April 24, 2018Annals of Surgery

Quality Versus Quantity

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Why the study?

Does patient realignment based on RSMR compared to surgical volume improve survivorship in adults undergoing complex cancer surgery?

Structured PICO

Does patient realignment based on RSMR compared to surgical volume improve survivorship in adults undergoing complex cancer surgery?

Population

292,040 adults undergoing 5 complex cancer surgeries (pulmonary lobectomy, pneumonectomy, esophagectomy, gastrectomy, and colectomy) for a primary cancer between 2008 and 2012 from the National Cancer Database

Intervention

Patient realignment using Risk-standardized mortality rate (RSMR) to move patients from 'least safe' to 'safest' hospitals

Comparator

Patient realignment using surgical volume models (moving patients from low-volume to high-volume hospitals)

Outcome

Potential number of lives saved through patient realignmenthard clinical

Public reporting of hospital safety based on RSMR rather than surgical volume could lead to more meaningful reductions in surgical mortality after complex cancer surgery.

Discussion

No takes yet. Share an insight, caveat, or question.

Implication

Selective referral to safest hospitals may reduce mortality after complex cancer surgery; leaves open optimal patient engagement with quality metrics.

Cite This Study

Chiu et al. (2018) studied this question.

synapsesocial.com/papers/6a72eac5c9955ae7e77489d9 https://doi.org/10.1097/sla.0000000000002762

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Implication

Selective referral to safest hospitals may reduce mortality after complex cancer surgery; leaves open optimal patient engagement with quality metrics.

Quality Versus Quantity

Structured PICO

Discussion

Implication

Cite This Study

Quality Versus Quantity

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Also Consider