Evidence map›Paper›PMID 28819930›Full record

ArticleAnnals of surgical oncology2017

Association Between Patient Satisfaction and Short-Term Outcomes After Major Cancer Surgery.

Deborah R Kaye, Caroline R Richardson, Zaojun Ye, Lindsey A Herrel, Chad Ellimoottil, David C Miller

Abstract read
In one paragraph

Article in Annals of surgical oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. 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 · 2019
    Article
  11. Article
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

6 authors.

Deborah R KayeDow Division of Health Services Research, Department of Urology, University of Michigan, Ann Arbor, MI, USA. kayed@med.umich.edu.
Caroline R RichardsonInstitute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI, USA.
Zaojun YeDow Division of Health Services Research, Department of Urology, University of Michigan, Ann Arbor, MI, USA.
Lindsey A HerrelDow Division of Health Services Research, Department of Urology, University of Michigan, Ann Arbor, MI, USA.
Chad EllimoottilDow Division of Health Services Research, Department of Urology, University of Michigan, Ann Arbor, MI, USA.
David C MillerDow Division of Health Services Research, Department of Urology, University of Michigan, Ann Arbor, MI, USA.

Funding

Advanced Training in Urologic OncologyT32CA180984 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Ganesh S Palapattu, VAHAKN B SHAHINIAN · 2014 to 2026
$3.4M
Understanding optimal delivery systems for cancer careR01CA174768 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MILLER, DAVID C · 2014 to 2018
$2.0M
NCI NIH HHS R01 CA174768NCI NIH HHS T32 CA180984
6 · The paper itself

Abstract

objectiveThe aim of this study was to investigate whether patient satisfaction, as measured by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, is associated with short-term outcomes after major cancer surgery. MATERIALS AND

methodsWe first used national Medicare claims to identify patients who underwent a major extirpative cancer surgery from 2011 to 2013. Next, we used Hospital Compare data to assign the HCAHPS score to the hospital where the patient underwent surgery. We then performed univariate statistical analyses and fit multilevel logistic regression models to evaluate the relationship between excellent patient satisfaction and short-term cancer surgery outcomes for all surgery types combined and then by each individual surgery type.

resultsWe identified 373,692 patients who underwent major cancer surgery for one of nine cancers at 2617 hospitals. In both unadjusted and adjusted analyses, hospitals with higher proportions of patients reporting excellent satisfaction had lower complication rates (p < 0.001), readmissions (p < 0.001), mortality (p < 0.001), and prolonged length of stay (p < 0.001) than hospitals with lower proportions of satisfied patients, but with modest differences. This finding held true broadly across individual cancer types for complications, mortality, and prolonged length of stay, but less so for readmissions.

conclusionsHospital-wide excellent patient satisfaction scores are associated with short-term outcomes after major cancer surgery overall, but are modest in magnitude.

Indexed as

Patient SatisfactionPostoperative ComplicationsAgedAged, 80 and overFemaleFollow-Up StudiesHospitalizationHumansLength of StayMaleMedicareNeoplasmsPrognosisUnited States

Identifiers

PMID28819930
PMCPMC5780185

What OpenQuestion holds

Textmetadata
LicenceTDM
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.