Journal article

Impact of hospital geographic remoteness on overall survival after colorectal cancer resection using state-wide administrative data

Dilshan K Udayasiri, Caroline MacCallum, Nigel Da Silva, Anita Skandarajah, Ian P Hayes

ANZ JOURNAL OF SURGERY | WILEY | Published : 2020

Abstract

BACKGROUND: This study aimed to use administrative data (AD) linked to the Victorian death index (VDI) to report on overall long-term survival following colorectal cancer (CRC) surgery, comparing regional to metropolitan hospitals. METHODS: A retrospective cohort study using prospectively gathered AD linked to VDI. The primary outcome was overall survival (OS). Outcomes were adjusted for potential confounders via multivariable Cox proportional hazard regression analysis. RESULTS: Total of 17 533 patients: 12 879 metropolitan patients, 3835 inner regional patients and 719 outer regional patients. Multivariable Cox regression, adjusted for the effects of age, ASA score, Charlson score, positio..

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Grants

Funding Acknowledgements

We would like to thank the Centre of Victoria Data Linkage for data curation and data linkage. The authors also thank Condon Colonic Disorder Scholarship, Medicine, Dentistry and Health Sciences, The University of Melbourne and Health Technology Assessment Scholarship, Royal Australasian College of Surgeons for source of support.