Featured Research

from universities, journals, and other organizations

Hospitals of last resort deliver lower quality of lung cancer care, study suggests

Date:
September 9, 2011
Source:
American Cancer Society
Summary:
A new study finds that patients treated in hospitals that care for a high percentage of uninsured and Medicaid-insured patients were significantly less likely to undergo surgery that was intended to cure the cancer.

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.


Story Source:

The above story is based on materials provided by American Cancer Society. Note: Materials may be edited for content and length.


Journal Reference:

  1. Katherine S. Virgo, Alex G. Little, Stacey A. Fedewa, Amy Y. Chen, W. Dana Flanders, Elizabeth M. Ward. Safety-Net Burden Hospitals and Likelihood of Curative-Intent Surgery for Non-Small Cell Lung Cancer. Journal of the American College of Surgeons, 2011; DOI: 10.1016/j.jamcollsurg.2011.07.014

Cite This Page:

American Cancer Society. "Hospitals of last resort deliver lower quality of lung cancer care, study suggests." ScienceDaily. ScienceDaily, 9 September 2011. <www.sciencedaily.com/releases/2011/09/110909111456.htm>.
American Cancer Society. (2011, September 9). Hospitals of last resort deliver lower quality of lung cancer care, study suggests. ScienceDaily. Retrieved April 23, 2014 from www.sciencedaily.com/releases/2011/09/110909111456.htm
American Cancer Society. "Hospitals of last resort deliver lower quality of lung cancer care, study suggests." ScienceDaily. www.sciencedaily.com/releases/2011/09/110909111456.htm (accessed April 23, 2014).

Share This



More Health & Medicine News

Wednesday, April 23, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Big Pharma Braces for M&A Wave

Big Pharma Braces for M&A Wave

Reuters - Business Video Online (Apr. 22, 2014) Big pharma on the move as Novartis boss, Joe Jimenez, tells Reuters about plans to transform his company via an asset exchange with GSK, and Astra Zeneca shares surge on speculation that Pfizer is looking for a takeover. Joanna Partridge reports. Video provided by Reuters
Powered by NewsLook.com
Study Says Most Crime Not Linked To Mental Illness

Study Says Most Crime Not Linked To Mental Illness

Newsy (Apr. 22, 2014) A new study finds most crimes committed by people with mental illness are not caused by symptoms of their illness or disorder. Video provided by Newsy
Powered by NewsLook.com
Hagel Gets Preview of New High-Tech Projects

Hagel Gets Preview of New High-Tech Projects

AP (Apr. 22, 2014) Defense Secretary Chuck Hagel is given hands-on demonstrations Tuesday of some of the newest research from DARPA _ the military's Defense Advanced Research Projects Agency program. (April 22) Video provided by AP
Powered by NewsLook.com
How Smaller Plates And Cutlery Could Make You Feel Fuller

How Smaller Plates And Cutlery Could Make You Feel Fuller

Newsy (Apr. 22, 2014) NBC's "Today" conducted an experiment to see if changing the size of plates and utensils affects the amount individuals eat. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins