Logic Regression for Provider Effects on Kidney Cancer Treatment Delivery
Joint Authors
Banerjee, Mousumi
Miller, David C.
Xia, Rong
Filson, Christopher
Source
Computational and Mathematical Methods in Medicine
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-03-27
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
In the delivery of medical and surgical care, often times complex interactions between patient, physician, and hospital factors influence practice patterns.
This paper presents a novel application of logic regression in the context of kidney cancer treatment delivery.
Using linked data from the National Cancer Institute’s (NCI) Surveillance, Epidemiology, and End Results (SEER) program and Medicare we identified patients diagnosed with kidney cancer from 1995 to 2005.
The primary endpoints in the study were use of innovative treatment modalities, namely, partial nephrectomy and laparoscopy.
Logic regression allowed us to uncover the interplay between patient, provider, and practice environment variables, which would not be possible using standard regression approaches.
We found that surgeons who graduated in or prior to 1980 despite having some academic affiliation, low volume surgeons in a non-NCI hospital, or surgeons in rural environment were significantly less likely to use laparoscopy.
Surgeons with major academic affiliation and practising in HMO, hospital, or medical school based setting were significantly more likely to use partial nephrectomy.
Results from our study can show efforts towards dismantling the barriers to adoption of innovative treatment modalities, ultimately improving the quality of care provided to patients with kidney cancer.
American Psychological Association (APA)
Banerjee, Mousumi& Filson, Christopher& Xia, Rong& Miller, David C.. 2014. Logic Regression for Provider Effects on Kidney Cancer Treatment Delivery. Computational and Mathematical Methods in Medicine،Vol. 2014, no. 2014, pp.1-9.
https://search.emarefa.net/detail/BIM-462947
Modern Language Association (MLA)
Banerjee, Mousumi…[et al.]. Logic Regression for Provider Effects on Kidney Cancer Treatment Delivery. Computational and Mathematical Methods in Medicine No. 2014 (2014), pp.1-9.
https://search.emarefa.net/detail/BIM-462947
American Medical Association (AMA)
Banerjee, Mousumi& Filson, Christopher& Xia, Rong& Miller, David C.. Logic Regression for Provider Effects on Kidney Cancer Treatment Delivery. Computational and Mathematical Methods in Medicine. 2014. Vol. 2014, no. 2014, pp.1-9.
https://search.emarefa.net/detail/BIM-462947
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-462947