Evidence map›Paper›PMID 20708815›Full record

ArticleHealth policy (Amsterdam, Netherlands)2011

Association between ethnicity and prostate cancer outcomes across hospital and surgeon volume groups.

Ravishankar Jayadevappa, Sumedha Chhatre, Jerry C Johnson, Stanley Bruce Malkowicz

Abstract read
In one paragraph

Article in Health policy (Amsterdam, Netherlands), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.0field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 29 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Ravishankar JayadevappaDepartment of Medicine, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA 19104, USA. jravi@mail.med.upenn.edu
Sumedha Chhatre
Jerry C Johnson
Stanley Bruce Malkowicz
University of Pennsylvania · US

Funding

Variations of care in older men with prostate cancerR03CA121338 · NCI · UNIVERSITY OF PENNSYLVANIA · PI JAYADEVAPPA, RAVISHANKAR · 2006 to 2007
$155k
NCI NIH HHS 5R03CA12138-2NCI NIH HHS R03 CA121338
6 · The paper itself

Abstract

objectiveWe analyzed the association between ethnicity and outcomes among prostate cancer patients across hospital and surgeon volume groups.

methodsIn this retrospective cohort study using SEER-Medicare databases for the period between 1995 and 2003, prostate cancer cases were identified and retrospectively followed for one year pre- and up to eight years post-diagnosis. Based on volume, hospitals and surgeons were divided into three groups each. For each group, we fitted separate models to analyze the association between ethnicity and outcomes such as complications, eight-year mortality and cost, adjusting for covariates. Poisson (zero inflation), generalized linear model (log-link), and Cox regression models were used.

resultsAfrican American ethnicity was associated with 30-day complications among medium volume hospital group. African American patients receiving care at medium volume hospitals and from medium volume surgeons had higher costs. Hispanic patients receiving care at low and medium volume hospitals had lower cost compared to white patients. Hispanic patients receiving care from a high-volume surgeon experienced increased hazard of long-term mortality.

conclusionsAssociation between ethnicity and outcomes varies across hospital and surgeon volume groups. Thus, volume based policy measures may need further exploration for understanding the interaction between structure, process, volume and outcomes.

Indexed as

Outcome Assessment, Health CareAgedEfficiency, OrganizationalEthnicityHospitalsHumansLinear ModelsMaleOrganizational PolicyPhysiciansPoisson DistributionProportional Hazards ModelsProstatectomyProstatic NeoplasmsRetrospective StudiesSEER Program

Identifiers

PMID20708815
PMCPMC2992587
OpenAlexW2058516796

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.