Journal article

Uptake and Patient Outcomes of Laparoscopic Colon and Rectal Cancer Surgery in a Publicly Funded System and Following Financial Incentives

Marko Simunovic, Nancy N Baxter, Rinku Sutradhar, Ning Liu, Margherita Cadeddu, David Urbach

ANNALS OF SURGICAL ONCOLOGY | SPRINGER | Published : 2013

Abstract

PURPOSE: To assess patterns of uptake and outcomes of laparoscopic colon and rectal cancer surgery in Ontario, and the potential influence of surgical fee incentives instituted on October 1, 2005. METHODS: We used Ontario administrative databases from fiscal years 2002 to 2009. Study outcomes were uptake rates of laparoscopic surgery, hospital length of stay, 30-day operative mortality, cancer-specific survival, and overall survival. The main descriptor for multivariable regression models was a 5% increase in rate of laparoscopic colon cancer surgery in the previous year. RESULTS: The annual rate of laparoscopic colon and rectal cancer surgery, respectively, rose from 8.7 to 38.9% and from 4..

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