Measurement of the Quality: Application to Lung Resection for Cancer Using a National PMSI Database
试验速览
- 阶段
- 不适用
- 入组人数
- 72,000
- 试验地点
- 1
- 主要终点
- number of deaths during hospitalization
研究概览
简要总结
In 2009, centres that carried out lung resection for cancer were required to obtain authorization following the first cancer plan. One of the criteria to obtain authorization was the volume of activity: the centre had to carry out at least 30 lung resections per year for cancer. Five years later, it would be useful to know the impact of this new organization of oncology on the quality of care. To answer this question, the PMSI database is an ideal source of an indicator of quality: in-hospital mortality. This observational cohort study will be conducted using the national PMSI database with data covering the period from 1st January 2005 to 31st December 2013. It will be limited to hospitalization for lung resection. The time will be divided into 3 periods: 2005-2007, 2008-2010 and 2011-2013; the period 2008-2010 includes the implementation of authorizations for cancer surgery.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Any patients who underwent lung resection for bronchial cancer will be included in this study. The PMSI (Programme de Médicalisation des Systèmes d'Information) database will be searched for all patients with:
- •A principal diagnosis of ICD10 (international classification of diseases) codes for bronchial cancer
- •And CCAM (Classification Commune des Actes médicaux ) procedure codes for lung resection (segmentectomy, lobectomy, pneumonectomy).
排除标准
- 未提供
结局指标
主要结局
number of deaths during hospitalization
时间窗: 9 years
number of death during hospitalization for pulmonary resection from 2005 to 2013
次要结局
未报告次要终点