Association Between Patient Satisfaction and Short-Term Outcomes After Major Cancer Surgery.

Abstract:

OBJECTIVE:The aim of this study was to investigate whether patient satisfaction, as measured by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, is associated with short-term outcomes after major cancer surgery. MATERIALS AND METHODS:We first used national Medicare claims to identify patients who underwent a major extirpative cancer surgery from 2011 to 2013. Next, we used Hospital Compare data to assign the HCAHPS score to the hospital where the patient underwent surgery. We then performed univariate statistical analyses and fit multilevel logistic regression models to evaluate the relationship between excellent patient satisfaction and short-term cancer surgery outcomes for all surgery types combined and then by each individual surgery type. RESULTS:We identified 373,692 patients who underwent major cancer surgery for one of nine cancers at 2617 hospitals. In both unadjusted and adjusted analyses, hospitals with higher proportions of patients reporting excellent satisfaction had lower complication rates (p < 0.001), readmissions (p < 0.001), mortality (p < 0.001), and prolonged length of stay (p < 0.001) than hospitals with lower proportions of satisfied patients, but with modest differences. This finding held true broadly across individual cancer types for complications, mortality, and prolonged length of stay, but less so for readmissions. CONCLUSIONS:Hospital-wide excellent patient satisfaction scores are associated with short-term outcomes after major cancer surgery overall, but are modest in magnitude.

journal_name

Ann Surg Oncol

authors

Kaye DR,Richardson CR,Ye Z,Herrel LA,Ellimoottil C,Miller DC

doi

10.1245/s10434-017-6049-2

subject

Has Abstract

pub_date

2017-11-01 00:00:00

pages

3486-3493

issue

12

eissn

1068-9265

issn

1534-4681

pii

10.1245/s10434-017-6049-2

journal_volume

24

pub_type

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