| 000 | 02525cam a2200289 4500500 | ||
|---|---|---|---|
| 005 | 20250121143444.0 | ||
| 041 | _afre | ||
| 042 | _adc | ||
| 100 | 1 | 0 |
_aBarrault, Fabien _eauthor |
| 700 | 1 | 0 |
_a Dramé, Moustapha _eauthor |
| 700 | 1 | 0 |
_a Heurgue, Alexandra _eauthor |
| 700 | 1 | 0 |
_a Piardi, Tullio _eauthor |
| 700 | 1 | 0 |
_a Bernard-Chabert, Brigitte _eauthor |
| 700 | 1 | 0 |
_a Hoeffel, Christine _eauthor |
| 700 | 1 | 0 |
_a Sommacale, Daniele _eauthor |
| 700 | 1 | 0 |
_a Thiéfin, Gérard _eauthor |
| 245 | 0 | 0 | _aGeneral practitioner density is not associated with survival in patients with hepatocellular carcinoma |
| 260 | _c2018. | ||
| 500 | _a45 | ||
| 520 | _aObjective: To determine if the density of general practitioners (GPs) had an impact on overall survival of patients with hepatocellular carcinoma (HCC) and stage of HCC at initial diagnosis in a North-Eastern region of France. Methods: This retrospective study was performed with 246 consecutive HCC patients referred to a multidisciplinary meeting dedicated to hepatobiliary tumors in the Reims University Hospital from 2012 to 2016. The following data were collected: clinico-biological and radiological data, GP density in patient residence area, stage of HCC at diagnosis, treatment. Survival curves were calculated by Kaplan-Meier method and compared with log-rank test. Results: Fifty-one patients (20.7%) were living in a low GP density area (2.2 to 6.8 GPs/10000 inhabitants) and 195 (79.3%) in a high GP density area (6.8 à 12.6 GPs/10000 inhabitants). Overall survival of patients living in a low GP density area was not statistically different from that of patients living in a high GP density area (median survival of 11.7 and 14.8 months respectively; p = 0.58). The tumor stage at initial diagnosis and the delay between diagnosis and case presentation at the multidisciplinary meeting were not significantly different between high and low GP density areas. Conclusion: In a cohort of patients with HCC referred to a regional multidisciplinary meeting dedicated to hepatobiliary cancers, the GP density in residence area of patients with HCC did not influence significantly their survival nor the stage of HCC at diagnosis. | ||
| 690 | _aepidemiology | ||
| 690 | _ahealthcare disparities | ||
| 690 | _ahepatocellular carcinoma | ||
| 690 | _asurvival | ||
| 786 | 0 | _nSanté Publique | 30 | 5 | 2018-12-19 | p. 679-687 | 0995-3914 | |
| 856 | 4 | 1 | _uhttps://shs.cairn.info/journal-sante-publique-2018-5-page-679?lang=en&redirect-ssocas=7080 |
| 999 |
_c587204 _d587204 |
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