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September 8, 1997Archives of Internal Medicine

Perioperative Management of Colon Cancer Under Medicare Risk Programs

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Why the study?

Does Medicare HMO enrollment affect perioperative care and outcomes in patients with colon cancer compared to fee-for-service?

Population

813 patients with colon cancer from 12 states.

Comparison

Medicare health maintenance organization… vs Fee-for-service nonenrollees

Design

Cross-sectional

Authors

SRSheldon M. RetchinThe Ohio State University

Discussion

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Implication

HMO enrollment was associated with shorter stays and fewer services without worse short-term outcomes; leaves open questions of selection bias and causality.

Structured PICO

Does Medicare HMO enrollment affect perioperative care and outcomes in patients with colon cancer compared to fee-for-service?

P
Population
813 patients with colon cancer (412 Medicare HMO enrollees and 401 fee-for-service nonenrollees) from 12 states.
I
Intervention
Medicare health maintenance organization (HMO) enrollment
C
Comparator
Fee-for-service nonenrollees
O
Outcome
Differences in perioperative care and outcomes (length of stay, ICU admission, hospital deaths, postdischarge readmissions)

Medicare HMO enrollees with colon cancer receive fewer perioperative clinical services and have shorter hospital stays than fee-for-service patients, without differences in short-term outcomes.

Cite This Study

Sheldon M. Retchin (1997) studied this question.

synapsesocial.com/papers/6a70c957a528af2d65c3bcc2https://doi.org/10.1001/archinte.1997.00440370126013
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