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January 24, 2015JNCI Journal of the National Cancer InstituteOpen Access

Relationship Between Surgical Oncologic Outcomes and Publically Reported Hospital Quality and Satisfaction Measures

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Why the study?

Are publically reported hospital satisfaction and quality data associated with surgical oncologic outcomes in patients undergoing solid tumor resection?

Population

63,197 patients with solid tumors who underwent surgical resection in 2009 and 2010 at 448 hospitals.

Comparison

Treatment at high-performing hospitals based on… vs Treatment at low-performing hospitals based on…

Design

Cohort

Follow-up

perioperative / 30-day

Authors

JWJason D. WrightTufts Medical CenterATAna I. TergasJohnson UniversityCACande V. AnanthRutgers, The State University of New Jersey

Discussion

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Implication

Hospital HCAHPS scores were associated with lower perioperative morbidity but not mortality after cancer surgery; leaves open their value for guiding referrals.

Structured PICO

Are publically reported hospital satisfaction and quality data associated with surgical oncologic outcomes in patients undergoing solid tumor resection?

P
Population
63,197 patients with solid tumors who underwent surgical resection in 2009 and 2010 at 448 hospitals (identified from the Nationwide Inpatient Sample).
I
Intervention
Treatment at high-performing hospitals based on publically reported patient satisfaction (HCAHPS) and perioperative quality measures.
C
Comparator
Treatment at low-performing hospitals based on the same measures.
O
Outcome
Risk-adjusted hospital-level rates of perioperative morbidity and mortality.hard clinical

Currently available public measures of patient satisfaction and quality for medical conditions are poor predictors of outcomes for cancer patients undergoing surgery.

Cite This Study

Wright et al. (2015) studied this question.

synapsesocial.com/papers/6a71f68c439bab0cabc3b8b4https://doi.org/10.1093/jnci/dju409
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