Association of facility type with overall survival in patients with nonsurgically managed pancreatic cancer.

The aim of this study is to examine the association between receiving treatment at academic hospitals and overall survival in patients diagnosed with pancreatic cancer who do not receive definitive surgery of the pancreatic tumor. The authors used the National Cancer Database to identify patients who were diagnosed with pancreatic cancer between 2004 and 2016. The authors' study included 262,209 patients. The authors found that patients who received treatment at nonacademic hospitals were on average 28% more likely to die of any cause compared with patients who were treated at academic centers (hazard ratio: 1.279; 95% CI: 1.268­1.290; p < 0.001). Patients who received treatment at nonacademic hospitals were more likely to die of any cause compared with patients who received treatment at academic hospitals.