Health care utilization among surgically treated Medicare beneficiaries with lung cancer

The Annals of Thoracic Surgery
Farhood FarjahDavid R Flum

Abstract

Markers of increased health care utilization are surrogates for adverse events, and one such metric--prolonged length of stay greater than 14 days (PLOS)--was recently endorsed as a provider-level performance measure. This is a cohort study (1992 through 2002) aimed to describe increased health care utilization among 21,067 operated lung cancer patients using the Surveillance, Epidemiology, and End-Results-Medicare database. Increased utilization was defined by PLOS, discharge to an institutional care facility (ICF), or readmission within 30 days. Twelve percent of patients had a PLOS, 13% were discharged to an ICF, and 15% were readmitted. In multivariate analyses, factors associated with a higher odds ratio of PLOS, discharge to ICF, or readmission included age older than 80 years, increasing comorbidity index, not being married, and pneumonectomy (all p < 0.05). Relative to patients living in the West, those in the Midwest or South had a higher odds ratio of PLOS and readmission but a lower odds ratio of discharge to an ICF (all p < 0.05). Adjusted rates of PLOS decreased significantly with time, whereas adjusted ICF and readmission rates increased (all p < 0.01). Patients who required increased utilization had higher adjust...Continue Reading

References

Jun 17, 1999·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·M de PerrotA Spiliopoulos
Jan 9, 2001·Journal of Clinical Epidemiology·C N KlabundeJ L Warren
Apr 28, 2001·The Journal of Thoracic and Cardiovascular Surgery·H L LazarR J Shemin
Apr 12, 2002·The New England Journal of Medicine·John D BirkmeyerDavid E Wennberg
Aug 2, 2003·Annals of Surgery·Philip P GoodneyJohn D Birkmeyer
Dec 3, 2003·The New England Journal of Medicine·John D BirkmeyerF Lee Lucas
Aug 19, 2004·JAMA : the Journal of the American Medical Association·Justin B DimickJohn D Birkmeyer
Nov 25, 2005·The Annals of Thoracic Surgery·Alex G LittleAndrew K Stewart
Nov 14, 2006·Chest·Stavros G MemtsoudisSelwyn O Rogers
Apr 25, 2007·Lung Cancer : Journal of the International Association for the Study of Lung Cancer·Alex G LittleAndrew K Stewart
Jul 11, 2007·Statistical Methods in Medical Research·Gareth AmblerPatrick Royston
Nov 24, 2007·Journal of the American College of Surgeons·Emily FinlaysonJohn D Birkmeyer
Feb 5, 2008·The Journal of Thoracic and Cardiovascular Surgery·Daniel J BoffaCameron D Wright
May 24, 2008·The Annals of Thoracic Surgery·Farhood FarjahDavid R Flum

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Citations

Oct 2, 2013·Clinical Oncology : a Journal of the Royal College of Radiologists·D R SullivanC G Slatore
Mar 29, 2012·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Sunny WangLouise C Walter
Jul 28, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Joseph McDevittLinda Sharp
Apr 22, 2014·The Journal of Thoracic and Cardiovascular Surgery·David T CookeElizabeth A David
May 14, 2014·The Annals of Thoracic Surgery·Farhood FarjahDouglas E Wood
Dec 4, 2010·Nursing Research·Ruth McCorklePeter Schwartz
Jan 1, 2016·The Annals of Thoracic Surgery·Brendon M StilesPeter M Fleischut
Jun 30, 2012·The Annals of Thoracic Surgery·Farhood FarjahNabil P Rizk
Jul 19, 2011·Thoracic Surgery Clinics·Thomas A D'AmicoMark W Onaitis
Sep 28, 2015·The Journal of Thoracic and Cardiovascular Surgery·Varun PuriBryan F Meyers
May 16, 2014·The Journal of Thoracic and Cardiovascular Surgery·Yinin HuBenjamin D Kozower
May 23, 2016·The Annals of Thoracic Surgery·Felix G FernandezBenjamin D Kozower
Mar 3, 2015·Clinics in Orthopedic Surgery·Seungcheol KangIlkyu Han
Oct 20, 2018·The Annals of Thoracic Surgery·Raymond A JeanAnthony W Kim
Jul 28, 2020·The Journal of Thoracic and Cardiovascular Surgery·Negar AhmadiYaron Shargall
Apr 22, 2021·The Annals of Thoracic Surgery·Zachary TranPeyman Benharash

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