| Verfasst von: | BILIMORIA, Karl Y |
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| | BENTREM, David J |
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| | STEWART, Andrew K |
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| | WINCHESTER, David P |
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| | KO, Clifford Y |
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| Titel: | Comparison of Commission on Cancer–Approved and –Nonapproved Hospitals in the United States: Implications for Studies That Use the National Cancer Data Base |
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| Verlagsort: | Alexandria, VA |
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| Verlag: | American Society of Clinical Oncology |
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| Jahr: | 2009 |
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| Fussnoten: | ObjectType-Article-1 ; ObjectType-Feature-2 ; SourceType-Scholarly Journals-1 ; content type line 23 |
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| Inhalt: | The Commission on Cancer (CoC) designates cancer programs on the basis of the ability to provide a wide range of oncologic services and specialists. All CoC-approved hospitals are required to report their cancer diagnoses to the National Cancer Data Base (NCDB), and the cancer diagnoses at these hospitals account for approximately 70% of all new cancers diagnosed in the United States annually. However, it is unknown how CoC-approved programs compare with non-CoC-approved hospitals.
By using the American Hospital Association Annual Survey Database (2006), CoC-approved and non-CoC-approved hospitals were compared with respect to structural characteristics (ie, accreditations, geography, and oncologic services provided).
Of the 4,850 hospitals identified, 1,412 (29%) were CoC-approved hospitals, and 3,438 (71%) were not CoC-approved hospitals. The proportion of CoC-approved hospitals varied at the state level from 0% in Wyoming to 100% in Delaware. Compared with non-CoC-approved hospitals, CoC-approved programs were more frequently accredited by the Joint Commission, designated as a Comprehensive Cancer Center by the National Cancer Institute, and affiliated with a medical school or residency program (P < .001). CoC-approved hospitals were less likely to be critical access hospitals or located in rural areas (P < .001). CoC-approved hospitals had more total beds and performed more operations per year (P < .001). CoC-approved programs more frequently offered oncology-related services, including screening programs, chemotherapy and radiation therapy services, and hospice/palliative care (P < .001).
Compared with non-CoC-approved hospitals, CoC-approved hospitals were larger, were more frequently located in urban locations, and had more cancer-related services available to patients. Studies that use the NCDB should acknowledge this limitation when relevant. |
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| ISSN: | 0732-183X |
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| Titel Quelle: | Journal of clinical oncology |
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| Jahr Quelle: | 2009 |
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| Band/Heft Quelle: | 27, 25, S. 4177-4181 |
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| DOI: | doi:10.1200/JCO.2008.21.7018 |
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| URL: | http://www.ub.uni-heidelberg.de/cgi-bin/edok?dok=https%3A%2F%2Ffanyv88.com%3A443%2Fhttp%2Fjco.ascopubs.org%2Fcontent%2F27%2F25%2F4177.abstract |
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| | http://www.ub.uni-heidelberg.de/cgi-bin/edok?dok=https%3A%2F%2Ffanyv88.com%3A443%2Fhttps%2Fwww.ncbi.nlm.nih.gov%2Fpubmed%2F19636004 |
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| | http://www.ub.uni-heidelberg.de/cgi-bin/edok?dok=https%3A%2F%2Ffanyv88.com%3A443%2Fhttps%2Fsearch.proquest.com%2Fdocview%2F67618777 |
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| | DOI: https://doi.org/10.1200/JCO.2008.21.7018 |
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| Sprache: | English |
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| Sach-SW: | Biological and medical sciences |
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| | Databases as Topic - standards |
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| | Databases as Topic - statistics & numerical data |
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| | Female |
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| | Health Care Surveys |
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| | Health Services Accessibility - statistics & numerical data |
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| | Health Services Research - standards |
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| | Health Services Research - statistics & numerical data |
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| | Hospital Bed Capacity - statistics & numerical data |
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| | Humans |
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| | Joint Commission on Accreditation of Healthcare Organizations |
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| | Male |
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| | Medical Oncology - statistics & numerical data |
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| | Medical sciences |
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| | National Cancer Institute (U.S.) - standards |
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| | National Cancer Institute (U.S.) - statistics & numerical data |
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| | Neoplasms - diagnosis |
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| | Neoplasms - epidemiology |
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| | Neoplasms - therapy |
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| | Outcome and Process Assessment (Health Care) - standards |
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| | Outcome and Process Assessment (Health Care) - statistics & numerical data |
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| | Quality Indicators, Health Care - standards |
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| | Quality Indicators, Health Care - statistics & numerical data |
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| | Residence Characteristics - statistics & numerical data |
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| | Treatment Outcome |
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| | Tumors |
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| | United States - epidemiology |
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| Verknüpfungen: | → Sammelwerk |
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