0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Research Letter |

Role of Operative Complexity Variables in Risk Adjustment for Patients With Cancer ONLINE FIRST

Jason B. Liu, MD1,2; Sharon M. Weber, MD3; Julia R. Berian, MD1,2; Shenglin Chen, PhD1; Mark E. Cohen, PhD1; Clifford Y. Ko, MD, MS, MSHS1,4,5; Karl Y. Bilimoria, MD, MS1,6
[+] Author Affiliations
1Division of Research and Optimal Patient Care, American College of Surgeons, Chicago, Illinois
2Department of Surgery, University of Chicago Hospitals, Chicago, Illinois
3Department of Surgery, University of Wisconsin Carbone Cancer Center, Madison
4Department of Surgery, David Geffen School of Medicine, University of California, Los Angeles
5Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California
6Department of Surgery, Surgical Outcomes and Quality Improvement Center, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
JAMA Surg. Published online August 03, 2016. doi:10.1001/jamasurg.2016.2253
Text Size: A A A
Published online

Extract

This study reports on the Oncology NSQIP National Cancer Center Collaborative collecting 3 additional case characteristics representing greater operative complexity and risk with the aim to improve patient risk prediction and case-mix adjustment.

The comprehensive capture of relevant details of patients is essential to accurately predict outcomes and benchmark hospital performance.1 Members of the Oncology NSQIP National Cancer Center Collaborative (ONNCC), established in 2011, were concerned that important oncology-related variables were not captured by the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP). The ONNCC began collecting 3 additional case characteristics representing greater operative complexity and risk with the aim to improve patient risk prediction and case-mix adjustment.2

Figures in this Article

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview

Figures

Place holder to copy figure label and caption
Figure.
Change in Akaike Information Criterion (AIC) During Stepwise Selection of Variables

The Oncology NSQIP National Cancer Center Collaborative (ONNCC) variables were either available or not available for selection; the lower values are better. Among all models evaluated, only a single ONNCC variable (Previous Radiation Therapy) was selected: at step 7 for readmission (Readmit [blue arrow]) and at step 10 for death or serious morbidity (DSM [orange arrow]). NSQIP indicates National Surgical Quality Improvement Program.

Graphic Jump Location

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

95 Views
0 Citations
×

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
Jobs
brightcove.createExperiences();