Study finds hospitals of last resort deliver lower quality of lung cancer care
A new study finds that lung cancer patients treated in hospitals that care for a high percentage of uninsured and Medicaid-insured patients, so-called "high safety-net burden facilities," were significantly less likely to undergo surgery that was intended to cure the cancer compared to patients treated at low safety-net burden facilities. This difference persisted even after controlling for other factors that significantly decreased the likelihood of curative-intent surgery, such as race, insurance status, stage, and female gender as well as other hospital characteristics.
This study is the first to examine the impact of safety-net burden status on access to curative-intent surgery for lung cancer patients nationwide. Researchers led by Katherine S. Virgo, Ph.D., used the National Cancer Database (NCDB) to review the treatment of more than 50,000 patients diagnosed with non-small cell lung cancer who were treated at American College of Surgeons Commission on Cancer accredited facilities throughout the United States. They found that 67.1 percent of patients treated at high safety-net burden hospitals underwent surgery intended to cure their disease, compared to 77.1 percent of those at low safety-net burden centers (odds ratio 0.69; 95% CI, 0.62-0.77).
"This study adds to the growing literature about the ability of the so-called safety-net to catch patients in need of care," said Dr. Virgo. "It demonstrates that access to high quality lung cancer care is less than optimal at high-safety net burden facilities."
The authors say while the reasons for the disparities are not fully understood, it appears that reimbursement issues may play a role. Some care centers likely lack full and unrestricted availability and/or participation of specialists, including thoracic surgeons, because treating uninsured and Medicaid-insured patients is less lucrative and/or hospital compensation is insufficient. Addressing the problem may require innovative solutions to ensure quality cancer care by strengthening the safety net to ensure needy patients receive appropriate care, including securing additional funding for safety-net facilities.
More information: Virgo KS, Little AG, Fedewa SA, Chen AY, Flanders WD, Ward EM. Safety-Net Burden Hospitals and Likelihood of Curative-Intent Surgery for Non-Small Cell Lung Cancer. Journal of the American College of Surgeons - 09 September 2011 (10.1016/j.jamcollsurg.2011.07.014)
Provided by American Cancer Society
- Hospitals that mostly treat Medicaid patients have made smaller quality performance gains May 14, 2008 | not rated yet | 0
- Hospital pay for performance incentives may backfire among safety-net hospitals May 14, 2008 | not rated yet | 0
- Massachusetts health-care reform associated with increased demand for medical safety-net facilities Aug 09, 2011 | not rated yet | 0
- Study confirms prostate cancer is treated differently at county vs. private hospitals Jan 25, 2010 | not rated yet | 0
- Major study links insurance status to advanced stage in multiple cancers Feb 18, 2008 | not rated yet | 0
- Motion perception revisited: High Phi effect challenges established motion perception assumptions Apr 23, 2013 | 3 / 5 (2) | 2
- Anything you can do I can do better: Neuromolecular foundations of the superiority illusion (Update) Apr 02, 2013 | 4.5 / 5 (11) | 5
- The visual system as economist: Neural resource allocation in visual adaptation Mar 30, 2013 | 5 / 5 (2) | 9
- Separate lives: Neuronal and organismal lifespans decoupled Mar 27, 2013 | 4.9 / 5 (8) | 0
- Sizing things up: The evolutionary neurobiology of scale invariance Feb 28, 2013 | 4.8 / 5 (10) | 14
How can there be a term called "intestinal metaplasia" of stomach
11 hours ago Hello everyone, Ok Stomach's normal epithelium is simple columnar, now in intestinal type of adenocarcinoma of stomach it undergoes "intestinal...
Pressure-volume curve: Elastic Recoil Pressure don't make sense
May 18, 2013 From pressure-volume curve of the lung and chest wall (attached photo), I don't understand why would the elastic recoil pressure of the lung is...
If you became brain-dead, would you want them to pull the plug?
May 17, 2013 I'd want the rest of me to stay alive. Sure it's a lousy way to live but it beats being all-the-way dead. Maybe if I make it 20 years they'll...
MRI bill question
May 15, 2013 Dear PFers, The hospital gave us a $12k bill for one MRI (head with contrast). The people I talked to at the hospital tell me that they do not...
Ratio of Hydrogen of Oxygen in Dessicated Animal Protein
May 13, 2013 As an experiment, for the past few months I've been consuming at least one portion of Jell-O or unflavored Knox gelatin per day. I'm 64, in very...
Alcohol and acetaminophen
May 13, 2013 Edit: sorry for the typo in the title , can't edit I looked around on google quite a bit and it's very hard to find precise information on the...
- More from Physics Forums - Medical Sciences
More news stories
By studying the roles two proteins, thrombospondin-1 and prosaposin, play in discouraging cancer metastasis, a trans-Atlantic research team has identified a five-amino acid fragment of prosaposin that significantly reduces ...
Cancer 40 minutes ago | not rated yet | 0
A novel transcriptome-based classification of colon cancer that improves the current disease stratification based on clinicopathological variables and common DNA markers is presented in a study published in PLOS Medicine this w ...
Cancer 1 hour ago | not rated yet | 0
A study of veterans at high risk for developing lung cancer shows that low-dose computed tomography (LDCT) can be highly effective in helping clinicians spot tiny lung nodules which, in a small number of patients, may indicate ...
Cancer 2 hours ago | not rated yet | 0
An attack on glioblastoma brain tumor cells that uses a modified poliovirus is showing encouraging results in an early study to establish the proper dose level, researchers at Duke Cancer Institute report.
Cancer 4 hours ago | not rated yet | 0
The surgical management of non-small cell lung cancer (NSCLC) in U.S. hospitals varies widely depending on the race of the patient, according to a new study.
Cancer 8 hours ago | not rated yet | 0
Activating an enzyme known to play a role in the anti-aging benefits of calorie restriction delays the loss of brain cells and preserves cognitive function in mice, according to a study published in the May ...
1 hour ago | 5 / 5 (2) | 0 |
An experimental sleeping pill from US drug company Merck is effective at helping people fall and stay asleep, according to reviewers at the US Food and Drug Administration, which could soon approve the new drug.
10 minutes ago | not rated yet | 0
A paper recently published in the New England Journal of Medicine and co-written by physicians and scientists at the University of Colorado School of Medicine finds that an important genetic risk factor for pulmonary fibros ...
38 minutes ago | not rated yet | 0
Using the Department of Defense Serum Repository (DoDSR), University of Cincinnati (UC) researchers have identified a number of biomarkers for inflammatory bowel disease (IBD), which could help with earlier diagnosis and ...
39 minutes ago | not rated yet | 0
Transparent information on the evidence supporting global recommendations on paediatric medicines should be easily accessible in order to help policy makers decides on what drugs to include in their national drug lists, according ...
1 hour ago | not rated yet | 0
Trends in Helicobacter pylori (H. pylori) and smoking explain a significant proportion of the decline of intestinal-type noncardia gastric adenocarcinoma (NCGA) incidence in US men between 1978 and 2008, and are estimated ...
1 hour ago | not rated yet | 0