Unadjusted associations between care, patient characteristics and patient survival time from initial surgery (n = 1341)
| Characteristic | HR* (95% CI) |
|---|---|
| Surgical experience | |
| Discipline of Initial surgeon | |
| Gynecologic oncologist | 1.00 (ref) |
| Obstetrician/gynecologist† | 0.73 (0.64–0.83) |
| General surgeon† | 1.26 (1.03–1.54) |
| Other | 0.90 (0.51–1.59) |
| Surgeon procedure volume | |
| ≥ 10 | 1.00 (ref) |
| 3–9† | 0.73 (0.62–0.86) |
| 1–2 | 0.92 (0.79–1.06) |
| Hospital procedure volume | |
| ≥ 100 | 1.00 (ref) |
| 16–99 | 1.05 (0.84–1.31) |
| 1–15 | 0.91 (0.72–1.15) |
| Hospital type | |
| Centre with gynecologic oncologist | 1.00 (ref) |
| Other regional cancer or teaching centre | 0.74 (0.55–1.00) |
| Remaining centres† | 0.87 (0.75–0.99) |
| Quality indicator | |
| Adequate | 1.00 (ref) |
| Inadequate | 1.16 (0.89–1.52) |
| Undefined† | 1.87 (1.48–2.37) |
| Surgery type | |
| Elective | 1.00 (ref) |
| Emergency v. elective | 0.85 (0.59–1.24) |
| Urgent v. elective† | 1.40 (1.12–1.75) |
| Days from admission to surgery (continuous variable)† | 1.06 (1.04–1.08) |
| Postsurgical management | |
| Treatment subsequent to surgery | |
| Surgery alone | 1.00 (ref) |
| Surgery + CT† | 1.41 (1.21–1.66) |
| Surgery + RT† | 0.37 (0.21–0.69) |
| Surgery + CT + RT† | 0.46 (0.29–0.76) |
| Patient | |
| Patient age, yr | |
| ≥ 70 | 1.00 (ref) |
| 60–69† | 0.75 (0.63–0.90) |
| 18–59† | 0.54 (0.46–0.65) |
| Charlson comorbidity score ≥ 2 v. 0–1† | 1.95 (1.42–2.58) |
| Cancer history, yes v. no | 1.00 (0.78–1.29) |
| Rural residence, yes v. no | 0.93 (0.78–1.11) |
| Income quintile | |
| First quintile | 1.00 (ref) |
| Second quintile | 0.99 (0.80–1.23) |
| Third quintile | 0.89 (0.69–1.13) |
| Fourth quintile | 0.95 (0.77–1.17) |
| Fifth quintile | 0.93 (0.75–1.16) |
| Disease | |
| Stage at initial surgery | |
| 1 | 1.00 (ref) |
| 2† | 2.48 (1.85–3.33) |
| 3† | 7.62 (6.06–9.58) |
| 4† | 12.72 (9.21–17.62) |
| Tumour grade | |
| Poor/undifferentiated | 1.00 (ref) |
| Well differentiated† | 0.25 (0.19–0.32) |
| Moderately differentiated† | 0.68 (0.57–0.79) |
| Not stated† | 0.76 (0.63–0.92) |