The Influence of Complications on the Costs of Complex Cancer Surgery

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dc.contributor.authorShort, Marah Noelen_US
dc.contributor.authorAloia, Thomas A.en_US
dc.contributor.authorHo, Vivianen_US
dc.contributor.orgJames A. Baker III Institute for Public Policyen_US
dc.date.accessioned2014-03-12T21:47:26Zen_US
dc.date.available2014-03-12T21:47:26Zen_US
dc.date.issued2013en_US
dc.description.abstractIt is widely known that outcomes after cancer surgery vary widely, depending on interactions between patient, tumor, neoadjuvant therapy, and provider factors. Within this complex milieu, the influence of complications on the cost of surgical oncology care remains unknown. The authors examined rates of Patient Safety Indicator (PSI) occurrence for 6 cancer operations and their association with costs of care. The Agency for Healthcare Research and Quality (AHRQ) PSI definitions were used to identify patient safety-related complications in Medicare claims data. Hospital and inpatient physician claims for the years 2005 through 2009 were analyzed for 6 cancer resections: colectomy, rectal resection, pulmonary lobectomy, pneumonectomy, esophagectomy, and pancreatic resection. Risk-adjusted regression analyses were used to measure the association between each PSI and hospitalization costs. Overall PSI rates ranged from a low of 0.01% for postoperative hip fracture to a high of 2.58% for respiratory failure. Death among inpatients with serious treatable complications, postoperative respiratory failure, postoperative thromboembolism, and accidental puncture/laceration were >1% for all 6 cancer operations. Several PSIs?including decubitus ulcer, death among surgical inpatients with serious treatable complications, and postoperative thromboembolism?raised hospitalization costs by ? 20% for most cancer surgery types. Postoperative respiratory failure resulted in a cost increase >50% for all cancer resections. The consistently higher costs associated with cancer surgery PSIs indicate that substantial health care savings could be achieved by targeting these indicators for quality improvement.en_US
dc.identifier.citationShort, Marah Noel, Aloia, Thomas A. and Ho, Vivian. "The Influence of Complications on the Costs of Complex Cancer Surgery." <i>Cancer,</i> (2013) Wiley: http://dx.doi.org/10.1002/cncr.28527.en_US
dc.identifier.urihttps://hdl.handle.net/1911/75576en_US
dc.publisherWileyen_US
dc.subjectcanceren_US
dc.subjectcost analysisen_US
dc.subjectsurgeryen_US
dc.subjectcomplicationen_US
dc.subjectpatient safetyen_US
dc.subjectquality indicatorsen_US
dc.titleThe Influence of Complications on the Costs of Complex Cancer Surgeryen_US
dc.typeJournal articleen_US
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