Home > Publications . Search All . Browse All . Country . Browse PSC Pubs . PSC Report Series

PSC In The News

RSS Feed icon

Frey says China is source country of most new U.S. immigrants

Rodriguez, Geronimus, Bound and Dorling find excess mortality among blacks influences key elections

Yang comments on importance of migrant remittances to future of recipient families

Highlights

Cheng wins ASA Outstanding Graduate Student Paper Award

Hicken wins 2015 UROP Outstanding Research Mentor Award

U-M ranked #1 in Sociology of Population by USN&WR's "Best Graduate Schools"

PAA 2015 Annual Meeting: Preliminary program and list of UM participants

Next Brown Bag

Mon, May 18
Lois Verbrugge, Disability Experience & Measurement

Evaluating Popular Media and Internet-Based Hospital Quality Ratings for Cancer Surgery

Publication Abstract

Osborne, Nicholas H., Amir A. A. Ghaferi, Lauren Nicholas, and Justin B. Dimick. 2011. "Evaluating Popular Media and Internet-Based Hospital Quality Ratings for Cancer Surgery." Archives of Surgery, 146(5): 600-604.

Objective: We sought to determine whether "best hospitals," as defined by the US News & World Report or HealthGrades, have lower mortality rates than all other American hospitals for cancer surgery.

Design: Retrospective cross-sectional study.

Setting: Medicare database (2005-2006).

Patients: All patients with a diagnosis of malignancy who underwent pancreatectomy, esophagectomy, and colectomy (n=82 724).

Main Outcomes Measures: Risk-adjusted mortality rates at best hospitals according to both the US News & World Report and HealthGrades, was compared with all other US hospitals, adjusting for differences in patient factors and surgical acuity. Risk-adjusted mortality rates between best hospitals and all other hospitals was compared after controlling for differences in hospital volume.

Results: Risk-adjusted mortality was significantly lower in US News & World Report best hospitals for all 3 procedures: pancreatectomy (odds ratio [OR], 0.42; 95% confidence interval [CI], 0.30-0.58), esophagectomy (OR, 0.48; 95% CI, 0.37-0.62), and colectomy (OR, 0.69; 95% CI, 0.55-0.86). Risk-adjusted mortality was significantly lower in HealthGrades best hospitals for colectomy (OR, 0.79; 95% CI, 0.65-0.95). However, after accounting for hospital volume, risk-adjusted mortality was only significantly lower at the US News & World Report best hospitals for colectomy (OR, 0.79; 95% CI, 0.62-0.99) and was not significantly lower at HealthGrades best hospitals for any of the 3 oncologic procedures.

Conclusions: Publicly marketed hospital rating systems of surgical quality such as the US News & World Report " America's Best Hospitals" and HealthGrades " Best Hospitals" may identify high-quality hospitals for some oncologic surgeries. However, these ratings fail to identify other high-volume hospitals of equal quality.

Country of focus: United States of America.

Browse | Search : All Pubs | Next