Download or read book Volume Outcome Relationship in Oncological Surgery written by Marco Montorsi and published by Springer Nature. This book was released on 2020-10-15 with total page 193 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book offers a comprehensive review of the relations between volumes and outcomes in oncological surgery especially in Italian hospitals, based on national and regional data. After illustrating the quality-control methodology and the determinants of surgical outcomes, it discusses the volume-outcome relationship in different fields of surgical oncology (cancers of the upper and lower gastrointestinal tract, hepatopancreatobiliary system, breast, sarcomas etc.) and suggests possible solutions. The latest findings from Europe and the USA are also presented.
Download or read book Interpreting the Volume Outcome Relationship in the Context of Cancer Care written by National Research Council and published by National Academies Press. This book was released on 2001-08-11 with total page 84 pages. Available in PDF, EPUB and Kindle. Book excerpt: Interpreting the Volume-Outcome Relationship in the Context of Cancer Care is a summary of a workshop held on May 11, 2000, which brought together experts to review evidence of the relationship between volume of services and health-related outcomes for cancer and other conditions, discuss methodological issues related to the interpretation of the association between volume and outcome, assess the applicability of volume as an indicator of quality of care; and identify research needed to better understand the volume-outcome relationship and its application to quality improvement.
Download or read book Interpreting the Volume Outcome Relationship in the Context of Cancer Care written by National Cancer Policy Board and published by National Academies Press. This book was released on 2001-07-25 with total page 21 pages. Available in PDF, EPUB and Kindle. Book excerpt: Interpreting the Volume-Outcome Relationship in the Context of Cancer Care is a summary of a workshop held on May 11, 2000, which brought together experts to review evidence of the relationship between volume of services and health-related outcomes for cancer and other conditions, discuss methodological issues related to the interpretation of the association between volume and outcome, assess the applicability of volume as an indicator of quality of care; and identify research needed to better understand the volume--outcome relationship and its application to quality improvement.
Download or read book Quality of Care in Surgery and Methods to Assess the Volume outcome Relationship written by and published by . This book was released on 2011 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Operative Standards for Cancer Surgery written by American College of Surgeons Clinical Research Program and published by Lippincott Williams & Wilkins. This book was released on 2015-05-28 with total page 614 pages. Available in PDF, EPUB and Kindle. Book excerpt: Presented by the American College of Surgeons and the Alliance for Clinical Trials in Oncology, the first comprehensive, evidence-based examination of cancer surgery techniques as standards distills the well-defined protocols and techniques that are critical to achieve optimal outcomes in a cancer operation. This unique, one of a kind collaboration between the American College of Surgeons and the Alliance for Clinical Trials in Oncology focuses on best practices and state-of-the-art methodologies. Operative Standards for Cancer Surgery clearly describes the surgical activities that occur between skin incision and skin closure that directly affect cancer outcomes.
Download or read book Ensuring Quality Cancer Care written by National Cancer Policy Board and published by National Academies Press. This book was released on 1999-08-04 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: We all want to believe that when people get cancer, they will receive medical care of the highest quality. Even as new scientific breakthroughs are announced, though, many cancer patients may be getting the wrong care, too little care, or too much care, in the form of unnecessary procedures. How close is American medicine to the ideal of quality cancer care for every person with cancer? Ensuring Quality Cancer Care provides a comprehensive picture of how cancer care is delivered in our nation, from early detection to end-of-life issues. The National Cancer Policy Board defines quality care and recommends how to monitor, measure, and extend quality care to all people with cancer. Approaches to accountability in health care are reviewed. What keeps people from getting care? The book explains how lack of medical coverage, social and economic status, patient beliefs, physician decision-making, and other factors can stand between the patient and the best possible care. The board explores how cancer care is shaped by the current focus on evidence-based medicine, the widespread adoption of managed care, where services are provided, and who provides care. Specific shortfalls in the care of breast and prostate cancer are identified. A status report on health services research is included. Ensuring Quality Cancer Care offers wide-ranging data and information in clear context. As the baby boomers approach the years when most cancer occurs, this timely volume will be of special interest to health policy makers, public and private healthcare purchasers, medical professionals, patient advocates, researchers, and people with cancer.
Download or read book Surgical Oncology written by Quyen D. Chu and published by Springer. This book was released on 2014-10-20 with total page 684 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume provides a comprehensive perspective on surgical oncologic diseases that are relevant to those who have an interest in surgical oncology. Its purpose is to distill a voluminous amount of information to readers so they will have the opportunity to apply relevant information and knowledge to their particular needs. Each chapter is written by experts in their field who provide concise and in-depth information on their topic and supply references to key articles. Illustrations, diagrams and photographs are included to assist the visual learners. Each chapter begins with bulleted key points to focus the readers on the material that will be covered and concludes with an appendix that summarizes the salient points. This unique set-up can be used as a tool to quickly review the topic at hand. The text also includes a set of short questions and answers at the end of each chapter to reinforce the salient points. Surgical Oncology: A Practical and Comprehensive Approach is a valuable resource for Medical students, surgical oncology fellows, general surgeons and educators.
Download or read book Surgery in Multimodal Management of Solid Tumors written by Antonio Bolognese and published by Springer. This book was released on 2010-10-28 with total page 150 pages. Available in PDF, EPUB and Kindle. Book excerpt: Surgery continues to be the most effective treatment of solid tumors in terms of recovery, while its combination with other treatments improves the survival curves especially in the advanced forms of the disease. The aim of my task first of all has been to provide readers with both the current and constantly evolving pathophysiologic knowledge required for building the foundation of a specific education enabling surgeons to meet the fundamental targets in surgical oncology. Secondly, this volume aims to present an update on the real possibilities offered by the cooperation between surgeon and pathologist and by chemotherapy, radiotherapy and gene therapy in the treatment of tumors in the light of the most recent scientific achievements. Lastly, the report presents the experiences and cases drawn mostly from our School regarding some of the major issues in oncologic surgery. This overview does not pretend to elucidate or to summarize all aspects of oncologic surgery, but rather to be the result of a general consideration on cancer surgery, on its rational bases, on its interaction with other treatment modalities, on its desirable and expected developments and on its probable future evolution.
Download or read book Understanding Racial and Ethnic Differences in Health in Late Life written by National Research Council and published by National Academies Press. This book was released on 2004-09-08 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt: As the population of older Americans grows, it is becoming more racially and ethnically diverse. Differences in health by racial and ethnic status could be increasingly consequential for health policy and programs. Such differences are not simply a matter of education or ability to pay for health care. For instance, Asian Americans and Hispanics appear to be in better health, on a number of indicators, than White Americans, despite, on average, lower socioeconomic status. The reasons are complex, including possible roles for such factors as selective migration, risk behaviors, exposure to various stressors, patient attitudes, and geographic variation in health care. This volume, produced by a multidisciplinary panel, considers such possible explanations for racial and ethnic health differentials within an integrated framework. It provides a concise summary of available research and lays out a research agenda to address the many uncertainties in current knowledge. It recommends, for instance, looking at health differentials across the life course and deciphering the links between factors presumably producing differentials and biopsychosocial mechanisms that lead to impaired health.
Download or read book Outcomes of Care in Elderly Patients with Lung Cancer Treated with Surgery written by Cardinale B. Smith and published by . This book was released on 2015 with total page 43 pages. Available in PDF, EPUB and Kindle. Book excerpt: Lung cancer is predominantly a disease of older adults and the leading cause of cancer-related deaths in the elderly. Current recommendations for surgery are to perform an anatomic lobectomy however, patients who are not candidates for full resection due to impaired pulmonary function or comorbidities are usually treated with a limited resection. However, there is very limited data comparing outcomes of stage I patients treated with these procedures making choices regarding the best surgical approach for patients undergoing limited resection more difficult. Limited resections can be performed via video-assisted thorascopic surgery (VATS) and have been performed with increasing frequency to treat early-stage non-small cell lung cancer (NSCLC). However, data supporting these recommendations are inadequate and very few studies focused on the elderly, one of the groups who could benefit the most from VATS, a less aggressive surgical approach. Compelling evidence from several studies suggest that cancer patients whose surgical resections are performed in hospitals with large case volumes have better outcomes than patients treated in hospitals with low case volumes. Similarly, some studies suggest that the case volume of individual surgeons is an equally important determinant of patients’ outcomes. Given that VATS is a relatively new and technically challenging procedure the role of surgeon experience as evidenced by volume and patient outcomes are critical.In this PhD thesis we plan to evaluate survival outcomes of early stage lung cancer patients treated with segmentectomy versus wedge; evaluate differences in outcomes among lung cancer patients undergoing VATS segmentectomy versus open segmentectomy; and evaluate the volume-outcome relationship for surgeons performing VATS.
Download or read book Measuring Quality in a Shifting Payment Landscape Implications for Surgical Oncology An Issue of Surgical Oncology Clinics of North America E Book written by Caprice C. Greenberg and published by Elsevier Health Sciences. This book was released on 2018-09-11 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Surgical Oncology Clinics of North America, guest edited by Drs. Caprice C. Greenberg and Daniel E. Abbott, is devoted to Measuring Quality in a Shifting Payment Landscape: Implications for Surgical Oncology. Drs. Caprice C. Greenberg and Daniel E. Abbott have assembled expert authors to review the following topics: Implications of the Affordable Care Act or Surgery and Cancer Care; Repealing the Affordable Care Act and Implications for Cancer Care; Quality Measurement and Pay for Performance; Surgical Collaboratives for Quality Improvement; Big Data and Cancer Care; Cancer Care Delivery Research; Engaging Stakeholders and Patient Partners; Beyond Morbidity and Mortaility - Outcomes that Matter to Patients; Regionalization and its Alternatives; The Economics of the End of Life: Power of Attorney, Palliative Care, Utilization of Hospice; The Accountable Care Organization for Surgical Care; and more!
Download or read book Surgery for Gastrointestinal Cancer written by Harold J. Wanebo and published by Lippincott Williams & Wilkins. This book was released on 1997 with total page 908 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text takes a multidisciplinary approach to the surgical management of gastronintestinal cancer. It begins with an introduction to cancer screening and detection of gastronintestinal cancer; recent advances in molecular biology and their potential applications in clinical management; hereditary factors; tumour markers; the role of nutrition in the outcome of cancer treatment; and an overview of endoscopic considerations, laparoscopic assessment and practical radiological issues. The work also presents approaches for the management of oesophageal, gastric, pancreatic, liver, bile duct and gallbladder, and lower gastrointestinal cancer.
Download or read book Relationship Between Volume of Services and Quality of Treatment Outcome in the Surgical Treatment of Breast Cancer Rapid Report written by Institut für Qualität und Wirtschaftlichkeit im Gesundheitswesen and published by . This book was released on 2020 with total page 62 pages. Available in PDF, EPUB and Kindle. Book excerpt: RESEARCH QUESTION: The aim of this investigation is to 1. present and assess any correlation between the volume of services (VoS) and the quality of the treatment outcome in the surgical treatment of primary mammary carcinoma (research question 1) and2. present studies which investigate the effects of a minimum number of cases introduced into the healthcare system on the quality of the treatment outcome in the surgical treatment of primary mammary carcinoma (research question 2).If this process reveals data on a correlation between VoS and quality of treatment outcome in palliative surgery, they will be presented as supplementary information. CONCLUSION: For the investigation of any correlation between VoS and treatment quality in the surgical treatment of breast cancer, a total of 10 studies were included. One of the 10 included studies was assessed as having a high informative value of results. For the outcome of all-cause mortality, based on a high informative value of results, a correlation between both hospital and doctor VoS and treatment quality was derived. Hence, a higher VoS is associated with lower mortality rates. For other mortality outcomes (breast cancer mortality and other-cause mortality), based on a low informative value of results, a correlation was found either only on the hospital level or only on the doctor level. Again, the results showed lower mortality for these levels. With respect to performing a reoperation, based on a low informative value of results, it was possible to derive a correlation between both doctor and hospital VoS and treatment quality. At the hospital level, a correlation between VoS and treatment quality was apparent even in comparison with the intermediate VoS category. The results show lower reoperation rates in higher VoS categories. No studies of meaningful interpretive value were found which investigated any correlation between VoS and treatment quality reflected by other outcomes, such as adverse effects of therapy, local recurrence, disease-free survival, or health-related quality of life. Further, it was not possible to include studies of meaningful interpretive value investigating any effects of specifically introduced minimum case numbers.
Download or read book Surgery for Ovarian Cancer written by Robert E. Bristow and published by CRC Press. This book was released on 2019-02-21 with total page 437 pages. Available in PDF, EPUB and Kindle. Book excerpt: Updated and expanded, the third edition of Surgery for Ovarian Cancer focuses on essential techniques for the effective management of ovarian cancer. It reflects the most contemporary science and surgical applications for the management of patients with ovarian cancer and related peritoneal surface malignancies. This new edition takes a step-by-step approach and includes new intraoperative photographs and videos illustrating surgical procedures. It is principally devoted to the technical aspects of cytoreductive surgery, with chapters divided according to anatomic region. The chapters cover relevant anatomical considerations, surgical challenges specific to each region, and operative approaches and techniques favored by the authors. The list of contributing authors has been expanded from the previous edition and includes international and world-renowned experts from the fields of gynecologic oncology and surgical oncology. The topics of minimally invasive surgery, secondary cytoreduction, palliative surgery, and postoperative care are also covered in detail. New to the third edition are chapters on preoperative risk stratification, regional therapeutics and peritonectomy procedures, and quality assurance relating to ovarian cancer surgery. This comprehensive text is essential reading for all practitioners working with patients with ovarian cancers.
Download or read book Surgical Oncology written by Graeme J. Poston and published by CRC Press. This book was released on 2016-11-25 with total page 931 pages. Available in PDF, EPUB and Kindle. Book excerpt: Surgical oncology is now a recognized specialty in the US and several European countries, and cancer surgery takes up a significant part of any general surgeon’s workload. This thoroughly updated second edition of this bestseller is officially endorsed as a textbook for the syllabus and curriculum of the UEMS examination in Surgical Oncology, which is administered by ESSO (European Society for Surgical Oncology). The examination is for trainees at the end of training or established consultants seeking to expand their accreditation.
Download or read book The Unequal Burden of Cancer written by Institute of Medicine and published by National Academies Press. This book was released on 1999-05-11 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: We know more about cancer prevention, detection, and treatment than ever beforeâ€"yet not all segments of the U.S. population have benefited to the fullest extent possible from these advances. Some ethnic minorities experience more cancer than the majority population, and poor peopleâ€"no matter what their ethnicityâ€"often lack access to adequate cancer care. This book provides an authoritative view of cancer as it is experienced by ethnic minorities and the medically underserved. It offers conclusions and recommendations in these areas: Defining and understanding special populations, and improving the collection of cancer-related data. Setting appropriate priorities for and increasing the effectiveness of specific National Institutes of Health (NIH) research programs, to ensure that special populations are represented in clinical trials. Disseminating research results to health professionals serving these populations, with sensitivity to the issues of cancer survivorship. The book provides background data on the nation's struggle against cancer, activities and expenditures of the NIH, and other relevant topics.
Download or read book Quality in Thoracic Surgery An Issue of Thoracic Surgery Clinics E Book written by Felix G. Fernandez and published by Elsevier Health Sciences. This book was released on 2017-07-12 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Thoracic Surgery Clinics, guest edited by Dr. Felix Fernandez, is devoted to Quality in Thoracic Surgery. Dr. Fernandez has assembled expert authors to review the following topics: Risk adjustment and performance measurement for lung cancer resection; Risk adjustment and performance measurement for esophageal cancer resection; Oncologic quality indicators in thoracic surgery; National Quality Forum metrics for thoracic surgery; Volume outcome relationships in thoracic surgery; Failure to rescue in thoracic surgery; Quality and cost in thoracic surgery; Patient reported outcomes in thoracic surgery; Database audit in thoracic surgery; European Society of Thoracic Surgeons risk score; International database collaboration in thoracic surgery; Hospital readmissions following thoracic surgery; and more!
