Private Groups Research Articles

Machine-learning prediction models for any blood component transfusion in hospitalized dengue patients

BackgroundBlood component transfusions are a common and often necessary medical practice during the epidemics of dengue. Transfusions are required for patients when they developed severe dengue fever or thrombocytopenia of 10×109/L or less. This study therefore investigated the risk factors, performance and effectiveness of eight different machine-learning algorithms to predict blood component transfusion requirements in confirmed dengue cases admitted to hospital. The objective was to study the risk factors that can help to predict blood component transfusion needs. MethodsEight predictive models were developed based on retrospective data from a private group of hospitals in India. A python package SHAP (SHapley Additive exPlanations) was used to explain the output of the “XGBoost” model. ResultsSixteen vital variables were finally selected as having the most significant effects on blood component transfusion prediction. The XGBoost model presented significantly better predictive performance (area under the curve: 0.793; 95 % confidence interval: 0.699–0.795) than the other models. ConclusionPredictive modelling techniques can be utilized to streamline blood component preparation procedures and can help in the triage of high-risk patients and readiness of caregivers to provide blood component transfusions when required. This study demonstrates the potential of multilayer algorithms to reasonably predict any blood component transfusion needs which may help healthcare providers make more informed decisions regarding patient care.

‘I lost over 700 tubers of yam but am glad I am still alive’: Implications of victimhood and displacement on conflict management – Insights from displaced farmers in North Central Nigeria

This study investigates the victimisation and challenges faced by the displaced agricultural community in North-Central Nigeria. The study argues that the significant loss and suffering experienced within this victimisation context contribute to the emergence of post-displacement stressors and act as catalysts for further acts of violence. A sample of 42 participant was selected using a combination of convenience sampling, snowball sampling, and purposeful sampling techniques. The participant were chosen from Daudu camps 1 and 2 (Mbawa), the Gbajimba internally displaced person (IDP) camp (Nzorov), and the Naka IDP camp (Ikyaghev). Data collection involved 8 focus group discussions with victims and 42 in-depth interviews with primary, secondary, and reintegrated victims, as well as representatives of herders. In addition, 14 key informant interviews were conducted with personnel from active non-governmental organisations (NGOs), IDP camp officials, State Emergency Management Agency (SEMA) officials, police and army personnel, the head of a local vigilante group, and traditional district heads. Qualitative data analysis was performed thematically using NVIVO 12 Plus, a qualitative data analysis software. The findings highlight that food insecurity emerges as the primary challenge faced by the displaced population. Other challenges include poor living conditions, inadequate healthcare, a lack of employment opportunities, a high number of out-of-school children, emotional difficulties, and water and sanitation problems. Returnees face challenges in reconstructing damaged properties, establishing water sources, and ensuring adequate security. Most participant rely on support from SEMA, humanitarian NGOs, and donations from private individuals and groups. Based on the research results, the study proposes relevant policies for the government and other agencies involved in assisting displaced populations. It emphasises the need for the government to engage with individuals and groups to provide long-term assistance for victims’ rehabilitation, reintegration, and recovery.

National Survey of Victimization: Another Trend-Crime Mapping Tools

The concept of the "dark figure" refers to the discrepancy between the actual occurrence of criminal activities and the quantity of reported incidents received by the criminal justice system, particularly law enforcement agencies. The term "dark figure of crime" pertains to unreported criminal incidents that are not captured inside the criminal justice system. Inclusion of these unreported crimes in official crime statistics would result in a significant amplification of the overall crime figures. To address the disparity between police records, namely police crime statistics, and the actual occurrence of crimes, many regions have initiated efforts to incorporate victims as the focal point of their investigations. In Indonesia, surveys of victims are generally carried out by private groups, and relate to certain types of crimes. The hesitancy exhibited by victims in reporting their experiences might provide challenges for law enforcement officials in their efforts to uphold societal stability. Victim surveys can extend beyond individuals who have directly experienced crime, encompassing tertiary victims (i.e., indirect victims) who harbour concerns about potential victimisation. Victim surveys can also be utilised to examine victims' perspectives within the complex framework of the criminal justice system, particularly in cases involving many victimisation incidents. Keywords: crime, survey, victims

Visual representation of diversity in online patient education materials for reduction mammaplasty

Online patient education materials play an important role in plastic surgery, and surgeons should ensure that materials accurately reflect their patient population. This study compared the skin tone of images in online materials from the American Society of Plastic Surgeons (ASPS), academic plastic surgery programs, and private groups to the demographics of the United States (US) reduction mammaplasty population. Images within patient education materials and embedded photo galleries were assessed and skin tones were categorized using the Fitzpatrick Skin Scale (FSS). Two reviewers evaluated 616 images. Scores of 1-3 were categorized as White, while scores of 4-6 were classified as non-White. The proportion of images categorized as White and non-White were compared to the demographics of the reduction mammaplasty population in the US. Of 616 images, 82% were classified as White, while 18% were non-White. This distribution differed significantly from the racial demographic distribution of patients undergoing reduction mammaplasty in the US in 2020, where 48% identified as White and 52% as non-White (p<0.001). There was also a statistically significant difference in the distribution of FSS scores between the materials from the ASPS, academic programs, and private surgeon groups, with private groups having a lower percentage of non-White images (p=0.028). These findings suggest that implicit bias may impact the creation of patient education materials for reduction mammaplasty and highlights the need for improvement in distributing patient education materials that accurately represent the diverse reduction mammaplasty population.

Partnerships between public and private sectors in Brazil: towards efficiency?

This research was developed to understand the role played by partnerships between public and private sectors in Brazil, especially with regard to increasing efficiency in the provision of public services. Through the use of historical and dialectical methods, anchored in bibliographic and documentary research, alongside indirect data analysis, we discuss the arguments in favor of and against the use of such partnerships within the Brazilian destatization program, as an instrument to promote the rights of the collectivity. After drawing a historical line of the construction of the third way, in which partnerships arise, and debating the fundamentals of state subsidiarity, it appears that there is a mystification of state inefficiency and market superiority. Furthermore, although the number of initiatives and signed contracts has increased over the years and has been encouraged by the government, partnerships are still ineffective in practice. Partnerships, so-called innovative arrangements, are focused on old (neo) liberal practices, moving society away from public decision-making processes and weakening rights on behalf of profit, consisting in a form of transfer of capital from the State to small private groups. Sometimes there is also a lack of transparency in the actions of the private partner and the inspections by the public partner are insufficient.

B - 21 What Does BASC-3 Tell us about ASD in Females.

This study explored parent endorsements on Behavior Assessment System for Children, Third Edition (BASC-3) for females diagnosed with Autism Spectrum Disorder (ASD) and how they differ by age group. Data for 121 females (mean age 9.94) was collected between 2022 and 2023 for ages 2-5 (N = 21), 6-11 (N = 55), and 12-21(N = 45). Participants (White = 66%, Hispanic = 12%, Black = 5%, Biracial = 10%, and other = 5.8%) at a private group practice serving suburban and rural counties completed a standard neuropsychological evaluation for ASD. Seven subscales from the BASC-3 were analyzed; four subscales with strong theoretical relationships with ASD and three exploratory scales. A between-subjects ANOVA was conducted to compare the effect of age on BASC-3 for selected subscales. There was a significant effect of age on Externalizing Problems [F(2, 118) = 9.01, p < 0.001, η2= 0.13], Internalizing Problems [F(2, 118) = 6.63, p = 0.002, η2= 0.10], Atypicality [F(2, 118) = 15.07, p < 0.001, η2= 0.20], and Adaptive Skills [F(2, 118) = 4.39, p = 0.015, η2= 0.07]. Post hoc comparisons indicated significant differences across age groups on most scales, but especially for 6-11 ages. However, no significant differences were noted for Withdrawal, Developmental Social Disorder, and ASD probability. Age plays a significant role in the symptomatic presentation of ASD. Parents endorse more problematic behaviors for ages 6 to 11 than other age groups. Moreover, atypicality was the only subscale that showed differential elevations, but all theoretically relevant subscales were at risk. Females with ASD are equally as likely to demonstrate internalizing and externalizing behaviors.

Stronger Than Yesterday: Investigating Peoples' Experiences of View Strengthening on Social Media

ABSTRACTPolarization of views (known as ideological polarization) is one of the greatest societal challenges of our time, potentially sewing distrust and hate among individuals and communities and threatening to undermine the fabric of democracy. Divisive issues such as abortion and gun control are ever‐present and can drive issue polarization, and even affective polarization—a disdain for ‘the other side,’ which can further divide society. Social media has been flagged as a breeding ground for polarized views, with private groups and personalized algorithms facilitating self‐creation of echo chambers that may lead to polarization. While there is prior research on the technological influences on view strengthening, scant Human‐centered research exists and most of it has focused on view change in general, rather than view strengthening specifically. To investigate peoples' experiences of view strengthening on social media, we interviewed 10 people who recently strengthened their views on important topics. While some took steps to avoid creating echo chambers (e.g., by seeking out opposing views), others intentionally created them to allow their views to strengthen without interference. These findings have important implications for designing social media platforms that support careful and conscious view strengthening while mitigating against the risk of information manipulation.

Prevalence and comparison of psychological trauma and stressors in functional seizure patients from a public and private hospital

PurposeTo date not much is known about the differences, if any, between patients with functional seizures (FS) from different socioeconomic backgrounds. We sought to compare the psychological stress and trauma profiles of patients with FS from a private and public hospital in Cape Town, South Africa. MethodsOnly video-electroencephalography-confirmed patients with FS were eligible for the study. In this retrospective case-control study we collected data on self-reported demographic and psychological stressor/trauma variables using digital patient records starting with the earliest available digital patient record for each hospital. ResultsA total of 321 patients from a private hospital and 68 patients from a public hospital were included in the study. Most factors showed no significant differences. However, public hospital patients had higher odds of being older (p = 0.002), almost nine times the odds of reporting physical violence by an intimate partner (aOR = 8.65, 95% CI [1.70, 44.08]), more than eight times the odds of reporting psychological stress in the form of death and/or sickness in the family (aOR = 8.56, 95% CI [1.81, 40.41]) and almost three times the odds for other general psychosocial stressors (aOR = 2.82, 95% CI [1.08, 7.42]) compared to those attending the private hospital. They also had half the odds of being female compared to the private hospital patients (aOR = 0.47, 95% CI [0.23, 0.95]) and 93% fewer odds of reporting coming from an abusive home (aOR = 0.07, 95% CI [0.01, 0.52]). ConclusionHistory and psychological trauma and stressor profiles showed many similarities between the public and private hospital groups; however, some differences were noted and could benefit further exploration and consideration in therapeutic and diagnostic contexts.

Leveraging Social Media to Buy Fake Reviews

We study the market for fake product reviews on Amazon.com. Reviews are purchased in large private groups on Facebook and other sites. We hand collect data on these markets and then collect a panel of data on these products' ratings and reviews on Amazon, as well as their sales rank, advertising, and pricing policies. We find that a wide array of products purchase fake reviews, including products with many reviews and high average ratings. Buying fake reviews on Facebook is associated with a significant but short-term increase in average rating and number of reviews. We exploit a sharp but temporary policy shift by Amazon to show that rating manipulation has a large causal effect on sales. Finally, we examine whether rating manipulation harms consumers or whether it is mainly used by high-quality in a manner like advertising or by new products trying to solve the cold-start problem. We find that after firms stop buying fake reviews, their average ratings fall and the share of one-star reviews increases significantly, particularly for young products, indicating rating manipulation is mostly used by low-quality products.

Increasing green footprints: Indications of transformations in the socio‐economic spaces of Bangladesh

AbstractIn recent decades, Bangladesh has seen significant environmental degradation and the loss of its GDP, which has had a detrimental effect on public health, agriculture, forestry, fisheries, industrial development, and environmental services. The unusually high temperatures, humidity, and unpredicted rainfall gave rise to disease like dengue and affecting peoples mental health. However, the government, as well as public and private groups, are undertaking some phenomenal efforts to help reduce environmental degradation and raise the number of green footprints. The objective of this article is to examine the green initiatives, strategies, and policies of Bangladeshi organizations in enhancing green footprints in the socio‐economic spaces, through comprehensive content analysis of various newspapers, journal articles, government reports, and company annual reports. The aim of this article is to trace out the evidences of change in the socio‐economic fabric of the society. The primary focus of the article on the environment friendly business activities, which eventually bring social changes. The article found that green HRM, green business, MFS, green corporate culture is increasingly been seen in the society, which indicate silent changes. Bangladesh has put regulations and programs into place to lessen carbon emissions and safeguard sensitive coastal areas. It is noteworthy for demonstrating a strong dedication to improving sustainable development and environmental preservation. Many organizations in Bangladesh have also received the prestigious Asia's Corporate Excellence and Sustainability Awards for their outstanding zeal to ensure positive environmental changes in the society. Moreover, large proportion of Bangladesh's energy mix comes from renewable energy sources, leading to the installed renewable energy capacity of 579 MW. Additionally, the government has announced plans on replacing traditional transport methods with electric or hybrid vehicles. Bangladesh has further solidified its position as the global leader in green garments factories, as the country has 176 such facilities that have received the USGBC's LEED accreditation. The article placed a strong emphasis on particular policy proposals, including the adoption of the circular economy, the digital economy, sustainable finance, car‐sharing systems, renewable energy sources in manufacturing and workplaces, and environmentally friendly practices in both public and private organizations.

Shopper’s Darbar: entrepreneurial initiative by the women, for the women (Case A)

Learning outcomes The learning outcomes of this study are as follows: this case deliberates the strategic design and business model that provides entrepreneurial opportunities to re-sellers and small business owners; this case discusses the complexities and opportunities related to using social media (Facebook) as a selling platform; this case provides a thorough understanding of the direct-to-consumer model; this case helps students understand the concept of social commerce in emerging markets; and this case discusses brand-building tactics, particularly for online businesses. Case overview/synopsis This case is about the entrepreneurial venture of three women on Facebook. A venture that started with the simple thought of creating a trusted selling and buying platform with convenience has turned into an opportunity for thousands of other women to become entrepreneurs and start their businesses with minimum investment and low risk. Shoppers Darbar is an online shopping portal on Facebook that started in 2016. This is a private group exclusively for women with more than 165,000 registered members, which saw a boom during the pandemic and merged as a parallel platform of e-commerce retail sites and physical stores and exhibitions. Although social commerce in India is still in its growing stage, it is facing indirect competition and an identity crisis. Hence, to build Shoppers Darbar as a brand and retain vendors, founders need to find methods within Shoppers Darbar’s limited means to sustain and create a community of sellers and buyers for getting more and more business for the vendors associated with them. Complexity academic level Postgraduate level. Supplementary materials Teaching Notes Consent Letter Annexure 1. Subject code CCS 3: Entrepreneurship

Is employment group insurance financing of expensive gene therapies threatened in the United States?

Despite the potential of gene therapy to transform the lives of patients with rare genetic diseases, serious concern has been raised about the financing of the high up-front costs for such treatments and about the ability of the employer-sponsored insurance system in the United States, particularly in small firms, to pay for discoveries of this type. In this paper, we provide a conceptual framework and empirical evidence to support the proposition that, at present, private group insurance financing of cost-effective gene therapies is not only feasible and competitively necessary in the labor market for employers, regardless of group size, but also that, currently, the number of US workers in small firms who might be stressed by very high-priced claims is a tiny fraction of the group market for genetic treatments. The current system of employer-paid self-insurance supplemented by stop-loss coverage should be able to facilitate the use of new cost-effective gene therapies. Other alternative methods of financing that have been proposed may not be urgently needed. There are, however, some concerns about the long-term resilience of this system if stop-loss premiums continue to have high growth.

Long-Term Lifestyle Habits and Quality of Life after Roux-in-Y Gastric Bypass in Brazilian Public versus Private Healthcare Systems: Beyond Weight Loss.

Lifestyle and health-related quality of life (HRQoL) are good markers of surgical obesity treatment. This study aimed to investigate the lifestyle and HRQoL of patients at least five years after Roux-en-Y gastric bypass in public (SUS) and private (PVT) Brazilian healthcare systems. In this cross-sectional study, weight loss (WL), % of excess WL (%EWL), diet quality, physical activity, alcohol consumption, and HRQoL were evaluated. Analysis of covariance, binary and multinomial logistic regression, adjusted for confounders, were performed. The SUS group had more vulnerable socioeconomic statuses than the PVT group. Total %WL and % EWL were 24.64 ± 0.99% and 60.46 ± 2.41%, respectively, without difference between groups. In the Pain/Discomfort and Anxiety/Depression domains of HRQoL, more than 50% reported moderate problems without differences between groups. Processed food ingestion was higher in the PVT (132.10 ± 60.15 g/1000 kcal) than in the SUS (103.43 ± 41.72 g/1000 kcal), however, without statistical significance (p = 0.093). The PVT group showed lower physical activity (OR: 0.23; 95%CI: 0.87-0.63; p = 0.004) and a higher risk of alcohol-related problems (OR: 3.23; 95%CI; 1.03-10.10; p = 0.044) compared to SUS group. Participants generally achieved satisfactory WL, regardless of healthcare systems. However, PVT participants had unfavorable lifestyle characteristics, highlighting the need for studies investigating environmental issues post-bariatric surgery.

Home-based telerehabilitation for community-dwelling persons with stroke during the COVID-19 pandemic: A pilot study.

To determine the feasibility and safety of use of asynchronous telerehabilitation for community-dwelling persons with stroke in the Philippines during the COVID-19 (SARS-CoV-2) pandemic, and to evaluate the change in participants' telerehabilitation perceptions, physical activity, and well-being after a 2-week home-based telerehabilitation programme using a common social media application. Pilot study. Nineteen ambulatory, non-aphasic adult members of a national university hospital stroke support group in the Philippines. Pre-participation screening was performed using the Physical Activity Readiness Questionnaire. The participants were medically cleared prior to study enrollment. They then engaged in telerehabilitation by watching original easy-to-follow home exercise videos prepared and posted by the study authors on a private group page on Facebook™ every other day for 2 weeks. Descriptive statistics was performed. All 19 participants (mean age: 54.9 years) completed the programme with no significant adverse events. The majority of subjects improved their telerehabilitation perceptions (based on the Telepractice Questionnaire), physical activity levels (based on the Simple Physical Activity Questionnaire), and perceived well-being (based on the Happiness Scale). Asynchronous telerehabilitation using a common low-cost social media application is feasible and safe for community-dwelling persons with chronic stroke in a lower-middle-income country.

Editorial introductions.

Editorial introductions.

Neuroethics guidance documents: principles, analysis, and implementation strategies.

Innovations in neurotechnologies have ignited conversations about ethics around the world, with implications for researchers, policymakers, and the private sector. The human rights impacts of neurotechnologies have drawn the attention of United Nations bodies; nearly 40 states are tasked with implementing the Organization for Economic Co-operation and Development's principles for responsible innovation in neurotechnology; and the United States is considering placing export controls on brain-computer interfaces. Against this backdrop, we offer the first review and analysis of neuroethics guidance documents recently issued by prominent government, private, and academic groups, focusing on commonalities and divergences in articulated goals; envisioned roles and responsibilities of different stakeholder groups; and the suggested role of the public. Drawing on lessons from the governance of other emerging technologies, we suggest implementation and evaluation strategies to guide practitioners and policymakers in operationalizing these ethical norms in research, business, and policy settings.

Prevalence of Burnout in Administrative and Industrial Sectors

Burnout is one of the most common psychological conditions that modern society is increasingly facing with, as it influences health status and can mediate the relationship between workload and mental disorders. The aim of this study was to investigate the prevalence of burnout with its dimensions among the specified groups of workers. A self-administered questionnaire was completed by a sample of three groups of workers to assess burnout with its three dimensions (Maslach Burnout Inventory–General Survey). Pearson correlation coefficient and Spearman rank correlation coefficient were used to determine the relationship between numerical variables with normal/not normal frequency distribution. The total burnout score was 2.55 ± 1.08, which corresponded to a moderate degree of this dimension. Of the total sample 18.1% were with a severe degree of burnout while 68.9% were with moderate. Significantly the worst was the situation in the industrial respondents, 25% were severely and 69.3% were moderately burned out, followed by the private and public groups. Our study indicated a high prevalence of burnout, especially in the industrial sectors. The use of accurate results could prove vital in the early detection and management of affected individuals, especially in high-risk professions. Burnout prevention and burnout reduction interventions should be made to highlight the increasing need for the development and deployment of mental health institutions and professionals around the country, in the efforts to pay more attention to mental health.

Usage of electronic health record (eHR) viewer among healthcare professionals (HCProfs): A territory-wide study of 3972 participants

BackgroundThe Electronic Health Record Sharing System (eHRSS) is an electronic platform for two-way communication between the public and private sectors in Hong Kong. The authorised healthcare professionals (HCProfs) could access and upload patients’ health records on the eHR Viewer in the eHRSS. This study aims to evaluate the usage of eHR viewer among the HCProfs from the private sector by 1) examining the correlation of various factors and the data access of eHR viewer; 2) investigating the trend on data access and upload to eHR viewer by time period and domain. MethodsA total of 3972 HCProfs from private hospitals, group practice, and solo practice were included in the study. Regression analysis was performed to identify the correlation between various factors and the data access to eHR viewer. Trends on accessing and data uploading to eHR viewer by time period and domains were evaluated. Trends on data uploading to eHR viewer by time period and domains were presented in the line chart as well. FindingsAll types of HCProfs had a higher likelihood of accessing the eHR viewer as compared to those from private hospitals. HCProfs with specialities (apart from anaesthesia) had a higher possibility of accessing the eHR viewer than general practitioners without specialities. HCProfs participating in the Public-Private Partnership (PPP) Programme and the eHealth System (Subsidies) (eHS(S)) were more likely to access the eHR viewer. The overall trend of accessing eHR viewer was rising notably from 2016 to 2022, every domain showed rising trends, especially the laboratory domain with a 5-times increase between 2016 and 2022. ConclusionHCProfs with speciality were more likely to access the eHR viewer (except anaesthesiology), compared with the general practitioners. Participation in the PPP programmes and eHS(S) also increased the access rate of the eHR viewer. Besides, the use of eHR viewer (accessing and data uploading) would be influenced by social policy and the epidemic. Future research should focus on the impact of government programmes on eHRSS adoption.

Public health messages during a global emergency through an online community: a discourse and sentiment analysis.

The growing popularity of social media and its ubiquitous presence in our lives brings associated risks such as the spread of mis- and disinformation, particularly when these may be unregulated in times of global crises. Online communities are able to provide support by enabling connection with others and also provide great potential for dynamic interaction and timely dissemination of information compared with more traditional methods. This study evaluates interactions within the Essex Coronavirus Action/Support Facebook private group, which set out to prevent the spread of COVID-19 infection by informing Essex residents of guidance and helping vulnerable individuals. At the outset, 18 community administrators oversaw the group, which attracted approximately 37,900 members. Longitudinal Facebook group interactions across five periods spanning the UK lockdowns 2020-2021 were analysed using psychological discourse analysis and supplementary computed-mediated analysis to further explore sentiment and linguistic features. The findings endorsed that the group provided a protected space for residents to express their feelings in times of crises and an opportunity to address confusion and concern. The effective communication of public health messages was facilitated by promoting desired interaction and the construction of group identities. Administrators worked with group members to achieve a shared understanding of others' perspectives and the COVID-19 evidence base, which led to a mobilisation of the provision of support in the community. This was accomplished through the application of rhetorical and interactional devices. This study demonstrates how online groups can employ discursive strategies to engage audiences, build cohesion, provide support, and encourage health protective behaviours. This has implications for public health teams in terms of designing, implementing, or evaluating such interventions.

Discrepancies in breast cancer's oncological outcomes between public and private institutions in the southeast region of Brazil: a retrospective cohort study.

Brazil is a middle-income country with inequalities in its healthcare system. The disparities between public and private services affect the diagnosis and treatment of patients with breast cancer. The aim of this study is to assess whether disease-free survival (DFS) and overall survival (OS) are different in public and private specialized centers. A retrospective cohort study with 1,545 breast cancer patients diagnosed from 2003 to 2011 at Barretos Cancer Hospital-BCH (public group, N = 1,408) and InORP Oncoclinicas (private group, N = 137) was conducted. A 1:1 propensity score matching (PSM) analysis was used to adjust the differences between the groups' characteristics (n = 137 in each group). The median age at diagnosis was 54.4 years. Estimated DFS rates at 1, 5, and 10 years were 96.0%, 71.8%, and 59.6%, respectively, at BCH and 97.8%, 86.9%, and 78%, respectively, at InORP (HR: 2.09; 95% confidence interval [CI], 1.41-3.10; p < 0.0001). Estimated OS rates at 1, 5, and 10 years were 98.1%, 78.5%, and 65.4%, respectively, at BCH and 99.3%, 94.5%, and 91.9%, respectively, at InORP (HR: 3.84; 95% CI, 2.16-6.82; p < 0.0001). After adjustment by PSM, DFS and OS results in 1, 3, and 5 years remained worse in the public service compared to the private service. Patients treated in a public center have worse DFS and OS after a follow-up period of more than 5 years. These results were corroborated after carrying out the PSM.