Academic Journal
Association of Cancer Care Quality Certification With Survival Across Multiple Cancer Types: A Population-Based Cohort Study in Taiwan.
| Τίτλος: | Association of Cancer Care Quality Certification With Survival Across Multiple Cancer Types: A Population-Based Cohort Study in Taiwan. |
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| Συγγραφείς: | Chiu HC; Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan.; Department of Obstetrics & Gynecology, West Garden Hospital, Taipei, Taiwan., Chiang CJ; Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan.; Taiwan Cancer Registry, Taipei, Taiwan., Jhuang JR; Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan., Tsai DR; Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan.; Taiwan Cancer Registry, Taipei, Taiwan., Lin LJ; Health Promotion Administration, Ministry of Health and Welfare, Taipei, Taiwan., Wang JF; Health Promotion Administration, Ministry of Health and Welfare, Taipei, Taiwan., Lee WC; Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan.; Taiwan Cancer Registry, Taipei, Taiwan.; Institute of Health Data Analytics and Statistics, College of Public Health, National Taiwan University, Taipei, Taiwan. |
| Πηγή: | International journal of cancer [Int J Cancer] 2026 Oct 01; Vol. 159 (7), pp. 1772-1779. Date of Electronic Publication: 2026 Apr 23. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Wiley-Liss Country of Publication: United States NLM ID: 0042124 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-0215 (Electronic) Linking ISSN: 00207136 NLM ISO Abbreviation: Int J Cancer Subsets: MEDLINE |
| Imprint Name(s): | Publication: 1995- : New York, NY : Wiley-Liss Original Publication: 1966-1984 : Genève : International Union Against Cancer |
| Ιατρικοί όροι (MeSH): | Neoplasms*/mortality , Neoplasms*/therapy , Quality of Health Care*/standards , Certification*, Taiwan/epidemiology ; Registries/statistics & numerical data ; Humans ; Female ; Male ; Aged ; Middle Aged ; Cohort Studies ; Adult ; Proportional Hazards Models |
| Περίληψη: | Cancer remains a major global health burden. Taiwan launched the Cancer Care Quality Certification (CCQC) program in 2008; however, comprehensive evaluations of its association with survival across multiple cancer types remain limited. A total of 294,323 patients diagnosed with one of eight cancer types between 2011 and 2017 were identified from the Taiwan Cancer Registry Database. Overall survival among patients treated at certified versus non-certified hospitals was compared using Cox proportional hazards models incorporating a hospital-level shared frailty to account for institutional heterogeneity, adjusting for age, sex, stage, hospital level, geographic region, and treatment modalities. Treatment at certified hospitals was associated with lower all-cause mortality for colorectal (adjusted hazard ratio [HR], 0.88; 95% confidence interval [CI], 0.83-0.93), lung (HR, 0.91; 95% CI, 0.87-0.96), and bladder cancers (HR, 0.79; 95% CI, 0.66-0.96). No statistically significant associations were observed for liver, female breast, cervical, uterine, or ovarian cancers. In this population-based study, the CCQC program in Taiwan is associated with improved survival for several major cancers, although the magnitude of association varied by cancer type. These findings suggest that certification may serve as a marker of institutional capacity for delivering high-quality cancer care and support the continued evaluation of certification programs as a potential strategy for strengthening cancer care systems. (© 2026 UICC.) |
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| Grant Information: | MOST 111-2314-B-002-089-MY3 National Science and Technology Council; NSTC 114-2314-B-002-085-MY3 National Science and Technology Council; A1141107 Health Promotion Administration, Ministry of Health and Welfare |
| Contributed Indexing: | Keywords: cancer registry; cancer survival; certification; health care quality |
| Entry Date(s): | Date Created: 20260424 Date Completed: 20260803 Latest Revision: 20260813 |
| Update Code: | 20260813 |
| PubMed Central ID: | PMC13432430 |
| DOI: | 10.1002/ijc.70516 |
| PMID: | 42026743 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1097-0215 |
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| DOI: | 10.1002/ijc.70516 |