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

Research output: Contribution to journalArticle

17 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 languageEnglish (US)
Pages (from-to)588-593
Number of pages6
JournalAmerican journal of surgery
Volume194
Issue number5
DOIs
StatePublished - Nov 1 2007

Keywords

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

ASJC Scopus subject areas

  • Surgery

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