Measuring complications of cancer treatment using the SEER-Medicare data.

Abstract:

BACKGROUND:The linkage of SEER registry data with Medicare claims allows the longitudinal tracking of health care and outcomes for patients after a cancer diagnosis. One category of outcomes amenable to research using Medicare claims is complications of cancer treatments: the unintentional, adverse side effects or sequelae of interventions used to treat or palliate cancer patients. RESEARCH DESIGN:The authors review some of the methods and limitations of using Medicare claims to identify both acute and chronic complications of cancer treatments, and present an original analysis comparing survey-based and claims-based complications following radical prostatectomy for prostate cancer to illustrate some of the potential limitations inherent in using claims for this purpose. RESULTS:Utility of the Medicare claims for identifying postdischarge complications varies by the patient type, the initial treatment used, and any subsequent treatment of complications. For patients undergoing surgical interventions, Medicare claims can be used to identify most acute inpatient complications. However, claims data cannot be used as effectively in the long-term to capture chronic complications, particularly when the complication does not consistently prompt an intervention. CONCLUSION:Researchers who use the SEER-Medicare-linked database to assess long-term complications of cancer treatments should exercise caution when designing and interpreting studies. Ideally, for studies of most chronic complications of cancer care, validation studies similar to the one performed here would provide valuable additional evidence to assess the credibility of conclusions based on claims data.

journal_name

Med Care

journal_title

Medical care

authors

Potosky AL,Warren JL,Riedel ER,Klabunde CN,Earle CC,Begg CB

doi

10.1097/00005650-200208001-00009

keywords:

subject

Has Abstract

pub_date

2002-08-01 00:00:00

pages

IV-62-8

issue

8 Suppl

eissn

0025-7079

issn

1537-1948

pii

00005650-200208001-00009

journal_volume

40

pub_type

杂志文章
  • Emergence of item response modeling in instrument development and data analysis.

    abstract::In summary, readers are encouraged to read carefully the IRT articles in this special issue. They provide theoretical as well as practical arguments in favor of using IRT models in the health outcomes measurement field. At the same time, readers should be aware that the IRT field is complex and software is limited and...

    journal_title:Medical care

    pub_type: 评论,杂志文章

    doi:10.1097/00005650-200009002-00009

    authors: Hambleton RK

    更新日期:2000-09-01 00:00:00

  • Disclosure of information to patients in medical care.

    abstract::It is generally agreed that patients have a right to be adequately informed. However, little is known about the extent to which doctors and patients agree about information that should be disclosed. We studied what patients want to know, as contrasted with what physicians report actually disclosing, in a population of...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198107000-00003

    authors: Faden RR,Becker C,Lewis C,Freeman J,Faden AI

    更新日期:1981-07-01 00:00:00

  • The role of new health practitioners in a prepaid group practice: provider differences in process and outcomes of medical care.

    abstract::Practice patterns and patient-reported outcomes of care are compared in detail for ten physicians and 12 new health practitioners delivering ambulatory care in two departments of a prepaid group practice, the Columbia Medical Plan (CMP). All providers completed questionnaires for a 50 per cent random sample of patient...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-197604000-00004

    authors: Levine DM,Morlock LL,Mushlin AI,Shapiro S,Malitz FE

    更新日期:1976-04-01 00:00:00

  • Social support and risk-adjusted mortality in a frail older population.

    abstract:OBJECTIVE:The objective of this study was to test the hypothesis that social support is an important predictor of mortality in a frail older population receiving formal long-term care services. RESEARCH DESIGN AND METHODS:The analysis is based on 3138 individuals enrolled in 28 Programs of All-Inclusive Care for the E...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.mlr.0000132397.49094.b3

    authors: Temkin-Greener H,Bajorska A,Peterson DR,Kunitz SJ,Gross D,Williams TF,Mukamel DB

    更新日期:2004-08-01 00:00:00

  • Mortality Associated With Emergency Department Boarding Exposure: Are There Differences Between Patients Admitted to ICU and Non-ICU Settings?

    abstract:BACKGROUND:Emergency Department (ED) boarding threatens patient safety. It is unclear whether boarding differentially affects patients admitted to intensive care units (ICUs) versus non-ICU settings. RESEARCH DESIGN AND SUBJECTS:We performed a 2-hospital, 18-month, cross-sectional, observational, descriptive study of ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000902

    authors: Reznek MA,Upatising B,Kennedy SJ,Durham NT,Forster RM,Michael SS

    更新日期:2018-05-01 00:00:00

  • Pain and the use of outpatient services among persons with HIV: results from a nationally representative survey.

    abstract:BACKGROUND:The negative impact of pain on health-related quality of life has been documented for persons with human immunodeficiency virus (HIV). Furthermore, pain could be an important factor in seeking medical care. However, the relationship between pain and health service utilization is poorly understood. OBJECTIVE...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.mlr.0000108744.45327.d4

    authors: Dobalian A,Tsao JC,Duncan RP

    更新日期:2004-02-01 00:00:00

  • Long-term impact of Medicare managed care on patients treated for coronary artery disease.

    abstract:BACKGROUND:Planned health insurance reform promises and has started to cut reimbursement to Medicare managed care (MMC) plans. If such plans provide better care, adjusting for possible better health of their enrollees, then such reimbursement changes may have unforeseen quality consequences. OBJECTIVES:To examine whet...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e3182294a20

    authors: Huesch MD

    更新日期:2012-01-01 00:00:00

  • Potential safety gaps in order entry and automated drug alerts: a nationwide survey of VA physician self-reported practices with computerized order entry.

    abstract:OBJECTIVE:Understanding provider perceptions of and experiences with order entry and order checks (drug alerts) in an electronic prescribing system may help improve medication safety technology. DESIGN:Cross-sectional, national survey of Veterans Administration physicians practicing in various specialties. MEASUREMEN...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e318222a6f5

    authors: Spina JR,Glassman PA,Simon B,Lanto A,Lee M,Cunningham F,Good CB

    更新日期:2011-10-01 00:00:00

  • A cost-effectiveness analysis of amniocentesis and chorionic villus sampling for prenatal genetic testing.

    abstract::Amniocentesis and chorionic villus sampling are tests for the prenatal diagnosis of cytogenetic abnormalities. We calculated the incremental costs per abnormal birth averted, and the incremental costs per quality-adjusted outcome, of amniocentesis and chorionic villus sampling performed for the indication of maternal ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199408000-00008

    authors: Heckerling PS,Verp MS

    更新日期:1994-08-01 00:00:00

  • Determinants of the quality of restorative dental care.

    abstract::This article reports the results of an analysis to determine the relationships between the quality of restorative dental care for 1,466 patients and 9 categories of dentist characteristics for 102 volunteer Washington practitioners. In this study, patients were recalled and restorations were examined clinically. Quest...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198004000-00005

    authors: Milgrom P,Ratener P,Conrad D,Weinstein P

    更新日期:1980-04-01 00:00:00

  • The Parent Report Form of the CHIP-Child Edition: reliability and validity.

    abstract:BACKGROUND:Valid, comprehensive instruments to describe, monitor, and evaluate health from childhood through adolescence are almost nonexistent, but are critical for health resource planning, evaluation of policy, preventive, and clinical interventions, and understanding trajectories of health during this important per...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.mlr.0000114909.33878.ca

    authors: Riley AW,Forrest CB,Starfield B,Rebok GW,Robertson JA,Green BF

    更新日期:2004-03-01 00:00:00

  • The performance of merging hospitals.

    abstract::The primary aim of this paper is to examine the impact of mergers on the performance of hospitals. The study tests the null hypothesis that no significant differences exist in efficiency and effectiveness between hospitals that merge and those which remain independent entities. The performance evaluation model follows...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-197603000-00002

    authors: Treat TF

    更新日期:1976-03-01 00:00:00

  • Physician work intensity among medical specialties: emerging evidence on its magnitude and composition.

    abstract:BACKGROUND:Similarities and differences in physician work intensity among specialties are poorly understood but have implications for quality of care, patient safety, practice organization and management, and payment. OBJECTIVE:To determine the magnitude and important dimensions of physician work intensity for 4 speci...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e31822dcdc7

    authors: Horner RD,Szaflarski JP,Ying J,Meganathan K,Matthews G,Schroer B,Weber D,Raphaelson M

    更新日期:2011-11-01 00:00:00

  • Constructing Episodes of Inpatient Care: How to Define Hospital Transfer in Hospital Administrative Health Data?

    abstract:BACKGROUND:Hospital administrative health data create separate records for each hospital stay of patients. Treating a hospital transfer as a readmission could lead to biased results in health service research. METHODS:This is a cross-sectional study. We used the hospital discharge abstract database in 2013 from Albert...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000624

    authors: Peng M,Li B,Southern DA,Eastwood CA,Quan H

    更新日期:2017-01-01 00:00:00

  • Comorbidity-adjusted complication risk: a new outcome quality measure.

    abstract::The measurement of inpatient complications his received substantial attention in recent years because mortality rates and other outcome measures often appear unable to discriminate superior from inferior hospital care. Complication measurement holds out the promise of being more sensitive to variations in patient care...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199605000-00010

    authors: Brailer DJ,Kroch E,Pauly MV,Huang J

    更新日期:1996-05-01 00:00:00

  • When courts review medical appropriateness.

    abstract:OBJECTIVES:The authors examined how the courts have responded to public and private insurers' use of medical appropriateness criteria to establish coverage and payment policies. METHODS:A structured review of all federal and state court health insurance cases decided between 1960 and June 1994 that involved a dispute ...

    journal_title:Medical care

    pub_type: 杂志文章,评审

    doi:10.1097/00005650-199808000-00016

    authors: Anderson G,Hall MA,Smith TR

    更新日期:1998-08-01 00:00:00

  • Measuring the quality of care provided to community dwelling vulnerable elders dually enrolled in Medicare and Medicaid.

    abstract:CONTEXT:Small studies suggest that the quality of healthcare provided to older patients needs improvement. However, measuring the quality of care for larger groups of older adults is difficult. OBJECTIVE:To measure the quality of care in a community-dwelling vulnerable geriatric population using administrative data to...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e318127143e

    authors: Zingmond DS,Wilber KH,Maclean CH,Wenger NS

    更新日期:2007-10-01 00:00:00

  • Urgent care in the HMO: evolution of a system in Washington, D.C.

    abstract::In 1961, Group Health Association, a large, non-hospital based, prepaid group practice in Washington, D.C. established an after-hours walk-in clinic on its premises for the care of medical problems requiring prompt attention. Within a year, this clinic's operation was extended to daytime hours for the use of the consu...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-197805000-00001

    authors: Turner RW

    更新日期:1978-05-01 00:00:00

  • Identifying in-hospital venous thromboembolism (VTE): a comparison of claims-based approaches with the Rochester Epidemiology Project VTE cohort.

    abstract:BACKGROUND:Efforts to identify hospital-acquired complications from claims data by applying exclusion rules to discharge diagnosis codes exhibit low positive predictive value (PPV). The PPV improves when a variable is added to each secondary diagnosis to indicate whether the condition was "present-on-admission" (POA) o...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e3181589b92

    authors: Leibson CL,Needleman J,Buerhaus P,Heit JA,Melton LJ 3rd,Naessens JM,Bailey KR,Petterson TM,Ransom JE,Harris MR

    更新日期:2008-02-01 00:00:00

  • Nosocomial infection rates as an indicator of quality.

    abstract::An interest in using nosocomial infection rates as an outcome measure to reflect quality of care in hospitals prompted us to consider factors in addition to quality that influence these rates. Approximately one third of nosocomial infections are potentially preventable, and changes in this "preventable" stratum of inf...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198807000-00003

    authors: Larson E,Oram LF,Hedrick E

    更新日期:1988-07-01 00:00:00

  • Effect of Hospital Closures on Acute Care Outcomes in British Columbia, Canada: An Interrupted Time Series Study.

    abstract:BACKGROUND:In 2002 British Columbia, Canada began redistributing its hospital services. OBJECTIVE AND DESIGN:We used administrative data and interrupted time series analyses to determine how recent hospital closures affected patient outcomes. SUBJECTS:All adult acute myocardial infarction (AMI), stroke, and trauma ev...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000619

    authors: Panagiotoglou D,Law MR,McGrail K

    更新日期:2017-01-01 00:00:00

  • Would eliminating differences in physician practice style reduce geographic variations in cataract surgery rates?

    abstract::This study uses Medicare physician-claims data to examine patient and physician contributions to variations in cataract surgery rates across U.S. metropolitan areas. Utilization is modelled as having two phases: the decision to seek an ophthalmologist's care, which is made by patients, and the decision to perform surg...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199312000-00004

    authors: Escarce JJ

    更新日期:1993-12-01 00:00:00

  • Pediatric nurse practitioner functions in the outpatient clinics of a tertiary care center.

    abstract::Previous research has neglected to delineate pediatric nurse practitioner (PNP) roles in tertiary care settings (TCS). New PNP roles have developed as TCS seek cost-effective solutions to providing quality patient care and to meeting new demands for outpatient care. The authors evaluated the roles of 11 PNPs in eight ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198604000-00005

    authors: Cruikshank BM,Clow TJ,Seals B

    更新日期:1986-04-01 00:00:00

  • Improving adherence to screening follow-up among women with abnormal Pap smears: results from a large clinic-based trial of three intervention strategies.

    abstract::In a large randomized trial involving over 2,000 women with abnormal cervical cytology (pap smear), three clinic-based interventions were tested as strategies to increase return rates for screening follow-up: 1) a personalized follow-up letter and pamphlet; 2) a slide-tape program on pap smears; and 3) transportation ...

    journal_title:Medical care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00005650-199203000-00004

    authors: Marcus AC,Crane LA,Kaplan CP,Reading AE,Savage E,Gunning J,Bernstein G,Berek JS

    更新日期:1992-03-01 00:00:00

  • Needs-based planning for generalist physicians.

    abstract:OBJECTIVES:The Manitoba Centre for Health Policy and Evaluation (MCHPE) collaborated with a provincially-appointed Physician Resource Committee in an assessment of provincial physician resources. RESEARCH DESIGN:Beginning with map-based analyses of physician supply and contacts across the province, compared with the h...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199906001-00017

    authors: Roos NP,Fransoo R,Bogdanovic B,Carriere KC,Frohlich N,Friesen D,Patton D,Wall R

    更新日期:1999-06-01 00:00:00

  • Propensity score matching to measure the effect of survey mode on reports of racial and ethnic discrimination in health care.

    abstract:OBJECTIVE:To examine the effect of survey mode (mail vs. telephone) on the likelihood of reporting health care-related discrimination based on race, ethnicity, or nationality. METHODS:We use data from a mixed-mode, mail and telephone survey of public health care program enrollees (N=2807), including Somali, Hmong, Afr...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000351

    authors: Kemmick Pintor JB,McAlpine D,Beebe TJ,Johnson PJ

    更新日期:2015-05-01 00:00:00

  • The association of registered nurse staffing levels and patient outcomes: systematic review and meta-analysis.

    abstract:OBJECTIVE:To examine the association between registered nurse (RN) staffing and patient outcomes in acute care hospitals. STUDY SELECTION:Twenty-eight studies reported adjusted odds ratios of patient outcomes in categories of RN-to-patient ratio, and met inclusion criteria. Information was abstracted using a standardi...

    journal_title:Medical care

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MLR.0b013e3181468ca3

    authors: Kane RL,Shamliyan TA,Mueller C,Duval S,Wilt TJ

    更新日期:2007-12-01 00:00:00

  • Expanding the uses of AHRQ's prevention quality indicators: validity from the clinician perspective.

    abstract:BACKGROUND:The Agency for Healthcare Research and Quality's prevention quality indicators (PQIs) are used as a metric of area-level access to quality care. Recently, interest has expanded to using the measures at the level of payer or large physician groups, including public reporting or pay-for-performance programs. H...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e3182159e65

    authors: Davies S,McDonald KM,Schmidt E,Schultz E,Geppert J,Romano PS

    更新日期:2011-08-01 00:00:00

  • Interpreter use and satisfaction with interpersonal aspects of care for Spanish-speaking patients.

    abstract:OBJECTIVES:Many patients have limited English proficiency and require an interpreter. The authors evaluated the effect of current interpreting practices on Spanish-speaking patients' satisfaction with the patient-provider relationship. METHODS:A cross-sectional survey was conducted of 457 patients seen in a public hos...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199810000-00004

    authors: Baker DW,Hayes R,Fortier JP

    更新日期:1998-10-01 00:00:00

  • A severity classification system for AIDS hospitalizations.

    abstract::The authors describe a new model for classifying hospitalized patients with acquired immunodeficiency syndrome (AIDS) according to their severity of illness. In the first phase of the project, a clinical model indicating the relative severity of AIDS complications was formulated, based on the clinical literature and e...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198904000-00009

    authors: Turner BJ,Kelly JV,Ball JK

    更新日期:1989-04-01 00:00:00