OBJECTIVE: To investigate opportunities to reduce @entity2 mortality after diagnosis of localised @entity1149 ( @entity1149 ) in New South Wales through surgical resection. DESIGN, @entity1 AND SETTING: In this cohort study, resection rates and @entity2 mortality risk were explored using multivariate logistic regression and competing risk regression, respectively. Data for 3040 @entity1 were extracted from the NSW Central @entity5 Registry for the diagnostic period 1 January 2003 to 31 December 2007. Subset analyses for @entity1 at low surgical risk indicated resection rates and outcomes under ideal circumstances. MAIN OUTCOME MEASURES: Resection rates and @entity2 mortality. RESULTS: The resection rate in NSW was estimated to be between 38% and 43%, peaking at 59% by local health district (LHD) of residence. Not having a resection was associated with older age, lower socioeconomic status, lack of private health insurance, and residence by LHD. Adjusted 5-year cumulated probabilities of @entity204 were 76% in absence of resection, 30% for wedge resection, 18% for segmental resection, 22% for lobectomy and 45% for pneumonectomy. Of 255 "low surgical risk" @entity1 , 71% had a resection. Those not receiving a resection had a higher probability of @entity204 (adjusted subhazard ratio, 14.1; 95% CI, 7.2-27.5). If the low overall resection rate of 38%-43% in NSW were increased to 59% (the highest LHD resection rate), the proportion of all @entity1 with localised @entity1149 dying of @entity1149 in the 5 years from diagnosis would decrease by about 10%, based on differences in probabilities of @entity204 by resection estimated in this study. CONCLUSIONS: Potential exists to reduce deaths from @entity1149 in NSW through increased resection.

What factors are predictive of surgical resection and survival from localised XXXX ?

@entity1 :: ('9606', 'Species') :: ['patients', 'PATIENTS'] @entity5 :: ('MESH:D009369', 'Disease') :: ['Cancer'] @entity1149 :: ('MESH:D002289', 'Disease') :: ['NSCLC', 'non-small cell lung cancer'] @entity2 :: ('MESH:D008175', 'Disease') :: ['lung cancer'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death']
@entity1149 :: (MESH:D002289,Disease) :: ['non-small cell lung cancer']
