Patient Function and the Value of Surgical Care for Kidney Cancer.

ABSTRACT:

Purpose

Frailty and functional status have emerged as significant predictors of morbidity and mortality for patients undergoing cancer surgery. To articulate the impact on value (ie quality per cost), we compared perioperative outcomes and expenditures according to patient function for older adults undergoing kidney cancer surgery.

Materials and methods

Using linked SEER (Surveillance, Epidemiology and End Results)-Medicare data, we identified 19,129 elderly patients with kidney cancer treated with nonablative surgery from 2000 to 2009. We quantified patient function using function related indicators (claims indicative of dysfunction and disability) and measured 30-day morbidity, mortality, resource use and cost. Using multivariable, mixed effects models to adjust for patien

SUBMITTER: Tan HJ 

PROVIDER: S-EPMC7433987 | biostudies-literature | 2017 May

REPOSITORIES: biostudies-literature