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Higher caseload improves cervical cancer survival in patients treated with brachytherapy

Overview of attention for article published in Radiation Oncology, October 2014
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  • Above-average Attention Score compared to outputs of the same age and source (59th percentile)

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2 X users

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Title
Higher caseload improves cervical cancer survival in patients treated with brachytherapy
Published in
Radiation Oncology, October 2014
DOI 10.1186/s13014-014-0234-2
Pubmed ID
Authors

Moon-Sing Lee, Shiang-Jiun Tsai, Ching-Chih Lee, Yu-Chieh Su, Wen-Yen Chiou, Hon-Yi Lin, Shih-Kai Hung

Abstract

ObjectivesIncreased caseload has been associated with better patient outcomes in many areas of health care, including high-risk surgery and cancer treatment. However, such a positive volume vs. outcome relationship has not yet been validated for cervical cancer brachytherapy. The purpose of this study was to examine the relationship between physician caseload and survival rates in cervical cancer treated with brachytherapy using population-based data.MethodsBetween 2005 and 2010, a total of 818 patients were identified using the Taiwan National Health Insurance Research Database. Multivariate analysis using a Cox proportional hazards model and propensity scores was used to assess the relationship between 5-year survival rates and physician caseloads.ResultsAs the caseload of individual physicians increased, unadjusted 5-year survival rates increased (P¿=¿0.005). Using a Cox proportional hazard model, patients treated by high-volume physicians had better survival rates (P =0.03), after adjusting for comorbidities, hospital type, and treatment modality. When analyzed by propensity score, the adjusted 5-year survival rate differed significantly between patients treated by high/medium-volume physicians vs. patients treated by low/medium-volume physicians (60% vs. 54%, respectively; P¿=¿0.04).ConclusionsProvider caseload affected survival rates in cervical cancer patients treated with brachytherapy. Both Cox proportional hazard model analysis and propensity scores showed association between high/medium volume physicians and improved survival.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 23 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 23 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 5 22%
Researcher 3 13%
Student > Master 2 9%
Student > Bachelor 2 9%
Lecturer 1 4%
Other 4 17%
Unknown 6 26%
Readers by discipline Count As %
Nursing and Health Professions 6 26%
Medicine and Dentistry 4 17%
Immunology and Microbiology 1 4%
Business, Management and Accounting 1 4%
Physics and Astronomy 1 4%
Other 1 4%
Unknown 9 39%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 29 January 2016.
All research outputs
#14,788,263
of 22,769,322 outputs
Outputs from Radiation Oncology
#901
of 2,049 outputs
Outputs of similar age
#143,633
of 260,148 outputs
Outputs of similar age from Radiation Oncology
#24
of 69 outputs
Altmetric has tracked 22,769,322 research outputs across all sources so far. This one is in the 32nd percentile – i.e., 32% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2,049 research outputs from this source. They receive a mean Attention Score of 2.7. This one is in the 49th percentile – i.e., 49% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 260,148 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 42nd percentile – i.e., 42% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 69 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 59% of its contemporaries.