{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T12:21:37Z","timestamp":1788265297902,"version":"build-2803163510"},"reference-count":22,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T00:00:00Z","timestamp":1776902400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T00:00:00Z","timestamp":1776902400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100020950","name":"National Science and Technology Council","doi-asserted-by":"publisher","award":["MOST 111\u20102314\u2010B\u2010002\u2010089\u2010MY3"],"award-info":[{"award-number":["MOST 111\u20102314\u2010B\u2010002\u2010089\u2010MY3"]}],"id":[{"id":"10.13039\/501100020950","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100020950","name":"National Science and Technology Council","doi-asserted-by":"publisher","award":["NSTC 114\u20102314\u2010B\u2010002\u2010085\u2010MY3"],"award-info":[{"award-number":["NSTC 114\u20102314\u2010B\u2010002\u2010085\u2010MY3"]}],"id":[{"id":"10.13039\/501100020950","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100013227","name":"Health Promotion Administration, Ministry of Health and Welfare","doi-asserted-by":"publisher","award":["A1141107"],"award-info":[{"award-number":["A1141107"]}],"id":[{"id":"10.13039\/100013227","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl Journal of Cancer"],"published-print":{"date-parts":[[2026,10,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>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\u2010certified hospitals was compared using Cox proportional hazards models incorporating a hospital\u2010level 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\u2010cause mortality for colorectal (adjusted hazard ratio [HR], 0.88; 95% confidence interval [CI], 0.83\u20130.93), lung (HR, 0.91; 95% CI, 0.87\u20130.96), and bladder cancers (HR, 0.79; 95% CI, 0.66\u20130.96). No statistically significant associations were observed for liver, female breast, cervical, uterine, or ovarian cancers. In this population\u2010based 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\u2010quality cancer care and support the continued evaluation of certification programs as a potential strategy for strengthening cancer care systems.<\/jats:p>","DOI":"10.1002\/ijc.70516","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T04:15:57Z","timestamp":1777004157000},"page":"1772-1779","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association of Cancer Care Quality Certification With Survival Across Multiple Cancer Types: A Population\u2010Based Cohort Study in Taiwan"],"prefix":"10.1002","volume":"159","author":[{"given":"Hsiao\u2010Chen","family":"Chiu","sequence":"first","affiliation":[{"name":"Institute of Epidemiology and Preventive Medicine, College of Public Health National Taiwan University  Taipei Taiwan"},{"name":"Department of Obstetrics\u00a0&amp; Gynecology West Garden Hospital  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chun\u2010Ju","family":"Chiang","sequence":"additional","affiliation":[{"name":"Institute of Epidemiology and Preventive Medicine, College of Public Health National Taiwan University  Taipei Taiwan"},{"name":"Taiwan Cancer Registry  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing\u2010Rong","family":"Jhuang","sequence":"additional","affiliation":[{"name":"Institute of Epidemiology and Preventive Medicine, College of Public Health National Taiwan University  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dai\u2010Rong","family":"Tsai","sequence":"additional","affiliation":[{"name":"Institute of Epidemiology and Preventive Medicine, College of Public Health National Taiwan University  Taipei Taiwan"},{"name":"Taiwan Cancer Registry  Taipei 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Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,23]]},"reference":[{"key":"e_1_2_13_2_1","unstructured":"\u201cTaiwan Cancer Registry Annual Report \u201d 2021 https:\/\/www.hpa.gov.tw\/Pages\/Detail.aspx?nodeid=269&pid=12518."},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-020-03411-9"},{"issue":"10","key":"e_1_2_13_4_1","first-page":"801","article-title":"Longterm Survival of Patients With Colon and Rectum Carcinomas: Is There a Difference Between Cancer Centers and Non\u2010Certified Hospitals?","volume":"81","author":"V\u00f6lkel V.","year":"2018","journal-title":"Gesundheitswesen (Bundesverband Der Arzte Des Offentlichen Gesundheitsdienstes (Germany))"},{"issue":"1","key":"e_1_2_13_5_1","first-page":"29","article-title":"German Oncology Certification System for Colorectal Cancer\u2014Relative Survival Rates of a Single Certified Centre vs. National and International Registry 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