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Studies about ProPublica's Surgeon Scorecard, urology participation in accountable care organizations, and Twitter were among the take-home messages in outcomes analysis at the 2016 AUA annual meeting. The take-homes were presented by Christopher Saigal, MD, MPH, of the University of California, Los Angeles.
Christopher Saigal, MD, MPHStudies about ProPublica's Surgeon Scorecard, urology participation in accountable care organizations, and Twitter were among the take-home messages in outcomes analysis at the 2016 AUA annual meeting. The take-homes were presented by Christopher Saigal, MD, MPH, of the University of California, Los Angeles.
PSA-based screening for prostate cancer fell from 28.3% in 2002-2010 to 15.6% following the 2012 release of the U.S. Preventive Services Task Force’s grade “D” recommendation against PSA-based screening. Over the same period, screening decreased from 33.0% to 18.7% in men aged 55-69 years.
The ProPublica Surgeon Scorecard is a database containing information on radical prostatectomies and transurethral resections of the prostate performed by Medicare providers. Searching the database yields risk-adjusted readmission and mortality rates. The site has been accessed more than two million times, and although 90% of these visits may come from surgeons, such efforts will continue.
Comparing the Surgeon Scorecard with the Michigan Urological Surgical Improvement Collaborative (MUSIC) database, researchers found the scorecard had little correlation with important outcomes such as margin status. They also found little correlation with MUSIC-reported readmission rates and scorecard-reported readmission rates. Case volumes were also significantly undercounted.
Researchers found no relationship between Hospital Consumer Assessment of Healthcare Providers and Systems satisfaction scores and reported surgical or medical complications from major urologic surgeries. Nursing complications, however, such as bedsores and falls, did differ between patients in the highest and lowest terciles of patient satisfaction.
A review of the National Surgical Quality Improvement Program database found that gynecologists performed about three-fourths of sling surgeries and also had significantly higher risk-adjusted rates of infectious complications. Outcomes data such as these argue for further standardization of training in this field via combined female pelvic medicine/reconstructive surgery fellowships.
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