Variations in Persistent Use of Low-Value Breast Cancer Surgery.

ABSTRACT:

Importance

Through the Choosing Wisely campaign, surgical specialties identified 4 low-value breast cancer operations. Preliminary data suggest varying rates of deimplementation and have identified patient-level and clinician-level determinants of continued overuse. However, little information exists about facility-level variation or determinants of differential deimplementation.

Objective

To identify variation and determinants of persistent use of low-value breast cancer surgical care.

Design, setting, and participants

Retrospective cohort study in which reliability-adjusted facility rates of each procedure were calculated using random-intercept hierarchical logistic regression before and after evidence demonstrated that each procedure was unnecessary. The National C

SUBMITTER: Wang T 

PROVIDER: S-EPMC7859877 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature