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|Title: ||The Ontario Structures of Care in Colorectal Cancer Surger Study (OSCRC): Assessing Hospital Level Variation and Impact on Short Term Patient Outcomes|
|Authors: ||Nenshi, Rahima N.|
|Advisor: ||Urbach, David Robert|
|Department: ||Health Policy, Management and Evaluation|
Health Services Research
|Issue Date: ||15-Feb-2010|
|Abstract: ||Introduction: Surgical treatment is the cornerstone of the management of colorectal cancer (CRC). This study described the structures of care at Ontario hospitals performing CRC surgery.
Patients diagnosed with CRC undergoing surgery were identified from 2003-2007. Data linkage identified all institutions performing CRC surgery. Multiple hospital level structures were measured. For the final year of our study, the impact of these structures on 30-day mortality was evaluated.
Results: 20,784 patients underwent CRC surgery. Each year, between 106 and 109 institutions performed at least one CRC operation. There was variation in hospital level structures of care. After adjustment for patient characteristics, no hospital level structures were independently associated with 30d mortality.
Conclusions: Although variation in surgical care and patient outcomes is likely related to variation in processes and structures of care, after adjusting for covariates, our study did not show any significant relationship between hospital level structures and 30-day mortality.|
|Appears in Collections:||Master|
The Institute of Health Policy, Management and Evaluation - Master theses
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