Quality of pancreatic cancer care at Veterans Administration compared with non-Veterans Administration hospitals

Karl Y. Bilimoria; David J. Bentrem; James S. Tomlinson; Ryan P. Merkow; Andrew K. Stewart; Clifford Y. Ko; Jay B. Prystowsky; Mark S. Talamonti

doi:10.1016/j.amjsurg.2007.07.012

Quality of pancreatic cancer care at Veterans Administration compared with non-Veterans Administration hospitals

Karl Y. Bilimoria, David J. Bentrem, James S. Tomlinson, Ryan P. Merkow, Andrew K. Stewart, Clifford Y. Ko, Jay B. Prystowsky, Mark S. Talamonti^*

^*Corresponding author for this work

Surgery, Surgical Oncology Division

Research output: Contribution to journal › Article › peer-review

18 Scopus citations

Abstract

Background: National efforts are underway to monitor the quality of patient care at Veterans Administration (VA) hospitals. The objective of this study was to examine treatment utilization and outcomes for localized pancreatic cancer at VA compared with non-VA hospitals. Methods: Using the National Cancer Data Base, patients with pretreatment clinical stage I/II pancreatic adenocarcinoma were identified. Treatment utilization and outcomes were assessed at VA compared with academic and community hospitals. Results: Of 35,009 patients, 2% were seen at VA, 38% at academic, and 54% at community hospitals. VA hospitals were more likely to use surgery (odds ratio 2.20, 95% confidence interval 1.73-2.79) and to administer adjuvant chemotherapy (odds ratio 1.77, confidence interval 1.28-2.46) compared with community hospitals. Adjusted perioperative mortality and 3-year survival rates after surgery were similar at VA and academic hospitals. Conclusions: For localized pancreatic cancer, patients treated at VA hospitals receive stage-specific treatments and have risk-adjusted perioperative and long-term survival rates that are comparable with those for patients treated at academic centers.

Original language	English (US)
Pages (from-to)	588-593
Number of pages	6
Journal	American journal of surgery
Volume	194
Issue number	5
DOIs	https://doi.org/10.1016/j.amjsurg.2007.07.012
State	Published - Nov 2007

Keywords

National Cancer Data Base
Pancreatectomy
Pancreatic neoplasms
Surgery
Veterans Administration Medical Center

ASJC Scopus subject areas

Surgery

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.amjsurg.2007.07.012

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@article{d07bf4cd0ac845649fc6a526bcd301d5,

title = "Quality of pancreatic cancer care at Veterans Administration compared with non-Veterans Administration hospitals",

abstract = "Background: National efforts are underway to monitor the quality of patient care at Veterans Administration (VA) hospitals. The objective of this study was to examine treatment utilization and outcomes for localized pancreatic cancer at VA compared with non-VA hospitals. Methods: Using the National Cancer Data Base, patients with pretreatment clinical stage I/II pancreatic adenocarcinoma were identified. Treatment utilization and outcomes were assessed at VA compared with academic and community hospitals. Results: Of 35,009 patients, 2% were seen at VA, 38% at academic, and 54% at community hospitals. VA hospitals were more likely to use surgery (odds ratio 2.20, 95% confidence interval 1.73-2.79) and to administer adjuvant chemotherapy (odds ratio 1.77, confidence interval 1.28-2.46) compared with community hospitals. Adjusted perioperative mortality and 3-year survival rates after surgery were similar at VA and academic hospitals. Conclusions: For localized pancreatic cancer, patients treated at VA hospitals receive stage-specific treatments and have risk-adjusted perioperative and long-term survival rates that are comparable with those for patients treated at academic centers.",

keywords = "National Cancer Data Base, Pancreatectomy, Pancreatic neoplasms, Surgery, Veterans Administration Medical Center",

author = "Bilimoria, {Karl Y.} and Bentrem, {David J.} and Tomlinson, {James S.} and Merkow, {Ryan P.} and Stewart, {Andrew K.} and Ko, {Clifford Y.} and Prystowsky, {Jay B.} and Talamonti, {Mark S.}",

note = "Funding Information: K.Y.B. was supported by the American College of Surgeons Clinical Scholars in Residence program and a research grant from the Department of Surgery, Northwestern University.",

year = "2007",

month = nov,

doi = "10.1016/j.amjsurg.2007.07.012",

language = "English (US)",

volume = "194",

pages = "588--593",

journal = "American Journal of Surgery",

issn = "0002-9610",

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T1 - Quality of pancreatic cancer care at Veterans Administration compared with non-Veterans Administration hospitals

AU - Bilimoria, Karl Y.

AU - Bentrem, David J.

AU - Tomlinson, James S.

AU - Merkow, Ryan P.

AU - Stewart, Andrew K.

AU - Ko, Clifford Y.

AU - Prystowsky, Jay B.

AU - Talamonti, Mark S.

N1 - Funding Information: K.Y.B. was supported by the American College of Surgeons Clinical Scholars in Residence program and a research grant from the Department of Surgery, Northwestern University.

PY - 2007/11

Y1 - 2007/11

N2 - Background: National efforts are underway to monitor the quality of patient care at Veterans Administration (VA) hospitals. The objective of this study was to examine treatment utilization and outcomes for localized pancreatic cancer at VA compared with non-VA hospitals. Methods: Using the National Cancer Data Base, patients with pretreatment clinical stage I/II pancreatic adenocarcinoma were identified. Treatment utilization and outcomes were assessed at VA compared with academic and community hospitals. Results: Of 35,009 patients, 2% were seen at VA, 38% at academic, and 54% at community hospitals. VA hospitals were more likely to use surgery (odds ratio 2.20, 95% confidence interval 1.73-2.79) and to administer adjuvant chemotherapy (odds ratio 1.77, confidence interval 1.28-2.46) compared with community hospitals. Adjusted perioperative mortality and 3-year survival rates after surgery were similar at VA and academic hospitals. Conclusions: For localized pancreatic cancer, patients treated at VA hospitals receive stage-specific treatments and have risk-adjusted perioperative and long-term survival rates that are comparable with those for patients treated at academic centers.

AB - Background: National efforts are underway to monitor the quality of patient care at Veterans Administration (VA) hospitals. The objective of this study was to examine treatment utilization and outcomes for localized pancreatic cancer at VA compared with non-VA hospitals. Methods: Using the National Cancer Data Base, patients with pretreatment clinical stage I/II pancreatic adenocarcinoma were identified. Treatment utilization and outcomes were assessed at VA compared with academic and community hospitals. Results: Of 35,009 patients, 2% were seen at VA, 38% at academic, and 54% at community hospitals. VA hospitals were more likely to use surgery (odds ratio 2.20, 95% confidence interval 1.73-2.79) and to administer adjuvant chemotherapy (odds ratio 1.77, confidence interval 1.28-2.46) compared with community hospitals. Adjusted perioperative mortality and 3-year survival rates after surgery were similar at VA and academic hospitals. Conclusions: For localized pancreatic cancer, patients treated at VA hospitals receive stage-specific treatments and have risk-adjusted perioperative and long-term survival rates that are comparable with those for patients treated at academic centers.

KW - National Cancer Data Base

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KW - Pancreatic neoplasms

KW - Surgery

KW - Veterans Administration Medical Center

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Quality of pancreatic cancer care at Veterans Administration compared with non-Veterans Administration hospitals

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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