ArticleArchives of surgery (Chicago, Ill. : 1960)2011
Receipt of appropriate surgical care for Medicare beneficiaries with cancer.
Article in Archives of surgery (Chicago, Ill. : 1960), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Quality indicators in surgical oncology: systematic review of measures used to compare quality across hospitals.BJS open · 2024Pooled it
- Do community-based patient assistance programs affect the treatment and well-being of patients with breast cancer?Journal of oncology practice · 2014Trial
- Barriers and Facilitators in Implementation of an Esophagectomy Care Pathway: a Qualitative Analysis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023Article
- Adherence to guidelines at the patient- and hospital-levels is associated with improved overall survival in patients with gastric cancer.Journal of surgical oncology · 2022Article
- The newly proposed clinical and post-neoadjuvant treatment staging classifications for gastric adenocarcinoma for the American Joint Committee on Cancer (AJCC) staging.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2018Article
- Measures of Appropriateness and Value for Breast Surgeons and Their Patients: The American Society of Breast Surgeons Choosing Wisely (®) Initiative.Annals of surgical oncology · 2016Article
- Regional variation in the management of metastatic gastric cancer in Ontario.Current oncology (Toronto, Ont.) · 2016Article
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- Trends in the use of evidence-based therapy for resectable gastric cancer.Journal of surgical oncology · 2014Article
- Guideline-concordant cancer care and survival among American Indian/Alaskan Native patients.Cancer · 2014Article
- Variation in the management of thyroid cancer.The Journal of clinical endocrinology and metabolism · 2013Article
- Disease severity and radioactive iodine use for thyroid cancer.The Journal of clinical endocrinology and metabolism · 2013Article
- Racial disparities in surgical resection and survival among elderly patients with poor prognosis cancer.Journal of the American College of Surgeons · 2013Article
- Who does not receive treatment for cancer?Journal of oncology practice · 2013Article
- Moving beyond guidelines to ensure high-quality cancer care in the United States.Journal of oncology practice · 2012Article
- The role of National Cancer Institute-designated cancer center status: observed variation in surgical care depends on the level of evidence.Annals of surgery · 2012Article
- Adherence to stage-specific treatment guidelines for patients with colon cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2012Article
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Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
objectiveTo investigate receipt of appropriate surgical care in Medicare beneficiaries with cancer.
designRetrospective cohort study.
settingNational Surveillance, Epidemiology, and End Results registry linked to Medicare claims data. PATIENTS: Fee-for-service Medicare patients aged 65 years or older who underwent a definitive surgical resection for breast, colon, gastric, rectal, or thyroid cancer diagnosed between January 2000 and December 2005. Claims data were available from January 1999 through December 2007.
main outcome measuresReceipt of care concordant with established practice guidelines in surgical oncology in the aggregate and by hospital.
resultsConcordance with guidelines was greater than 90% for 7 of 11 measures. All guidelines regarding adjuvant therapy had concordance rates greater than 90%. Only 2 of 5 measures for nodal management had concordance rates greater than 90%. At least 50% of hospitals provided guideline-concordant care to 100% of their patients for 6 of 11 guidelines. Patients receiving appropriate care tended to be younger, healthier, white, and more affluent, to have less advanced disease, and to live in the Midwest.
conclusionsWe found a high level of concordance with guidelines in some domains of surgical oncology care but far less so in others, particularly for gastric and colon nodal management. Given the current national focus on improving the quality of health care, surgeons must focus on generating data to define appropriate care and translating those data into everyday practice.
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Registered trials
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.