Copyright
©2014 Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Nov 14, 2014; 20(42): 15805-15814
Published online Nov 14, 2014. doi: 10.3748/wjg.v20.i42.15805
Published online Nov 14, 2014. doi: 10.3748/wjg.v20.i42.15805
Can composite performance measures predict survival of patients with colorectal cancer?
Kuo-Piao Chung, Li-Ju Chen, Graduate Institute of Health Policy and Management, College of Public Health, National Taiwan University, Taipei 10055, Taiwan
Li-Ju Chen, Department of Ophthalmology, Heping Branch, Taipei City Hospital, Taipei 10065, Taiwan
Yao-Jen Chang, Department of General Surgery, Buddhist Xindian Tzu Chi General Hospital, Xindian City, Taipei 23142, Taiwan
Yun-Jau Chang, Department of General Surgery, National Taiwan University Hospital, Taipei 10002, Taiwan
Yun-Jau Chang, Department of General Surgery, Zhongxing Branch, Taipei City Hospital, Taipei 10341, Taiwan
Author contributions: Chen LJ drafted and revised the manuscript; Chang YJ conceived of and designed the study; Chang YJ analyzed the data, and participated in interpretation and discussion of results; Chung KP participated in data acquisition and reviewed the manuscript; all authors read and approved the final manuscript.
Supported by Bureau of Health Promotion, Department of Health, Taiwan No. DOH98-NH-1004
Correspondence to: Yun-Jau Chang, MD, PhD, Department of General Surgery, National Taiwan University Hospital, No. 7 Zhongshan South Road, Zhongzheng District, Taipei 10002, Taiwan. yunjauchang2003@gmail.com
Telephone: +886-2-25523234-6258 Fax: +886-2-23581541
Received: November 6, 2013
Revised: March 24, 2014
Accepted: May 19, 2014
Published online: November 14, 2014
Revised: March 24, 2014
Accepted: May 19, 2014
Published online: November 14, 2014
Core Tip
Core tip: Performance measures allow healthcare stakeholders to evaluate the quality of services provided and maintained by healthcare organizations. However, it is unknown whether the implementation of performance measurements may also improve patient outcome. This study aimed to investigate the association between composite performance scores calculated with five different algorithms and survival of surgical patients with non-stage IV colorectal cancer. Models with weighted schemes showed that higher performance scores correlated with increased five-year survivals. However, the most stringent criterion-based strategy, the all-or-none method, failed to show any association.