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June 30, 2017CancerOpen Access

Understanding the relationship between the Centers for Medicare and Medicaid Services' Hospital Compare star rating, surgical case volume, and short‐term outcomes after major cancer surgery

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Why the study?

Does CMS Hospital Compare star rating or surgical case volume predict short-term outcomes in patients undergoing major cancer surgery?

Population

365,752 Medicare patients undergoing major cancer surgery for 1 of 9 cancer types at 2,550 hospitals

Comparison

Treatment at hospitals with higher CMS Hospital… vs Treatment at hospitals with lower CMS star…

Design

Cohort

Follow-up

short-term

Authors

DKDeborah R. KayeENEdward C. NortonCEChad Ellimoottil

Discussion

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Overview

Higher star ratings and volumes were associated with better short-term cancer surgery outcomes; leaves open whether ratings should guide referrals.

Structured PICO

Does CMS Hospital Compare star rating or surgical case volume predict short-term outcomes in patients undergoing major cancer surgery?

P
Population
365,752 Medicare patients undergoing major cancer surgery for 1 of 9 cancer types at 2,550 hospitals
I
Intervention
Treatment at hospitals with higher CMS Hospital Compare star ratings or higher surgical case volumes
C
Comparator
Treatment at hospitals with lower CMS star ratings or lower surgical case volumes
O
Outcome
Short-term cancer surgery outcomes (mortality, complication rate, readmissions, and prolonged length of stay)hard clinical

CMS Hospital Compare star ratings and surgical case volumes are both correlated with short-term outcomes after major cancer surgery, suggesting star ratings may be useful for patients selecting a hospital.

Cite This Study

Kaye et al. (2017) studied this question.

synapsesocial.com/papers/6a7639771ce449dc42709e60https://doi.org/10.1002/cncr.30866
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Navigating by Stars: Using CMS Star Ratings to Choose Hospitals for Complex Cancer Surgery2020 · 6 citations
  2. 2Variation in Postoperative Outcomes Across Federally Designated Hospital Star Ratings2024 · 10 citations
  3. 3Surgeon and Hospital Characteristics as Predictors of Major Adverse Outcomes Following Colon Cancer Surgery2007 · 146 citations
  4. 4Relationship Between Surgical Oncologic Outcomes and Publically Reported Hospital Quality and Satisfaction Measures2015 · 19 citations
  5. 5Directing Surgical Quality Improvement Initiatives: Comparison of Perioperative Mortality and Long-Term Survival for Cancer Surgery2008 · 171 citations