Adherence to Guidelines for Adult (Non-GIST) Soft Tissue Sarcoma in the Netherlands: A Plea for Dedicated Sarcoma Centers

Hoekstra, H.J. (H.)
Haas, R.L.M. (Rick L. M.)
Verhoef, C. (Kees)
Suurmeijer, A.J.H. (Albert J. H.)
van Rijswijk, C.S.P. (Carla S. P.)
Bongers, B.G.H. (Ben G. H.)
Graaf, W.T.A. (Winette) van der
Ho, V.K.Y. (Vincent K. Y.)

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Publication date

July 2017

DOI

10.1245/s10434-017-6003-3

Publisher

Springer Science and Business Media LLC

Abstract

Introduction: Optimal management of soft tissue sarcoma (STS) remains a challenge. A nationwide survey assessed the quality of STS care in the Netherlands, thereby aiming to identify potentialities for improvement through more centralized disease management. Methods: From the Netherlands Cancer Registry (NCR), data were obtained on 3317 adult STS patients (excluding gastrointestinal stromal tumor, GIST) diagnosed in 2006–2011. Logistic regression models were employed to compare outcomes on selected clinical indicators reflecting prevailing STS guidelines between high-volume (≥10 resections annually) and low-volume (<10 resections) hospitals, between academic and general hospitals, and between sarcoma research centers and other hospitals, ad...