FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2971006667> ?p ?o ?g. }

• W2971006667 abstract "Hospital funding reforms for prostate cancer surgery may have altered management of localized prostate cancer in the province of Ontario, Canada.To determine whether changes in hospital funding policy aimed at improving health care quality and value were associated with changes in the management of localized prostate cancer or the characteristics of patients receiving radical prostatectomy (RP) for localized prostate cancer.This population-based, interrupted time series study used linked population-based administrative data regarding adults in Ontario with incidental localized prostate cancer and those who underwent RP for localized prostate cancer. Patients who underwent RP were compared with patients who underwent surgical procedures for localized renal cell carcinoma, which was not included in the policy change but was subjected to similar secular trends and potential confounders. Monthly outcomes were analyzed using interventional autoregressive integrated moving average models. Data were collected from January 2011 to November 2017 and analyzed in January 2019.Funding policy change in April 2015 from flexible block funding for all hospital-based care to prespecified payment amounts per procedure for treatment of localized prostate cancer, coupled with the dissemination of a diagnosis-specific handbook outlining best practices.Initial management (RP vs radiation therapy vs active surveillance) and tumor risk profiles per management strategy among incident cases of localized prostate cancer. Additional outcomes were case volume, mean length of stay, proportion of patients returning to hospital or emergency department within 30 days, proportion of patients older than 65 years, mean Charlson Comorbidity Index, and proportion of minimally invasive surgical procedures among patients undergoing RP for localized prostate cancer.A total of 33 128 patients with incident localized prostate cancer (median [interquartile range (IQR)] age, 67 [61-73] years; median [IQR] cases per monthly observation interval, 466 [420-516]), 17 159 patients who received radical prostatectomy (median [IQR] age, 63 [58-68] years; median [IQR] cases per monthly observation interval, 209 [183-225]), and 5762 individuals who underwent surgery for renal cell carcinoma (median [IQR] age, 62 [53-70] years; median [IQR] cases per monthly observation interval, 71 [61-77]) were identified. By the end of the observation period, radical prostatectomy and radiation therapy were used in comparable proportions (30.3% and 28.9%, respectively) and included only a small fraction of low-risk patients (6.4% and 2.9%, respectively). No statistically significant association of the funding policy change with most outcomes was found.The implementation of funding reform for hospitals offering RP was not associated with changes in the management of localized prostate cancer, although it may have encouraged more appropriate selection of patients for RP. Mostly preexisting trends toward guideline-conforming practice were observed. Co-occurring policy changes and/or guideline revisions may have weakened signals from the policy change." @default.
• W2971006667 created "2019-09-05" @default.
• W2971006667 creator A5018908850 @default.
• W2971006667 creator A5031763103 @default.
• W2971006667 creator A5035540627 @default.
• W2971006667 creator A5039250646 @default.
• W2971006667 creator A5041232738 @default.
• W2971006667 creator A5043967941 @default.
• W2971006667 creator A5070564381 @default.
• W2971006667 creator A5077099155 @default.
• W2971006667 creator A5086104704 @default.
• W2971006667 creator A5087121014 @default.
• W2971006667 date "2019-08-30" @default.
• W2971006667 modified "2023-09-23" @default.
• W2971006667 title "Management Strategies and Patient Selection After a Hospital Funding Reform for Prostate Cancer Surgery in Canada" @default.
• W2971006667 cites W1864590057 @default.
• W2971006667 cites W1887093532 @default.
• W2971006667 cites W2027427981 @default.
• W2971006667 cites W2067091814 @default.
• W2971006667 cites W2104022977 @default.
• W2971006667 cites W2105290135 @default.
• W2971006667 cites W2119863846 @default.
• W2971006667 cites W2163562470 @default.
• W2971006667 cites W2166394242 @default.
• W2971006667 cites W2284278449 @default.
• W2971006667 cites W2511949746 @default.
• W2971006667 cites W2762600510 @default.
• W2971006667 cites W2772104639 @default.
• W2971006667 cites W2784905975 @default.
• W2971006667 cites W2889646458 @default.
• W2971006667 cites W3022423927 @default.
• W2971006667 cites W2887255723 @default.
• W2971006667 doi "https://doi.org/10.1001/jamanetworkopen.2019.10505" @default.
• W2971006667 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/6724173" @default.
• W2971006667 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/31469400" @default.
• W2971006667 hasPublicationYear "2019" @default.
• W2971006667 type Work @default.
• W2971006667 sameAs 2971006667 @default.
• W2971006667 citedByCount "0" @default.
• W2971006667 crossrefType "journal-article" @default.
• W2971006667 hasAuthorship W2971006667A5018908850 @default.
• W2971006667 hasAuthorship W2971006667A5031763103 @default.
• W2971006667 hasAuthorship W2971006667A5035540627 @default.
• W2971006667 hasAuthorship W2971006667A5039250646 @default.
• W2971006667 hasAuthorship W2971006667A5041232738 @default.
• W2971006667 hasAuthorship W2971006667A5043967941 @default.
• W2971006667 hasAuthorship W2971006667A5070564381 @default.
• W2971006667 hasAuthorship W2971006667A5077099155 @default.
• W2971006667 hasAuthorship W2971006667A5086104704 @default.
• W2971006667 hasAuthorship W2971006667A5087121014 @default.
• W2971006667 hasBestOaLocation W29710066671 @default.
• W2971006667 hasConcept C121608353 @default.
• W2971006667 hasConcept C126322002 @default.
• W2971006667 hasConcept C194828623 @default.
• W2971006667 hasConcept C2779159551 @default.
• W2971006667 hasConcept C2779466945 @default.
• W2971006667 hasConcept C2780192828 @default.
• W2971006667 hasConcept C2781114028 @default.
• W2971006667 hasConcept C2908647359 @default.
• W2971006667 hasConcept C71924100 @default.
• W2971006667 hasConcept C99454951 @default.
• W2971006667 hasConceptScore W2971006667C121608353 @default.
• W2971006667 hasConceptScore W2971006667C126322002 @default.
• W2971006667 hasConceptScore W2971006667C194828623 @default.
• W2971006667 hasConceptScore W2971006667C2779159551 @default.
• W2971006667 hasConceptScore W2971006667C2779466945 @default.
• W2971006667 hasConceptScore W2971006667C2780192828 @default.
• W2971006667 hasConceptScore W2971006667C2781114028 @default.
• W2971006667 hasConceptScore W2971006667C2908647359 @default.
• W2971006667 hasConceptScore W2971006667C71924100 @default.
• W2971006667 hasConceptScore W2971006667C99454951 @default.
• W2971006667 hasLocation W29710066671 @default.
• W2971006667 hasLocation W29710066672 @default.
• W2971006667 hasLocation W29710066673 @default.
• W2971006667 hasOpenAccess W2971006667 @default.
• W2971006667 hasPrimaryLocation W29710066671 @default.
• W2971006667 hasRelatedWork W1887093532 @default.
• W2971006667 hasRelatedWork W1985168450 @default.
• W2971006667 hasRelatedWork W2006505155 @default.
• W2971006667 hasRelatedWork W2014135759 @default.
• W2971006667 hasRelatedWork W2089366033 @default.
• W2971006667 hasRelatedWork W2132508160 @default.
• W2971006667 hasRelatedWork W2138032403 @default.
• W2971006667 hasRelatedWork W2152513970 @default.
• W2971006667 hasRelatedWork W2412668809 @default.
• W2971006667 hasRelatedWork W2780013755 @default.
• W2971006667 isParatext "false" @default.
• W2971006667 isRetracted "false" @default.
• W2971006667 magId "2971006667" @default.
• W2971006667 workType "article" @default.