Lei Wang, Yaru Li, Rui Zhao, Jiangxu Li, Xiangru Gong, Hongyu Li
Influencing factors of home hospice care needs of family caregivers of the older adult with chronic diseases at the end of life in China: a cross-sectional study
Frontiers in public health
laparoscopic approach cervical cancer lacc trial published 2018 demonstrated minimally invasive surgery mis yields inferior survival outcomes earlystage cervical cancer compared open surgery study investigates results lacc trial impacted selection primary treatment modality adjuvant radiation utilization earlystage cervical cancer using national cancer database ncdb compared patients stage ia2ib1 cervical cancer 12016122017 12019122020 lacc trial total 7930 patients included 4609 3321 lacc trial decline mis usage 67 prelacc 35 thereafter p 0001 pre postlacc periods patients undergoing radical mis frequently small volume disease prelacc tumors 2 cm 48 mis vs 41 open p 0023 postlacc stage ia2 22 vs 15 p 0002 prelacc mis radical hysterectomy associated white race 82 vs 77 p 0001 private insurance 63 vs 54 p 0004 difference socioeconomic factors postlacc period although proportion patients treated primary chemoradiation remained stable postlacc cohort younger median age 5247 vs 5637 p 0005 microscopic disease cases 13 vs 54 p 0002 difference rate radiation radical hysterectomy trial 26 vs 24 p 03 conclusions postlacc patients less likely undergo mis received adjuvant radiation similar rates primary chemoradiation patients younger likely microscopic disease