork W114644245 @default.
- W4312588794 hasRelatedWork W2234839489 @default.
- W4312588794 hasRelatedWork W2361700749 @default.
- W4312588794 hasRelatedWork W2376347278 @default.
- W4312588794 hasRelatedWork W2586280594 @default.
- W4312588794 hasRelatedWork W3029364823 @default.
- W4312588794 hasRelatedWork W4254486378 @default.
- W4312588794 hasRelatedWork W4281711826 @default.
- W4312588794 hasRelatedWork W4292448967 @default.
- W4312588794 hasRelatedWork W4312728254 @default.
- W4312588794 hasVolume "24" @default.
- W4312588794 isParatext "false" @default.
- W4312588794 isRetracted "false" @default.
- W4312588794 workType "article" @default.