Survival As a Quality Metric of Cancer Care: Use of the National Cancer Data Base to Assess Hospital Performance

Journal of Oncology Practice
Lawrence N ShulmanDaniel McKellar

Abstract

Survival is considered an important indicator of the quality of cancer care, but the validity of different methodologies to measure comparative survival rates is less well understood. We explored whether the National Cancer Data Base (NCDB) could serve as a source of unadjusted and risk-adjusted cancer survival data and whether these data could be used as quality indicators for individual hospitals or in the aggregate by hospital type. The NCDB, an aggregate of > 1,500 hospital cancer registries, was queried to analyze unadjusted and risk-adjusted hazards of death for patients with stage III breast cancer (n = 116,787) and stage IIIB or IV non-small-cell lung cancer (n = 252,392). Data were analyzed at the individual hospital level and by hospital type. At the hospital level, after risk adjustment, few hospitals had comparative risk-adjusted survival rates that were statistically better or worse. By hospital type, National Cancer Institute-designated comprehensive cancer centers had risk-adjusted survival ratios that were statistically significantly better than those of academic cancer centers and community hospitals. Using the NCDB as the data source, survival rates for patients with stage III breast cancer and stage IIIB or I...Continue Reading

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Citations

Mar 9, 2018·Annals of Surgical Oncology·Lucy M De La Cruz, Lawrence N Shulman
Aug 22, 2018·Journal of Surgical Oncology·Jason B LiuSharon M Weber
May 18, 2019·American Society of Clinical Oncology Educational Book·Gabrielle Betty RocquePeter Paul Yu
Dec 7, 2017·Journal of Oncology Practice·Debra Patt, Ray Page
Aug 25, 2019·BMJ Quality & Safety·Christopher ManzJustin Bekelman
Nov 28, 2019·International Journal of Particle Therapy·Amy C MorenoSteven H Lin
Jun 25, 2020·Langenbeck's Archives of Surgery·Manuel Bellver OliverLuis Sabater-Ortí
Jul 28, 2020·Annals of Surgical Oncology·Thomas C TuckerTimothy W Mullett
Mar 23, 2021·JAMA Network Open·Nancy L KeatingMary Beth Landrum
Sep 22, 2021·The Annals of Thoracic Surgery·Richard ZhengTyler Ross Grenda

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