ArticleAnnals of surgery2014
Patients' perspectives of care and surgical outcomes in Michigan: an analysis using the CAHPS hospital survey.
Article in Annals of surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Early patient-reported outcomes and decisional regret after robot-assisted radical prostatectomy: A prospective single-center cohort study.Journal of robotic surgery · 2026Observational
- Patient expectations about the oncologic benefit of pancreatectomy for pancreatic ductal adenocarcinoma.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2025Article
- The Association Between Online Surgeon Ratings and Patients' Postoperative Outcomes in the United States.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025Article
- Rural patients' satisfaction with humanistic nursing care in Chinese Public Tertiary Hospitals: a national cross-sectional study.Frontiers in public health · 2024Article
- Assessing the Impact of a Service Excellence Program on Improving Patient Experience at Primary Health Care Centers.Cureus · 2023Article
- Association of patient experience and the quality of hospital care.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2023Observational
- Patient-Reported Outcomes and Surgical Quality.Clinics in colon and rectal surgery · 2023Review
- Needs assessment for patient-centered education and outcome metrics in robotic surgery.Surgical endoscopy · 2023Article
- Opioid requirements in primary versus revision reverse shoulder arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Article
- Surgical Patients' Hospital Experience Scores: Neighborhood Context Conceptual Framework.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2021Article
- Impact of COVID-19 pandemic on patient satisfaction and surgical outcomes: A retrospective and cross sectional study.Annals of medicine and surgery (2012) · 2020Article
- Patient-Reported Outcomes: Understanding Surgical Efficacy and Quality from the Patient's Perspective.Annals of surgical oncology · 2020Article
- User experience and satisfaction with specialty consultations and surgical care in secondary and tertiary level hospitals in Mexico.BMC health services research · 2019Article
- Combining Surgical Outcomes and Patient Experiences to Evaluate Hospital Gastrointestinal Cancer Surgery Quality.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019Article
- Satisfaction with surgeon care as measured by the Surgery-CAHPS survey is not related to NSQIP outcomes.Surgery · 2019Article
- Associations between patient experiences and clinical outcomes: a cross-sectional data linkage study of the Australian private healthcare sector.BMJ open quality · 2019Article
- At the Intersection of Patient Experience Data, Outcomes Research, and Practice: Analysis of HCAHPS Scores in Neurology Patients.Mayo Clinic proceedings. Innovations, quality & outcomes · 2018Article
- Effect of a Whole-Person Model of Care on Patient Experience in Patients With Complex Chronic Illness in Late Life.The American journal of hospice & palliative care · 2018Article
- Personality and Perceived Health in Spousal Caregivers of Patients with Lung Cancer: The Roles of Neuroticism and Extraversion.Journal of aging research · 2016Article
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Abstract
objectiveTo determine the relationship between postoperative morbidity and mortality and patients' perspectives of care.
backgroundPriorities in health care quality research are shifting to place greater emphasis on patient-centered outcomes. Whether patients' perspectives of care correlate with surgical outcomes remains unclear.
designRetrospective cohort study.
methodsUsing data from the Michigan Surgical Quality Collaborative clinical registry (2008-2012), we identified 41,833 patients undergoing major elective general or vascular surgery. Our exposure variables were the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Total and Base Scores derived from the Hospital Value-Based Purchasing Patient Experience of Care Domain. Using multilevel, mixed-effects logistic regression models, we adjusted hospitals' rates of morbidity and mortality for patient comorbidities and case mix. We stratified reporting of outcomes by quintiles of hospitals' Total and Base Scores.
resultsRisk-adjusted morbidity (13.6%-28.6%) varied widely across hospitals. There were no significant differences in risk-adjusted morbidity rates between hospitals with the lowest and highest HCAHPS Total Scores (24.5% vs 20.2%, P = 0.312). The HCAHPS Base Score, which quantifies sustained achievement or improvement in patients' perspectives of care, was not associated with a reduction in postoperative morbidity over the study period despite an overall decrease of 2.5% for all centers. We observed a similar relationship between HCAHPS Total and Base Scores and postoperative mortality. CONCLUSIONS AND RELEVANCE: Patients' perspectives of care do not correlate with the incidence of morbidity and mortality after major surgery. Improving patients' perspectives and objective outcomes may require separate initiatives for surgeons in Michigan.
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