{"database":"biostudies-literature","file_versions":[],"scores":null,"additional":{"omics_type":["Unknown"],"volume":["9(1)"],"submitter":["Verheul EM"],"pubmed_abstract":["<h4>Background</h4>Comparison of quality indicators can improve quality of care. However, case-mix adjustment is deemed essential. The aim of this study was to develop and validate case-mix adjustment models and to evaluate the effect of case-mix adjustment for the quality indicators related to complications after breast cancer surgery.<h4>Methods</h4>Multivariable logistic regression with backward selection (P < 0.1) was used to develop case-mix models in patients undergoing breast cancer surgery (all types, breast-conserving surgery, mastectomy with or without immediate reconstruction) in the Netherlands (NABON Breast Cancer Audit). High-impact complications were defined as Clavien Dindo grade ≥3. Model performance was assessed using the area under the receiver operating characteristic c"],"journal":["BJS open"],"pagination":["zrae147"],"full_dataset_link":["https://www.ebi.ac.uk/biostudies/studies/S-EPMC11793075"],"repository":["biostudies-literature"],"pubmed_title":["High-impact complications after breast cancer surgery in the Dutch national quality registry: evaluating case-mix adjustment for hospital comparisons."],"pmcid":["PMC11793075"],"pubmed_authors":["Paez CG","van Hezewijk M","Dols LFC","Schok T","van Uden DJP","Vissers YLJ","Koppert LB","Van Dessel E","Schoenmaeckers EJP","Volders JH","den Hoed DM","Bijlsma RM","Lans TE","Menke-Pluijmers MBE","Francken AB","Heijns JB","Neijenhuis PA","Lingsma HF","van Klaveren D","van der Vegt B","Kappers I","Siesling S","Rakhorst HA","Frakking TG","Loo CE","Schipper RJ","Tjan-Heijnen VCG","Hellingman AA","Vos E","Meijer J","Damen THC","Martens MH","Vrancken Peeters MTFD","Beek MA","van Sprundel TC","Bantema-Joppe EJ","NBCA consortium","Verbeek FPR","Henneman D","van Engelen K","van den Hoven I","Hoven-Gondrie ML","Gordinou de Gouberville MC","Contant CME","Straver ME","de Betue CTI","Siemerink E","Schlooz-Vries M","Schuttevaer H","Moorman AM","de Munck L","Verheul EM","Verloop J","Van Bastelaar J","Hoornweg MJ","Gooiker GA","Beelen KJ","Bessems M","van Deurzen CHM","van Eekeren RRJP","Jansen P","Meeuwis C","Bosscher MRF"],"additional_accession":[]},"is_claimable":false,"name":"High-impact complications after breast cancer surgery in the Dutch national quality registry: evaluating case-mix adjustment for hospital comparisons.","description":"<h4>Background</h4>Comparison of quality indicators can improve quality of care. However, case-mix adjustment is deemed essential. The aim of this study was to develop and validate case-mix adjustment models and to evaluate the effect of case-mix adjustment for the quality indicators related to complications after breast cancer surgery.<h4>Methods</h4>Multivariable logistic regression with backward selection (P < 0.1) was used to develop case-mix models in patients undergoing breast cancer surgery (all types, breast-conserving surgery, mastectomy with or without immediate reconstruction) in the Netherlands (NABON Breast Cancer Audit). High-impact complications were defined as Clavien Dindo grade ≥3. Model performance was assessed using the area under the receiver operating characteristic c","dates":{"release":"2024-01-01T00:00:00Z","publication":"2024 Dec","modification":"2025-04-04T07:26:23.432Z","creation":"2025-04-04T07:26:23.432Z"},"accession":"S-EPMC11793075","cross_references":{"pubmed":["39903734"],"doi":["10.1093/bjsopen/zrae147"]}}