Jane M Geraci
Datos Biográficos
| ID | 3574451 |
|---|---|
| NOMBRE | Jane M Geraci |
| NOMBRES | Jane M |
| APELLIDO | Geraci |
| FIRMA | GERACI J M |
| AFILIACIONES | Baylor College of Medicine |
| VERIFICADO | No |
| TOTAL DE OBRAS | 13 |
| TOTAL DE CITAS | 1 |
| TOTAL COMO AUTOR | 13 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1992 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2006 |
| ÍNDICE H | 1 |
External Validation of Medicare Claims for Breast Cancer Chemotherapy Compared With Medical Chart Reviews
BACKGROUND: Although Medicare claims data have been increasingly used to examine the patterns and outcomes of cancer chemotherapy, their external validity has not been well studied. OBJECTIVES: We sought to validate Medicare claims for chemotherapy compared with medical chart reviews. PATIENTS AND METHODS: We completed medical chart reviews for 1228 women who were diagnosed with breast cancer at age 65 and older between 1993 and 1999 in New Mexic…
Mortality After Cardiac Bypass Surgery
BACKGROUND: Risk-adjusted outcome rates frequently are used to make inferences about hospital quality of care. We calculated risk-adjusted mortality rates in veterans undergoing isolated coronary artery bypass surgery (CABS) from administrative data and from chart-based clinical data and compared the assessment of hospital high and low outlier status for mortality that results from these 2 data sources. STUDY POPULATION: We studied veterans who u…
Mortality After Noncardiac Surgery
BACKGROUND: Hospital profiles are increasingly constructed using risk-adjusted clinical data abstracted from patient records. OBJECTIVE: We sought to compare hospital profiles based on risk adjusted death within 30 days of surgery from administrative versus clinical data in a national cohort of surgical patients. DESIGN: This was a cohort study that included 78,546 major noncardiac operations performed between October 1, 1991 and December 31, 199…
Effect of Definition of Mortality on Hospital Profiles
BACKGROUND: Hospitals are ranked based on risk-adjusted measures of postoperative mortality, but definitions differ about which deaths following surgery should be included. OBJECTIVE: To determine whether varying the case definition of deaths following surgery that are included in coronary artery bypass surgery quality assessment affects the identification of outlier hospitals. RESEARCH DESIGN: The study used a prospective cohort design. SUBJECTS…
The Demise of Comparative Provider Complication Rates Derived from ICD-9-CM Code Diagnoses
From the Department of General Internal Medicine, Ambulatory Treatment and Emergency Care, University of Texas M. D. Anderson Cancer Center, Houston, Texas. Address correspondence and reprint requests to: Jane M. Geraci, MD, Department of General Internal Medicine, Ambulatory Treatment and Emergency Care, University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Blvd., Box 437, Houston, TX 77030-4009. E-mail: [email protected]
A psychometric analysis of the measurement level of the rating scale, time trade-off, and standard gamble
A Trial for Comparing Methods for Eliciting Treatment Preferences From Men With Advanced Prostate Cancer
OBJECTIVE: The objective of this study was to evaluate the convergent validity of 3 types of utility measures: standard gamble, time tradeoff, and rating scale. RESEARCH DESIGN: A prospective cohort of 120 men with advanced prostate cancer were first asked to rank order 8 health states, and then utility values were obtained from each participant for each of the 8 health states through 2 of the 3 techniques evaluated (standard gamble, time tradeof…
In-Hospital Complication Occurrence as a Screen for Quality-of-Care Problems
From the Houston VAMC, Houston, Texas. Address correspondence to: Jane M. Geraci, MD, MPH, Houston VAMC (111C), 2002 Holcombe Blvd, Houston, TX 77030-4211. E-Mail: [email protected]
Assessing the Performance of Utility Techniques in the Absence of a Gold Standard
BACKGROUND: Utility techniques are the most commonly used means to assess patient preferences for health outcomes. However, whether utility techniques produce valid measures of preference has been difficult to determine in the absence of a gold standard. OBJECTIVE: To introduce and demonstrate two methods that can be used to evaluate how well utility techniques measure patients' preferences. SUBJECTS AND DESIGN: Patients treated for advanced pros…
The Association of Quality of Care and Occurrence of In-Hospital, Treatment-Related Complications
BACKGROUND: Little data exist supporting the association of quality of care and nonfatal adverse outcomes in hospitalized patients, yet those outcomes are routinely scrutinized in quality assessment efforts. OBJECTIVE: To determine whether measurable differences in quality of care are associated with the occurrence of non-fatal, in-hospital, and treatment-related complications. DESIGN: Retrospective cohort study. SUBJECTS: A total of 2,268 patien…
International Classification of Diseases, 9th Revision, Clinical Modification Codes in Discharge Abstracts Are Poor Measures of Complication Occurrence in Medical Inpatients
OBJECTIVES: The authors tested the ability of International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) codes in discharge abstracts to identify medical inpatients who experienced an in-hospital complication, using complications identified through chart review as the gold standard. METHODS: Two sets of ICD-9-CM codes were used: an inclusive set including many medical diagnoses that may also be coexistent complicatin…
Expected Source of Payment and Use of Hospital Services for Coronary Atherosclerosis
To study associations between payer and provision of services for patients hospitalized for coronary atherosclerosis, the authors analyzed abstracts of 24,424 discharges from California acute care hospitals during 1989. Services examined included receipt of coronary artery bypass surgery, percutaneous transluminal coronary angioplasty (PTCA), long length of stay (LOS) without revascularization, and overall LOS. Regression techniques controlled de…
Postoperative Adverse Events of Common Surgical Procedures in the Medicare Population
Mortality rates are the most widely used measure in assessing patient outcome from hospitalization. However, they may be an insensitive measure of quality for surgical patients because death is a relatively rare outcome. A random sample of patient data (n = 8126) selected from the Medicare files of seven states was used to identify, through chart abstraction, clinical postoperative complications of surgery that could serve as measures of quality.…
Postoperative Adverse Events of Common Surgical Procedures in the Medicare Population
Mortality rates are the most widely used measure in assessing patient outcome from hospitalization. However, they may be an insensitive measure of quality for surgical patients because death is a relatively rare outcome. A random sample of patient data (n = 8126) selected from the Medicare files of seven states was used to identify, through chart abstraction, clinical postoperative complications of surgery that could serve as measures of quality.…
Expected Source of Payment and Use of Hospital Services for Coronary Atherosclerosis
To study associations between payer and provision of services for patients hospitalized for coronary atherosclerosis, the authors analyzed abstracts of 24,424 discharges from California acute care hospitals during 1989. Services examined included receipt of coronary artery bypass surgery, percutaneous transluminal coronary angioplasty (PTCA), long length of stay (LOS) without revascularization, and overall LOS. Regression techniques controlled de…
International Classification of Diseases, 9th Revision, Clinical Modification Codes in Discharge Abstracts Are Poor Measures of Complication Occurrence in Medical Inpatients
OBJECTIVES: The authors tested the ability of International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) codes in discharge abstracts to identify medical inpatients who experienced an in-hospital complication, using complications identified through chart review as the gold standard. METHODS: Two sets of ICD-9-CM codes were used: an inclusive set including many medical diagnoses that may also be coexistent complicatin…
Assessing the Performance of Utility Techniques in the Absence of a Gold Standard
BACKGROUND: Utility techniques are the most commonly used means to assess patient preferences for health outcomes. However, whether utility techniques produce valid measures of preference has been difficult to determine in the absence of a gold standard. OBJECTIVE: To introduce and demonstrate two methods that can be used to evaluate how well utility techniques measure patients' preferences. SUBJECTS AND DESIGN: Patients treated for advanced pros…
The Association of Quality of Care and Occurrence of In-Hospital, Treatment-Related Complications
BACKGROUND: Little data exist supporting the association of quality of care and nonfatal adverse outcomes in hospitalized patients, yet those outcomes are routinely scrutinized in quality assessment efforts. OBJECTIVE: To determine whether measurable differences in quality of care are associated with the occurrence of non-fatal, in-hospital, and treatment-related complications. DESIGN: Retrospective cohort study. SUBJECTS: A total of 2,268 patien…
A Trial for Comparing Methods for Eliciting Treatment Preferences From Men With Advanced Prostate Cancer
OBJECTIVE: The objective of this study was to evaluate the convergent validity of 3 types of utility measures: standard gamble, time tradeoff, and rating scale. RESEARCH DESIGN: A prospective cohort of 120 men with advanced prostate cancer were first asked to rank order 8 health states, and then utility values were obtained from each participant for each of the 8 health states through 2 of the 3 techniques evaluated (standard gamble, time tradeof…
In-Hospital Complication Occurrence as a Screen for Quality-of-Care Problems
From the Houston VAMC, Houston, Texas. Address correspondence to: Jane M. Geraci, MD, MPH, Houston VAMC (111C), 2002 Holcombe Blvd, Houston, TX 77030-4211. E-Mail: [email protected]
A psychometric analysis of the measurement level of the rating scale, time trade-off, and standard gamble
Effect of Definition of Mortality on Hospital Profiles
BACKGROUND: Hospitals are ranked based on risk-adjusted measures of postoperative mortality, but definitions differ about which deaths following surgery should be included. OBJECTIVE: To determine whether varying the case definition of deaths following surgery that are included in coronary artery bypass surgery quality assessment affects the identification of outlier hospitals. RESEARCH DESIGN: The study used a prospective cohort design. SUBJECTS…
The Demise of Comparative Provider Complication Rates Derived from ICD-9-CM Code Diagnoses
From the Department of General Internal Medicine, Ambulatory Treatment and Emergency Care, University of Texas M. D. Anderson Cancer Center, Houston, Texas. Address correspondence and reprint requests to: Jane M. Geraci, MD, Department of General Internal Medicine, Ambulatory Treatment and Emergency Care, University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Blvd., Box 437, Houston, TX 77030-4009. E-mail: [email protected]
Mortality After Cardiac Bypass Surgery
BACKGROUND: Risk-adjusted outcome rates frequently are used to make inferences about hospital quality of care. We calculated risk-adjusted mortality rates in veterans undergoing isolated coronary artery bypass surgery (CABS) from administrative data and from chart-based clinical data and compared the assessment of hospital high and low outlier status for mortality that results from these 2 data sources. STUDY POPULATION: We studied veterans who u…
Mortality After Noncardiac Surgery
BACKGROUND: Hospital profiles are increasingly constructed using risk-adjusted clinical data abstracted from patient records. OBJECTIVE: We sought to compare hospital profiles based on risk adjusted death within 30 days of surgery from administrative versus clinical data in a national cohort of surgical patients. DESIGN: This was a cohort study that included 78,546 major noncardiac operations performed between October 1, 1991 and December 31, 199…
External Validation of Medicare Claims for Breast Cancer Chemotherapy Compared With Medical Chart Reviews
BACKGROUND: Although Medicare claims data have been increasingly used to examine the patterns and outcomes of cancer chemotherapy, their external validity has not been well studied. OBJECTIVES: We sought to validate Medicare claims for chemotherapy compared with medical chart reviews. PATIENTS AND METHODS: We completed medical chart reviews for 1228 women who were diagnosed with breast cancer at age 65 and older between 1993 and 1999 in New Mexic…
Medicine (12 obras) · Emergency Medicine (8 obras) · Emergency Medicine (8 obras) · Internal Medicine (8 obras) · Internal Medicine (8 obras) · Surgery (6 obras) · Surgery (6 obras) · Cardiac, Anesthesia and Surgical Outcomes (4 obras) · Health Systems, Economic Evaluations, Quality of Life (4 obras) · Intensive care medicine (4 obras)