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Outcomes Research in Surgical Oncology, An Issue of Surgical Oncology Clinics - E-Book

Outcomes Research in Surgical Oncology, An Issue of Surgical Oncology Clinics - E-Book

Clifford Ko

(2012)

Additional Information

Book Details

Abstract

In this issue of Surgical Oncology Clinics of North America, Guest Editor Clifford Ko, MD has assembled the top experts concerning Outcomes Research in Oncology.  Topics in this issue will include: Currently Available Quality Initiatives in Surgical Oncology; Variation in Mortality After High Risk Cancer Surgery: Failure to Rescue; Readmission as a Quality Measure Following High Risk Cancer Surgery; Randomized Controlled Trials in Surgical Oncology: Where Do We Stand?; Lymph Node Staging in GI Malignancies; Racial and Socioeconomic Disparities in Cancer Care; Patient Safety in Surgical Oncology: Perspective from the Operating Room; Value Based Health Care: A Surgical Oncologist Perspective; Monitoring the Delivery of Cancer Care: Commission on Cancer and National Cancer Data Base; Prediction Tools in Surgical Oncology; Collaboration With the Community Cancer Center: Benefit for All; and Evaluating the Appropriateness of Cancer Care in the United States.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Surgical Oncology Clinics of North America: Outcomes Research in Surgical Oncology i
Copyright Page ii
Table of Contents vii
Contributors iii
SURGICAL ONCOLOGY CLINICS OF NORTH AMERICA xi
Foreword xiii
Preface: Outcomes Research in Surgical Oncology xv
Chapter 1. Currently Available Quality Improvement Initiatives in Surgical Oncology 367
DEFINING QUALITY CANCER CARE 368
CURRENTLY AVAILABLE CANCER QUALITY MEASURES 369
PROGRAMS MEASURING CANCER CARE QUALITY 370
FUTURE DIRECTIONS 373
SUMMARY 373
REFERENCES 373
Chapter 2. Monitoring the Delivery of Cancer Care: Commission on Cancer and National Cancer Data Base 377
NCDB-CANCER REGISTRY STRUCTURE AND ORGANIZATION 378
FUTURE WORK OF THE CoC AND NCDB 386
REFERENCES 386
Chapter 3. Variation in Mortality After High-Risk Cancer Surgery: Failure to Rescue 389
UNDERSTANDING WIDE VARIATIONS IN SURGICAL MORTALITY 390
RECENT ADVANCES IN KNOWLEDGE 390
UNDERSTANDING FAILURE TO RESCUE 391
FUTURE DIRECTIONS 393
REFERENCES 394
Chapter 4. Unexpected Readmissions After Major Cancer Surgery: An Evaluation of Readmissions as a Quality-of-Care Indicator 397
SUMMARY 402
REFERENCES 404
Chapter 5. Importance of and Adherence to Lymph Node Staging Standards in Gastrointestinal Cancer 407
HISTORY 408
COLON CANCER 408
RECTAL CANCER 409
PANCREATIC CANCER 410
GASTRIC CANCER 412
ESOPHAGEAL CANCER 412
SUMMARY 413
REFERENCES 414
Chapter 6. Racial Differences and Disparities in Cancer Care and Outcomes: Where’s the Rub? 417
RACIAL DIFFERENCES IN CANCER OUTCOMES: SCOPE OF THE PROBLEM 417
MECHANISMS UNDERLYING RACIAL DIFFERENCES IN CANCER OUTCOMES 418
RESEARCH RECOMMENDATIONS AND FUTURE DIRECTIONS 427
HEALTH CARE POLICY IMPLICATIONS 428
SUMMARY 430
REFERENCES 430
Chapter 7. Prediction Tools in Surgical Oncology 439
INTRODUCTION 439
ARTIFICIAL NEURAL NETWORKS, PREDICTION TABLES, AND NOMOGRAMS 440
EXAMPLES OF CLINICAL PREDICTION TOOLS 441
EVALUATING AND COMPARING PREDICTION TOOLS 443
FUTURE OF PREDICTION TOOLS 444
SUMMARY 445
REFERENCES 446
Chapter 8. Randomized Controlled Trials in Surgical Oncology: Where Do We Stand? 449
INTRODUCTION 449
CLINICAL TRIALS: ARE THEY RELEVANT IN SURGERY? 450
BREAST CANCER TRIALS: A RADICAL IMPACT ON PRACTICE 450
BREAST CANCER: THE LIMITATIONS OF CLINICAL TRIALS 454
RECTAL CANCER TRIALS 455
RECTAL CANCER TRIALS: SUMMARY 459
ADDITIONAL LESSONS LEARNED FROM SURGICAL CLINICAL TRIALS 459
FUTURE DIRECTIONS ENCOMPASSING LESSONS LEARNED FROM SURGICAL TRIALS 460
REFERENCES 461
Chapter 9. Patient Safety in Surgical Oncology: Perspective From the Operating Room 467
INTRODUCTION 467
THEORETICAL MODELS 468
HUMAN FACTORS IN THE OR 470
A CASE STUDY 474
SUMMARY 474
REFERENCES 474
Chapter 10. Appropriate Use of Surgical Procedures for Patients with Cancer 479
THE APPROPRIATENESS METHOD 481
SURGICAL APPROPRIATENESS CRITERIA FOR PATIENTS WITH CANCER 481
IMPLEMENTATION OF APPROPRIATENESS CRITERIA 483
SUMMARY 484
REFERENCES 485
Chapter 11. Collaboration with the Community Cancer Center: Benefit for All 487
PARTICIPATION IN THE NCCCP 488
STATE CANCER CONTROL PROGRAM 489
GENETIC COUNSELING AND GENE TESTING: A COLLABORATIVE EFFORT 490
THE NCI CCOP 491
ESTABLISHING MDCs 492
THE CENTER FOR TRANSLATIONAL CANCER RESEARCH 494
REFERENCES 495
Chapter 12. Value-Based Health Care: A Surgical Oncologist’s Perspective 497
VALUE-BASED HEALTH CARE 498
OUTCOME HIERARCHY 499
INTEGRATED PRACTICE UNITS 500
COSTS OF CARE 501
APPLICATION OF VALUE-BASED HEALTH CARE 502
DISCUSSION 503
SUMMARY 504
REFERENCES 505
Index 507
Moving ? 515