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Association of Discretionary Hospital Volume Standards for High-risk Cancer Surgery With Patient Outcomes and Access, 2005-2016

Association of Discretionary Hospital Volume Standards for High-risk Cancer Surgery With Patient... Key PointsQuestionWhat is the association of hospitals’ enforcement of existing discretionary minimum volume standards for high-risk surgical procedures and patient access and outcomes? FindingsThis longitudinal population-based study of Medicare claims found that the Leapfrog group’s volume standards did not differentiate outcomes for 3 of 4 high-risk cancer operations. Although an increasing majority of patients had surgery in hospitals meeting the Leapfrog volume standards over time, the overall proportion of hospitals meeting them remains low. MeaningThese findings highlight potentially important tradeoffs between setting effective volume thresholds and practical expectations for hospital adherence and patient access to centers that meet those standards. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Surgery American Medical Association

Association of Discretionary Hospital Volume Standards for High-risk Cancer Surgery With Patient Outcomes and Access, 2005-2016

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Publisher
American Medical Association
Copyright
Copyright 2019 American Medical Association. All Rights Reserved.
ISSN
2168-6254
eISSN
2168-6262
DOI
10.1001/jamasurg.2019.3017
Publisher site
See Article on Publisher Site

Abstract

Key PointsQuestionWhat is the association of hospitals’ enforcement of existing discretionary minimum volume standards for high-risk surgical procedures and patient access and outcomes? FindingsThis longitudinal population-based study of Medicare claims found that the Leapfrog group’s volume standards did not differentiate outcomes for 3 of 4 high-risk cancer operations. Although an increasing majority of patients had surgery in hospitals meeting the Leapfrog volume standards over time, the overall proportion of hospitals meeting them remains low. MeaningThese findings highlight potentially important tradeoffs between setting effective volume thresholds and practical expectations for hospital adherence and patient access to centers that meet those standards.

Journal

JAMA SurgeryAmerican Medical Association

Published: Nov 14, 2019

References