National Healthcare Quality and Disparities Report
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Research Studies is a compilation of published research articles funded by ´óÏóAPPor authored by ´óÏóAPPresearchers.
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1 to 2 of 2 Research Studies DisplayedShah TA, Knapp L, Cohen ME
Truth of colorectal enhanced recovery programs: process measure compliance in 151 hospitals.
The purpose of this study was to assess improvement uniformity among 151 hospitals exposed to an 18-month implementation protocol for 6 colorectal enhanced recovery program (ERP) process measures (oral antibiotics, mechanical bowel preparation, multimodal pain control, early mobilization, early liquid intake, and early solid intake). The study found that of 663 opportunities, minimal improvement occurred in 52% of opportunities, substantial improvement occurred in 20%, and worsening compliance occurred in 28%. Of the 6 processes, multimodal pain control and use of oral antibiotics improved the most.
AHRQ-funded; 233201500020.
Citation: Shah TA, Knapp L, Cohen ME .
Truth of colorectal enhanced recovery programs: process measure compliance in 151 hospitals.
J Am Coll Surg 2023 Apr; 236(4):543-50. doi: 10.1097/xcs.0000000000000562..
Keywords: Cancer, Cancer: Colorectal Cancer, Hospitals
Antunez AG, Kanters AE, Regenbogen SE
Evaluation of access to hospitals most ready to achieve national accreditation for rectal cancer treatment.
This cohort study looked at hospitals’ readiness to be part of the American College of Surgeons National Accreditation Program for Rectal Cancer (NAPRC), and what types of hospitals are most likely to receive NAPRC accreditation. A total of 1315 American College of Surgeons Commission on Cancer-accredited hospitals from the National Cancer Database were sorted into 4 cohorts from 2011 to 2015. They were organized by high versus low volume, adherence to process standards, and patient and hospital characteristics and oncologic outcomes were compared. Among those hospitals, 38 (2.9%) met proposed thresholds for all 5 NAPRC process standards, and 220 (16.7%) met the threshold on 4 standards. Low-adherence hospitals were more likely to serve patients who were older, as well more public insurance recipients, or were black or Hispanic.
ARHQ-funded; HS000053.
Citation: Antunez AG, Kanters AE, Regenbogen SE .
Evaluation of access to hospitals most ready to achieve national accreditation for rectal cancer treatment.
JAMA Surg 2019 Jun;154(6):516-23. doi: 10.1001/jamasurg.2018.5521..
Keywords: Cancer: Colorectal Cancer, Cancer, Hospitals, Quality Improvement, Quality of Care
