Assessing the volume-outcome hypothesis and region-level quality improvement interventions: pancreas cancer surgery in two Canadian Provinces

Annals of Surgical Oncology
Marko SimunovicMark N Levine

Abstract

The volume-outcome hypothesis suggests that if increased provider procedure volume is associated with improved patient outcomes, then greater regionalization to high-volume providers should improve region-level outcomes. Quality improvement interventions for pancreas cancer surgery implemented in year 1999 in Ontario, Canada were designed to regionalize surgery to high-volume hospitals and decrease operative mortality. Similar interventions were not used in Quebec, Canada. We assessed the volume-outcome hypothesis and the impact of the Ontario quality improvement interventions. Administrative databases helped identify pancreatic resections from years 1994 to 2004 and relevant patient and hospital characteristics. Hospitals were high-volume if they provided ≥10 procedures in a given calendar year. Outcomes were regionalization of surgery to high-volume providers and rates of operative mortality. From 1994 to 2004 the percentage of cases in high-volume hospitals increased from 33 to 71% in Ontario and from 36 to 76% in Quebec. Annual rates of operative mortality dropped in Ontario (10.4-2.2% or less) and changed little in Quebec (7.2-9.8%). Changes in measures over time in both provinces were similar before and after year 1999. R...Continue Reading

References

Jun 1, 1992·Journal of Clinical Epidemiology·R A DeyoM A Ciol
Sep 6, 1995·JAMA : the Journal of the American Medical Association·D A DavisR B Haynes
Feb 7, 1995·Quality in Health Care : QHC·J GrimshawT Sheldon
Feb 7, 1996·Quality in Health Care : QHC·C D Naylor, J I Williams
Apr 12, 2002·The New England Journal of Medicine·John D BirkmeyerDavid E Wennberg
Jul 5, 2003·The Milbank Quarterly·John N LavisUNKNOWN Knowledge Transfer Study Group
Sep 2, 2005·Pharmacoepidemiology and Drug Safety·Amir Abbas Tahami Monfared, Jacques Lelorier
Apr 21, 2006·The Cochrane Database of Systematic Reviews·G JamtvedtA D Oxman
Nov 15, 2007·JAMA : the Journal of the American Medical Association·Marko Simunovic, Nancy N Baxter
Jul 12, 2008·Journal of Surgical Oncology·Kiran TuragaAaron R Sasson
Sep 30, 2010·Annals of Surgical Oncology·Frances C WrightMarko Simunovic

❮ Previous
Next ❯

Citations

Jun 13, 2013·World Journal of Surgery·Jamie YoungGillian McPhillips
May 26, 2010·Annals of Surgical Oncology·Christopher J Sonnenday, John D Birkmeyer
Sep 30, 2010·Annals of Surgical Oncology·Frances C WrightMarko Simunovic
Jan 21, 2011·Annals of Surgical Oncology·Marko Simunovic, Nancy Baxter
Nov 13, 2015·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·C M BoothW J Mackillop
Dec 20, 2011·Annals of Vascular Surgery·Neal R BarshesMichael Belkin
Apr 23, 2014·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Daniel J KagedanAlice C Wei
Dec 24, 2015·BMC Research Notes·Dawid PieperMark Roger Marshall
Apr 11, 2012·Journal of Surgical Oncology·Johan L DikkenCornelis J H van de Velde
Jul 1, 2011·The British Journal of Surgery·V E P P LemmensI H J T de Hingh
Oct 9, 2015·Journal of Surgical Oncology·Justin RivardJ Gregory McKinnon
Jun 26, 2013·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Kathy L SchulmanAlex Shteynshlyuger
Aug 17, 2014·BMC Surgery·James StudnickiSara Shahbazi
Dec 3, 2016·ANZ Journal of Surgery·Neil WylieJonathan Koea
Oct 10, 2012·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Marko Simunovic
Sep 1, 2018·Annals of Surgery·René VonlanthenPierre-Alain Clavien
May 22, 2019·Journal of Oncology Practice·Michael J RaphaelChristopher M Booth
Oct 20, 2019·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Julie HalletNatalie G Coburn
Dec 14, 2019·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Julie HalletNatalie G Coburn
May 16, 2017·ANZ Journal of Surgery·Neil WylieJonathan Koea
Jun 11, 2017·Advances in Health Sciences Education : Theory and Practice·Simon C KittoSteven Gallinger
Jan 16, 2019·JAMA Network Open·Nabil Wasif, David A Etzioni
Feb 1, 2019·Nature Reviews. Clinical Oncology·Christopher M BoothWilliam J Mackillop
Jan 7, 2017·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Daniel J KagedanNatalie G Coburn
Mar 7, 2020·Journal of the National Comprehensive Cancer Network : JNCCN·Julie HalletNatalie Coburn
Nov 8, 2020·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Cindy OuBenjamin P T Loveday
Nov 8, 2020·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Braden WoodhouseJonathan Koea
Dec 1, 2019·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Mehdi El AmraniStéphanie Truant
May 5, 2021·Journal of Health Services Research & Policy·Roberto GrilliMassimiliano Marino
Oct 28, 2021·Annals of Surgical Oncology·Jennifer SiuAntoine Eskander

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of the National Cancer Institute
Lodovico BalducciJody Simon
European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
S XirasagarJ Tsai
HPB : the Official Journal of the International Hepato Pancreato Biliary Association
Bernard Langer
© 2021 Meta ULC. All rights reserved