Research published in BMCCancer suggests that patients with pancreatic cancer benefit from treatment in a certified cancer center in terms of survival than patients treated in non-certified hospitals.
]. This evidence is restricted due to limited regional and time coverage, relatively small sample sizes, and missing relevant covariates at patient and hospital level. Specific evidence for pancreatic cancer is still missing.
We investigated differences in survival between patients treated in GCS-certified pancreatic cancer centers and patients treated in non-certified German hospitals hypothesizing that patients benefit from treatment in a certified center. We used a sample of more than 45,000 individuals with incident pancreatic cancer treated between 2009–2017, allowing for operationalization of relevant patient- and hospital-level confounders.
The WiZen study combines medical expertise with profound data analysis targeted at health insurance and cancer registry data. Clinical experts contribute to case and variable definitions, selection and definition of outcomes, relevant risk factors, and treatments, and interpretation and discussion of empirical findings. Methodological expertise and experience in preparation and modeling of health insurance data is provided by the Center for Evidence-Based Healthcare .
We used data on hospital characteristics from the German Standardized Quality Reports . Publishing these reports is mandatory for all German hospitals. For each calendar year in the data set, we used most recent information from SQR data . Finally, the GCS provided information on GCS-certified cancer centers, including the exact date of certification.Data on GCS certification, patient and hospital characteristics included in hospital insurance data were pseudonymized at WIdO.
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