Table of Contents
ISRN Surgery
Volume 2011 (2011), Article ID 541461, 6 pages
http://dx.doi.org/10.5402/2011/541461
Research Article

Volume-Based Care among Young Women Diagnosed with Uterine Cancer

Kelly Gynecologic Oncology Service, Department of Gynecology and Obstetrics, Johns Hopkins Medical Institutions, 600 North Wolfe Street, Phipps #281, Baltimore, MD 21287, USA

Received 11 September 2011; Accepted 13 October 2011

Academic Editors: K. Hase and D. E. Ziogas

Copyright © 2011 Teresa P. Diaz-Montes and Robert L. Giuntoli. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. To characterize volume-based care of uterine cancer among women aged ≤50 years. Methods. The Maryland Health Service Cost Review Commission database was accessed for uterine cancer surgical cases from 1994 to 2005. Cross-tabulations and logistic regression models were used to evaluate for significant associations among volume-based care and other variables comparing women ≤50 years with those aged >50 years. Results. Women ≤50 years comprised 13.6% of the cases. Women ≤50 years were less likely to be managed by high-volume surgeons (31.6% versus 35.1%, 𝑃 = 0 . 0 2 ). For women ≤50 years, there was a trend toward management at low-volume hospitals (52.0% versus 54.0%, 𝑃 = 0 . 2 2 ). No deaths were reported among the group of women ≤50 years treated by high-volume providers or at high-volume centers. Women ≤50 years managed by high-volume surgeons had longer length of stay ( 𝑃 < 0 . 0 0 1 ) and higher adjusted cost of hospital-related care ( 𝑃 < 0 . 0 0 ). Women ≤50 years managed at high-volume centers had higher adjusted cost of hospital-related care ( 𝑃 = 0 . 0 1 ). Conclusion. Primary surgical care of young women with uterine cancer is often performed by low-volume providers.