Idiosyncratic surgical practice patterns may contribute to unwarranted variation in the use of laparoscopy and partial nephrectomy (PN) among patients with early-stage renal cell carcinoma (RCC). In order to test this hypothesis, we will explore the following specific aims: 1) To evaluate geographic variation in the use of laparoscopic surgery among patients with RCC; 2) To characterize geographic variation in the use of PN among patients with RCC; and 3) To assess for an interaction between the use of laparoscopy and the use of PN. Linked data from SEER and Medicare will be used to identify a national sample of incident kidney cancer cases diagnosed between 1998 and 2002. Temporal trends in annual incidence rates for RCC- specific laparoscopy and PN will be calculated and compared for individual hospital referral regions, adjusted for relevant covariates. Interactions between the use laparoscopy and PN will be evaluated a priori. This data will provide more precise characterization of unwarranted variation in the use of laparoscopy and PN among patients with early-stage kidney cancer and may, in turn, motivate patient-, provider- and policy-level interventions aimed at making the surgical treatment of RCC both more effective and more patient-centered. ? ? ?
| Gadzinski, Adam J; Dimick, Justin B; Ye, Zaojun et al. (2013) Utilization and outcomes of inpatient surgical care at critical access hospitals in the United States. JAMA Surg 148:589-96 |
| Gadzinski, Adam J; Dimick, Justin B; Ye, Zaojun et al. (2013) Inpatient urological surgery at critical access hospitals in the United States. J Urol 189:1475-80 |
| Tan, Hung-Jui; Norton, Edward C; Ye, Zaojun et al. (2012) Long-term survival following partial vs radical nephrectomy among older patients with early-stage kidney cancer. JAMA 307:1629-35 |
| Hollingsworth, John M; Saint, Sanjay; Hayward, Rodney A et al. (2011) Specialty care and the patient-centered medical home. Med Care 49:4-9 |
| Tan, Hung-Jui; Wolf Jr, J Stuart; Ye, Zaojun et al. (2011) Population-level comparative effectiveness of laparoscopic versus open radical nephrectomy for patients with kidney cancer. Cancer 117:4184-93 |
| Miller, David C; Saigal, Christopher S; Warren, Joan L et al. (2009) External validation of a claims-based algorithm for classifying kidney-cancer surgeries. BMC Health Serv Res 9:92 |
| Miller, David C; Litwin, Mark S; Bergman, Jonathan et al. (2009) Prostate cancer severity among low income, uninsured men. J Urol 181:579-83; discussion 583-4 |
| Miller, David C; Daignault, Stephanie; Wolf Jr, J Stuart et al. (2008) Hospital characteristics and use of innovative surgical therapies among patients with kidney cancer. Med Care 46:372-9 |
| Miller, David C; Saigal, Christopher S; Banerjee, Mousumi et al. (2008) Diffusion of surgical innovation among patients with kidney cancer. Cancer 112:1708-17 |
| Miller, David C; Schonlau, Matthias; Litwin, Mark S et al. (2008) Renal and cardiovascular morbidity after partial or radical nephrectomy. Cancer 112:511-20 |
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