Quality indicators of laryngeal cancer care in commercially insured patients
To examine associations between quality, complications, and costs in commercially insured patients treated for laryngeal cancer. Retrospective cross-sectional analysis of MarketScan Commercial Claim and Encounters data (Truven Health Analytics, Ann Arbor, Michigan, U.S.A.). We evaluated 10,969 patie...
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Published in | The Laryngoscope Vol. 127; no. 12; p. 2805 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
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United States
01.12.2017
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Abstract | To examine associations between quality, complications, and costs in commercially insured patients treated for laryngeal cancer.
Retrospective cross-sectional analysis of MarketScan Commercial Claim and Encounters data (Truven Health Analytics, Ann Arbor, Michigan, U.S.A.).
We evaluated 10,969 patients diagnosed with laryngeal cancer from 2010 to 2012 using cross-tabulations and multivariate regression. Using quality indicators derived from guidelines for recommended care, summary measures of quality were calculated for diagnosis, initial treatment, surveillance, treatment for recurrence, performance, and an overall summary measure of quality.
Higher-quality care in the initial treatment period was associated with lower odds of 30-day mortality (odds ratio [OR] = 0.21, 95% confidence interval [CI] [0.04-0.98]), surgical complications (OR = 0.39 [0.17-0.88]), and medical complications (OR = 0.68 [0.49-0.96]). Mean incremental 1-year costs were higher for higher-quality diagnosis ($20,126 [$14,785-$25,466]), initial treatment ($17,918 [$10,481-$25,355]), and surveillance ($25,424 [$20,014-$30,834]) quality indicators, whereas costs were lower for higher-quality performance measures (-$45,723 [-$56,246--$35,199]) after controlling for all other variables. Higher-quality care was associated with significant differences in mean incremental costs for initial treatment in surgical patients ($-37,303 [-$68,832--$5,775]), and for the overall summary measure of quality in patients treated nonoperatively ($10,473 [$1,121-$19,825]). After controlling for the overall summary measure of quality, costs were significantly lower for patients receiving high-volume surgical care (mean -$18,953 [-$28,381--$9,426]).
Higher-quality larynx cancer care in commercially insured patients was associated with lower 30-day mortality and morbidity. High-volume surgical care was associated with lower 1-year costs, even after controlling for quality. These data have implications for discussions of value and quality in an era of healthcare reform.
2c. Laryngoscope, 127:2805-2812, 2017. |
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AbstractList | To examine associations between quality, complications, and costs in commercially insured patients treated for laryngeal cancer.
Retrospective cross-sectional analysis of MarketScan Commercial Claim and Encounters data (Truven Health Analytics, Ann Arbor, Michigan, U.S.A.).
We evaluated 10,969 patients diagnosed with laryngeal cancer from 2010 to 2012 using cross-tabulations and multivariate regression. Using quality indicators derived from guidelines for recommended care, summary measures of quality were calculated for diagnosis, initial treatment, surveillance, treatment for recurrence, performance, and an overall summary measure of quality.
Higher-quality care in the initial treatment period was associated with lower odds of 30-day mortality (odds ratio [OR] = 0.21, 95% confidence interval [CI] [0.04-0.98]), surgical complications (OR = 0.39 [0.17-0.88]), and medical complications (OR = 0.68 [0.49-0.96]). Mean incremental 1-year costs were higher for higher-quality diagnosis ($20,126 [$14,785-$25,466]), initial treatment ($17,918 [$10,481-$25,355]), and surveillance ($25,424 [$20,014-$30,834]) quality indicators, whereas costs were lower for higher-quality performance measures (-$45,723 [-$56,246--$35,199]) after controlling for all other variables. Higher-quality care was associated with significant differences in mean incremental costs for initial treatment in surgical patients ($-37,303 [-$68,832--$5,775]), and for the overall summary measure of quality in patients treated nonoperatively ($10,473 [$1,121-$19,825]). After controlling for the overall summary measure of quality, costs were significantly lower for patients receiving high-volume surgical care (mean -$18,953 [-$28,381--$9,426]).
Higher-quality larynx cancer care in commercially insured patients was associated with lower 30-day mortality and morbidity. High-volume surgical care was associated with lower 1-year costs, even after controlling for quality. These data have implications for discussions of value and quality in an era of healthcare reform.
2c. Laryngoscope, 127:2805-2812, 2017. |
Author | Eisele, David W Gourin, Christine G Quon, Harry Kiess, Ana P Britt, Christopher J Kang, Hyunseok Chang, Hsien-Yen Frick, Kevin D |
Author_xml | – sequence: 1 givenname: Christopher J surname: Britt fullname: Britt, Christopher J organization: Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins Medical Institutions, Baltimore, Maryland, U.S.A – sequence: 2 givenname: Hsien-Yen surname: Chang fullname: Chang, Hsien-Yen organization: Department of Health Policy and Management, the Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, U.S.A – sequence: 3 givenname: Harry surname: Quon fullname: Quon, Harry organization: Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins Medical Institutions, Baltimore, Maryland, U.S.A – sequence: 4 givenname: Hyunseok surname: Kang fullname: Kang, Hyunseok organization: Department of Oncology, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins Medical Institutions, Baltimore, Maryland, U.S.A – sequence: 5 givenname: Ana P surname: Kiess fullname: Kiess, Ana P organization: Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins Medical Institutions, Baltimore, Maryland, U.S.A – sequence: 6 givenname: David W surname: Eisele fullname: Eisele, David W organization: Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins Medical Institutions, Baltimore, Maryland, U.S.A – sequence: 7 givenname: Kevin D surname: Frick fullname: Frick, Kevin D organization: Johns Hopkins Carey Business School, Baltimore, Maryland, U.S.A – sequence: 8 givenname: Christine G orcidid: 0000-0001-5134-9307 surname: Gourin fullname: Gourin, Christine G organization: Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins Medical Institutions, Baltimore, Maryland, U.S.A |
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Keywords | MarketScan squamous cell cancer costs treatment outcomes radiation Laryngeal neoplasms chemotherapy quality surgery |
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Snippet | To examine associations between quality, complications, and costs in commercially insured patients treated for laryngeal cancer.
Retrospective cross-sectional... |
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SubjectTerms | Adult Cross-Sectional Studies Female Health Care Costs Humans Insurance, Health Laryngeal Neoplasms - economics Laryngeal Neoplasms - therapy Male Middle Aged Quality Indicators, Health Care Retrospective Studies United States |
Title | Quality indicators of laryngeal cancer care in commercially insured patients |
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