Association between Moving to a High-Volume Hospital in the Capital Area and the Mortality among Patients with Cancer: A Large Population-Based Cohort Study
Abstract
:1. Introduction
2. Methods
2.1. Data and Participants
2.2. Variables
2.3. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Total | Patients Not Utilizing Healthcare Services in Capital | Patients Utilizing Healthcare Services in Capital | p-Value | ||||
---|---|---|---|---|---|---|---|
n | % | n | % | ||||
Total | 8197 | 5323 | (64.9) | 2874 | (35.1) | ||
Sex | Male | 3939 | 2445 | (62.1) | 1494 | (37.9) | <0.0001 |
Female | 4258 | 2878 | (67.6) | 1380 | (32.4) | ||
Age Group (Years) | ≤39 | 908 | 576 | (63.4) | 332 | (36.6) | <0.0001 |
40‒49 | 1379 | 882 | (64.0) | 497 | (36.0) | ||
50‒59 | 2099 | 1282 | (61.1) | 817 | (38.9) | ||
60‒69 | 2075 | 1329 | (64.0) | 746 | (36.0) | ||
≥70 | 1736 | 1254 | (72.2) | 482 | (27.8) | ||
Income Level | 1 grade (lowest) | 1413 | 1057 | (74.8) | 356 | (25.2) | <0.0001 |
2 grade | 1045 | 738 | (70.6) | 307 | (29.4) | ||
3 grade | 1392 | 930 | (66.8) | 462 | (33.2) | ||
4 grade | 1754 | 1123 | (64.0) | 631 | (36.0) | ||
5 grade (highest) | 2593 | 1475 | (56.9) | 1118 | (43.1) | ||
Type of Social Security | Medical aids | 442 | 368 | (83.3) | 74 | (16.7) | <0.0001 |
Industrial worker | 4969 | 3174 | (63.9) | 1795 | (36.1) | ||
Self-employed | 2786 | 1781 | (63.9) | 1005 | (36.1) | ||
Disability | Not disabled | 7318 | 4719 | (64.5) | 2599 | (35.5) | 0.013 |
Disabled | 879 | 604 | (68.7) | 275 | (31.3) | ||
Chemotherapy | No | 916 | 686 | (74.9) | 230 | (25.1) | <0.0001 |
Yes | 7281 | 4637 | (63.7) | 2644 | (36.3) | ||
Death | No | 7363 | 4829 | (65.6) | 2534 | (34.4) | < 0.0001 |
Yes | 834 | 494 | (59.2) | 340 | (40.8) |
Total | Survival | Death | p-Value | |||
---|---|---|---|---|---|---|
n | % | n | % | |||
Digestive Organs | 3304 | 2856 | (86.4) | 448 | (13.6) | |
Not Utilizing in Capital | 1977 | 1719 | (86.9) | 258 | (13.1) | 0.2967 |
Utilizing in Capital | 1327 | 1137 | (85.7) | 190 | (14.3) | |
Thyroid and Other Endocrine Gland | 1489 | 1483 | (99.6) | 6 | (0.4) | |
Not Utilizing in Capital | 1106 | 1104 | (99.8) | 2 | (0.2) | 0.0215 |
Utilizing in Capital | 383 | 379 | (99.0) | 4 | (1.0) | |
Breast | 694 | 656 | (94.5) | 38 | (5.5) | |
Not Utilizing in Capital | 471 | 448 | (95.1) | 23 | (4.9) | 0.3189 |
Utilizing in Capital | 223 | 208 | (93.3) | 15 | (6.7) | |
Respiratory and Intrathoracic Organs | 670 | 534 | (79.7) | 136 | (20.3) | |
Not Utilizing in Capital | 429 | 345 | (80.4) | 84 | (19.6) | 0.5375 |
Utilizing in Capital | 241 | 189 | (78.4) | 52 | (21.6) | |
Female Genital Organs | 454 | 428 | (94.3) | 26 | (5.7) | |
Not Utilizing in Capital | 314 | 303 | (96.5) | 11 | (3.5) | 0.0023 |
Utilizing in Capital | 140 | 125 | (89.3) | 15 | (10.7) |
Patients not Utilized in Capital | Patients Utilized in Capital | p-Value | |||
---|---|---|---|---|---|
Mean | SD | Mean | SD | ||
Outpatient Visit (no.) | 15.09 | 14.61 | 17.53 (14.02) | 16.90 | <0.0001 |
Inpatient Visit (no.) | 3.78 | 5.35 | 5.19 (4.37) | 7.94 | <0.0001 |
Length of Stay (days) | 30.88 | 44.99 | 29.32 (22.17) | 38.65 | 0.2980 |
Univariate Model | Multivariate Model | ||||||||
---|---|---|---|---|---|---|---|---|---|
HR | 95% CI | HR | 95% CI | ||||||
Sex (ref: Male) | Female | 0.42 *** | 0.36 | −0.48 | 0.69 *** | 0.58 | −0.81 | ||
Age Group (ref: ≤39) | 40–49 | 1.62 * | 1.07 | −2.44 | 1.67 * | 1.07 | −2.61 | ||
50–59 | 2.59 *** | 1.78 | −3.78 | 2.09 *** | 1.39 | −3.14 | |||
60–69 | 4.01 *** | 2.78 | −5.78 | 3.16 *** | 2.12 | −4.72 | |||
≥70 | 4.93 *** | 3.42 | −7.11 | 4.33 *** | 2.87 | −6.55 | |||
Income level (ref: 1 Quintile) | 2 quintile | 0.96 | 0.74 | −1.24 | 0.89 | 0.66 | −1.21 | ||
3 quintile | 1.13 | 0.90 | −1.43 | 1.06 | 0.81 | −1.39 | |||
4 quintile | 1.20 | 0.97 | −1.49 | 1.14 | 0.88 | −1.47 | |||
5 quintile | 0.93 | 0.75 | −1.15 | 0.89 | 0.69 | −1.14 | |||
Type of Social Security (ref: Medical Aid) | IW | 1.32 | 0.92 | −1.91 | 1.13 | 0.72 | −1.78 | ||
SE | 1.37 | 0.94 | −1.99 | 1.13 | 0.71 | −1.78 | |||
Disability (ref: Normal) | Handicapped | 1.52 *** | 1.25 | −1.84 | 1.27 * | 1.02 | −1.57 | ||
Outpatient Visit(no.) | continuous | 1.02 *** | 1.02 | −1.02 | 1.00 | 1.00 | −1.00 | ||
Inpatient visit(no.) | continuous | 1.03 *** | 1.03 | −1.04 | 1.02 *** | 1.01 | −1.03 | ||
Length of Stay(days) | continuous | 1.01 *** | 1.01 | −1.01 | 1.01 *** | 1.00 | −1.01 | ||
Chemotherapy (ref: No) | Yes | 18.60 *** | 7.73 | −44.77 | 16.07 ** | 2.26 | −114.34 | ||
Utilized in Capital (ref: No) | Yes | 1.23 *** | 1.07 | −1.42 | 1.29 ** | 1.10 | −1.51 |
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Choi, J.-k.; Kim, S.-H.; Park, M.-B. Association between Moving to a High-Volume Hospital in the Capital Area and the Mortality among Patients with Cancer: A Large Population-Based Cohort Study. Int. J. Environ. Res. Public Health 2021, 18, 3812. https://doi.org/10.3390/ijerph18073812
Choi J-k, Kim S-H, Park M-B. Association between Moving to a High-Volume Hospital in the Capital Area and the Mortality among Patients with Cancer: A Large Population-Based Cohort Study. International Journal of Environmental Research and Public Health. 2021; 18(7):3812. https://doi.org/10.3390/ijerph18073812
Chicago/Turabian StyleChoi, Jung-kyu, Se-Hyung Kim, and Myung-Bae Park. 2021. "Association between Moving to a High-Volume Hospital in the Capital Area and the Mortality among Patients with Cancer: A Large Population-Based Cohort Study" International Journal of Environmental Research and Public Health 18, no. 7: 3812. https://doi.org/10.3390/ijerph18073812