Soft tissue sarcoma should be treated at a tumor center : a comparison of quality of surgery in 375 patients.
We analyzed the quality of surgery in a population-based series of 375 patients with primary soft tissue sarcoma of the extremity (n 329) and trunk wall (n 46).
The quality was measured as the total number of operations performed for the primary tumor-biopsy, excision, reexcision-and the local recurrence rate.
A comparison was made between patients referred to our tumor center before surgery (n 195), after surgery (n 102), and not referred for the primary tumor (n 78).
The total number of operations for the primary tumor in patients not referred was 1.4 times higher, and in patients referred after surgery 1.7 times higher than in patients neferred before surgery.
The local recurrence rate in patients not referred was 2.4 times higher, and in patients referred after surgery 1.3 times higher than in patients refered before surgery.
Mots-clés Pascal : Sarcome, Partie molle, Homme, Traitement, Chirurgie, Critère qualité, Hôpital général, Centre hospitalier universitaire, Pronostic, Etude comparative, Etude statistique, Suède, Europe, Tumeur maligne, Peau pathologie, Muscle strié pathologie
Mots-clés Pascal anglais : Sarcoma, Soft tissue, Human, Treatment, Surgery, Quality criterion, General hospital, Teaching hospital, Prognosis, Comparative study, Statistical study, Sweden, Europe, Malignant tumor, Skin disease, Striated muscle disease
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0302378
Code Inist : 002B15C. Création : 199406.