Patient, Hospital, and Geographic Disparities in Laparoscopic Surgery Use Among Surveillance, Epidemiology, and End Results-Medicare Patients With Colon Cancer.

ABSTRACT:

Background

Surgical resection is the primary treatment for colon cancer, but use of laparoscopic approaches varies widely despite demonstrated short- and long-term benefits.

Objective

The purpose of this study was to identify characteristics associated with laparoscopic colon cancer resection and to quantify variation based on patient, hospital, and geographic characteristics.

Design

Bayesian cross-classified, multilevel logistic models calculated adjusted ORs and CIs for patient, surgeon, hospital, and geographic characteristics and unexplained variability (predicted vs. observed values) using adjusted median odds ratios for hospitals and counties.

Settings

The Surveillance, Epidemiology, and End Results-Medicare claims database (2008-2011) supplemented with c

SUBMITTER: Ratnapradipa KL 

PROVIDER: S-EPMC5643006 | biostudies-literature | 2017 Sep

REPOSITORIES: biostudies-literature