Shifting the Focus: Value-Based Care in Surgical Oncology

Allen, Casey J.; Johnson, Fabian M; In, Haejin; Katz, Matthew H.G.; Snyder, Rebecca A.

doi:10.1245/s10434-023-13369-8

Ann Surg Oncol

2023

DOI: 10.1245/s10434-023-13369-8

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Shifting the Focus: Value-Based Care in Surgical Oncology

Casey J. Allen

Fabian M Johnson

Haejin In

et al.

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Cited by 7 publications

(1 citation statement)

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“…Value-based healthcare in oncology still has some limits, as there remains no standard to quantify the many outcomes and cost components of value (i.e., patient-reported outcomes and estimated costs to patients), thus various conceptual frameworks have been proposed ( 2 ).…”

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confidence: 99%

Editorial: Value-based healthcare in oncology

de Belvis

2023

Front. Public Health

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confidence: 99%

Editorial: Value-based healthcare in oncology

de Belvis

2023

Front. Public Health

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Long‐term patient‐reported values following cancer surgery: A global survey study

Joseph,

Abdullah,

Maxwell

et al. 2024

Journal of Surgical Oncology

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Background and ObjectivesWe evaluated the long‐term quality of life (QOL) and priorities of an international cohort of cancer surgery survivors.MethodsPatients were surveyed through online support groups. We utilized the Short Form‐12 questionnaire to evaluate QOL and a novel survey to assess the relative importance of longevity, experience, and costs.ResultsA total of 592 patients from six continents responded. They were 58 ± 12 years old, 70% female, and 92% White. Patients averaged 37 months from their initial cancer diagnosis, with a maximum survivorship of 46 years. Across 17 disease sites, respondents generally ranked longevity, functional independence, and emotional well‐being most important, while treatment experience and costs were ranked least important (W = 33.6%, p < 0.001). However, a subset of respondents ranked costs as significantly important. There were no differences in QOL based on demographics, except patients with higher education and income reported better QOL scores. Despite improvements in QOL throughout survivorship, both physical‐QOL (41.1 ± 11.1 at 1 year vs. 42.3 ± 12.6 at 5 years, p = 0.511) and mental‐QOL (41.3 ± 13.4 at 1 year vs. 44.6 ± 13.9 at 5 years, p = 0.039) remained below that of the general population (50 ± 10; both p < 0.001).ConclusionsCancer survivors experience enduring physical and mental impairment throughout survivorship. Future efforts should aim to provide sustained support across varied socioeconomic groups, ensuring equitable care and enhancement of QOL postcancer treatment.

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Assessing the long-term priorities of pancreaticoduodenectomy survivors

Joseph,

Bowers,

Marcus

et al. 2024

HPB

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Shifting the Focus: Value-Based Care in Surgical Oncology

Cited by 7 publications

References 17 publications

Editorial: Value-based healthcare in oncology

Editorial: Value-based healthcare in oncology

Long‐term patient‐reported values following cancer surgery: A global survey study

Assessing the long-term priorities of pancreaticoduodenectomy survivors

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