Simulated data-driven hospital selection for surgical treatment of well-differentiated thyroid cancer in older adults.

ABSTRACT:

Background

Thyroid surgery at high-quality hospitals is associated with fewer complications. We evaluated the impact of referring older adults with thyroid cancer to higher-performing local hospitals.

Methods

We performed a simulation study of Surveillance, Epidemiology, and End Results-Medicare patients, aged ≥66 years, who underwent a thyroidectomy for well-differentiated thyroid cancer (2013-2017). An 80% sample was used to calculate each hospital's risk-standardized 30-day serious adverse event rate, dividing hospitals into quartiles by performance. Hospitals located ≤30 miles of the remaining 20% of patients were compared, and 30-day serious adverse event rates and costs were simulated as if patients were treated at higher-quality hospitals using logistic regression wit

SUBMITTER: Finn CB 

PROVIDER: S-EPMC10257995 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature