Interinstitutional variation in management decisions for treatment of 4 common types of cancer: A multi-institutional cohort study.

ABSTRACT:

Background

When clinical practice is governed by evidence-based guidelines and there is consensus about their validity, practice variation should be minimal. For areas in which evidence gaps exist, greater variation is expected.

Objective

To systematically assess interinstitutional variation in management decisions for 4 common types of cancer.

Design

Multi-institutional, observational cohort study of patients with cancer diagnosed between July 2006 through May 2011 and observed through 31 December 2011.

Setting

18 cancer centers participating in the formulation of treatment guidelines and systematic outcomes assessment through the National Comprehensive Cancer Network.

Patients

25 589 patients with incident breast cancer, colorectal cancer, lung cancer,

SUBMITTER: Weeks JC 

PROVIDER: S-EPMC4479196 | biostudies-literature | 2014 Jul

REPOSITORIES: biostudies-literature