Abstract
| Original language | English |
|---|---|
| Pages (from-to) | 296-300 |
| Journal | Medical Journal of Australia |
| Volume | 186 |
| Issue number | 6 |
| Publication status | Published - 2007 |
Fingerprint
Cite this
}
Comparing survival outcomes for patients with colorectal cancer treated in public and private hospitals. / Morris, Melinda; Iacopetta, Barry; Platell, Cameron.
In: Medical Journal of Australia, Vol. 186, No. 6, 2007, p. 296-300.Research output: Contribution to journal › Article
TY - JOUR
T1 - Comparing survival outcomes for patients with colorectal cancer treated in public and private hospitals
AU - Morris, Melinda
AU - Iacopetta, Barry
AU - Platell, Cameron
PY - 2007
Y1 - 2007
N2 - Objective: To determine whether treatment in a private versus public hospital was an independent predictor of survival outcomes in patients with colorectal cancerDesign: Retrospective, population-based study.Setting: Tertiary care hospitals.Participants: All patients diagnosed with colorectal cancer in Western Australia between 1993 and 2003.Interventions: Management in private versus public hospitals.Main outcome measures: Overall survival and cancer-specific survival rates.Results: 5809 patients were treated for colorectal cancer. Of these, 1523 (26%) were managed in private hospitals. The 5-year overall survival rates for private and public hospital patients were 59.4% (95% CI, 56.9%-61.9%) and 48.6% (95% CI, 47.0%-50.2%), respectively. Significant independent predictors of overall survival were: treatment in a, private hospital (P = 0.0001; relative risk [RR], 0.764; 95% Cl, 0.696-0.839); younger age (P=0.0001; RR, 1.032; 95% CI, 1.029-1.036); male sex (P=0.001; RR, 1.148; 95% Cl, 1.068-1.234); and cancer stage (eg, Stage II: P=0.0001; RR, 1.508; 95% CI, 1.316-1.729).Conclusions: Treatment in a private hospital was a significant independent predictor of survival outcomes. Further validation of these results would have a significant bearing on how we approach health care delivery for patients with colorectal cancer.
AB - Objective: To determine whether treatment in a private versus public hospital was an independent predictor of survival outcomes in patients with colorectal cancerDesign: Retrospective, population-based study.Setting: Tertiary care hospitals.Participants: All patients diagnosed with colorectal cancer in Western Australia between 1993 and 2003.Interventions: Management in private versus public hospitals.Main outcome measures: Overall survival and cancer-specific survival rates.Results: 5809 patients were treated for colorectal cancer. Of these, 1523 (26%) were managed in private hospitals. The 5-year overall survival rates for private and public hospital patients were 59.4% (95% CI, 56.9%-61.9%) and 48.6% (95% CI, 47.0%-50.2%), respectively. Significant independent predictors of overall survival were: treatment in a, private hospital (P = 0.0001; relative risk [RR], 0.764; 95% Cl, 0.696-0.839); younger age (P=0.0001; RR, 1.032; 95% CI, 1.029-1.036); male sex (P=0.001; RR, 1.148; 95% Cl, 1.068-1.234); and cancer stage (eg, Stage II: P=0.0001; RR, 1.508; 95% CI, 1.316-1.729).Conclusions: Treatment in a private hospital was a significant independent predictor of survival outcomes. Further validation of these results would have a significant bearing on how we approach health care delivery for patients with colorectal cancer.
M3 - Article
VL - 186
SP - 296
EP - 300
JO - Medical Journal Australia
JF - Medical Journal Australia
SN - 0025-729X
IS - 6
ER -