{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,24]],"date-time":"2025-03-24T07:42:42Z","timestamp":1742802162147},"reference-count":25,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SPI"],"published-print":{"date-parts":[[2016,8]]},"abstract":"<jats:sec>\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>The accuracy of public reporting in health care is an issue of debate. The authors investigated the association of patient satisfaction measures from a public reporting platform with objective outcomes for patients undergoing spine surgery.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>METHODS<\/jats:title>\n<jats:p>The authors performed a cohort study involving patients undergoing elective spine surgery from 2009 to 2013 who were registered in the New York Statewide Planning and Research Cooperative System database. This cohort was merged with publicly available data from the Centers for Medicare and Medicaid Services (CMS) Hospital Compare website. A mixed-effects regression analysis, controlling for clustering at the hospital level, was used to investigate the association of patient satisfaction metrics with outcomes.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>During the study period, 160,235 patients underwent spine surgery. Using a mixed-effects multivariable regression analysis, the authors demonstrated that undergoing elective spine surgery in hospitals with a higher percentage of patient-assigned high satisfaction scores was not associated with a decreased rate of discharge to rehabilitation (OR 0.77, 95% CI 0.57\u20131.06), mortality (OR 0.96, 95% CI 0.90\u20131.01), or hospitalization charges (\u03b2 0.04, 95% CI \u22120.16 to 0.23). However, it was associated with decreased length of stay (LOS; \u03b2 \u22120.19, 95% CI \u22120.33 to \u22120.05). Similar associations were identified for hospitals with a higher percentage of patients who claimed they would recommend these institutions to others.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>CONCLUSIONS<\/jats:title>\n<jats:p>Merging a comprehensive all-payer cohort of spine surgery patients in New York state with data from the CMS Hospital Compare website, the authors were not able to demonstrate an association of improved performance in patient satisfaction measures with decreased mortality, rate of discharge to rehabilitation, and hospitalization charges. Increased patient satisfaction was associated with decreased LOS.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2016.1.spine151155","type":"journal-article","created":{"date-parts":[[2016,3,18]],"date-time":"2016-03-18T14:01:48Z","timestamp":1458309708000},"page":"264-270","source":"Crossref","is-referenced-by-count":14,"title":["How well do subjective Hospital Compare metrics reflect objective outcomes in spine surgery?"],"prefix":"10.3171","volume":"25","author":[{"given":"Symeon","family":"Missios","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Louisiana State University Health Sciences Center, Shreveport, Louisiana; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimon","family":"Bekelis","sequence":"additional","affiliation":[{"name":"Section of Neurosurgery, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-spine151155","series-title":"Health Aff (Millwood)","doi-asserted-by":"publisher","first-page":"423","DOI":"10.1377\/hlthaff.2014.0201","article-title":"National hospital ratings systems share few common scores and may generate confusion instead of clarity","volume":"34","author":"Austin","year":"2015"},{"key":"b2-spine151155","series-title":"Variation in the Care of Surgical Conditions: Cerebral Aneurysms","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.12164","author":"Bekelis","year":"2014"},{"key":"b3-spine151155","series-title":"N Engl J Med","doi-asserted-by":"publisher","first-page":"864","DOI":"10.1056\/NEJMsb053364","article-title":"Strategies for improving surgical quality\u2014should payers reward excellence or effort?","volume":"354","author":"Birkmeyer","year":"2006"},{"key":"b4-spine151155","series-title":"N Engl J Med","doi-asserted-by":"publisher","first-page":"2145","DOI":"10.1056\/NEJMp1408345","article-title":"Getting more performance from performance measurement","volume":"371","author":"Cassel","year":"2014"},{"key":"b5-spine151155","series-title":"Milbank Q","doi-asserted-by":"publisher","first-page":"691","DOI":"10.1377\/hlthaff.2014.0201","article-title":"Evaluating the quality of medical care. 1966","volume":"83","author":"Donabedian","year":"2005"},{"key":"b6-spine151155","series-title":"Ann Intern Med","doi-asserted-by":"publisher","first-page":"111","DOI":"10.7326\/0003-4819-148-2-200801150-00006","article-title":"Systematic review: the evidence that publishing patient care performance data improves quality of care","volume":"148","author":"Fung","year":"2008"},{"key":"b7-spine151155","series-title":"Jt Comm J Qual Patient Saf","doi-asserted-by":"publisher","first-page":"169","DOI":"10.7326\/0003-4819-148-2-200801150-00006","article-title":"A qualitative analysis of hospital leaders' opinions about publicly reported measures of health care quality","volume":"41","author":"Goff","year":"2015"},{"key":"b8-spine151155","series-title":"Health Qual Life Outcomes","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1186\/s12955-015-0334-1","article-title":"Self-rated health supersedes patient satisfaction with service quality as a predictor of survival in prostate cancer","volume":"13","author":"Gupta","year":"2015"},{"key":"b9-spine151155","series-title":"JAMA","doi-asserted-by":"publisher","first-page":"1903","DOI":"10.1001\/jama.2015.4566","article-title":"Hospital quality reporting by US News & World Report: why, how, and what's ahead","volume":"313","author":"Harder","year":"2015"},{"key":"b10-spine151155","series-title":"JAMA Intern Med","doi-asserted-by":"publisher","first-page":"1904","DOI":"10.1001\/jamainternmed.2014.5161","article-title":"Attitudes of hospital leaders toward publicly reported measures of health care quality","volume":"174","author":"Lindenauer","year":"2014"},{"key":"b11-spine151155","series-title":"PLoS One","doi-asserted-by":"publisher","first-page":"e0134617","DOI":"10.1371\/journal.pone.0134617","article-title":"The relationship between patient satisfaction with service quality and survival in non\u2013small cell lung cancer\u2014is self-rated health a potential confounder?","volume":"10","author":"Lis","year":"2015"},{"issue":"1","key":"b12-spine151155","series-title":"Neurosurg Focus","doi-asserted-by":"publisher","first-page":"E6","DOI":"10.3171\/2012.10.FOCUS12297","article-title":"The National Neurosurgery Quality and Outcomes Database (N2QOD): general overview and pilot-year project description","volume":"34","author":"McGirt","year":"2013"},{"key":"b13-spine151155"},{"key":"b14-spine151155","series-title":"Consensus Development Process","doi-asserted-by":"publisher","author":"National Quality Forum","DOI":"10.1136\/bmjqs-2014-003405"},{"key":"b15-spine151155","series-title":"BMJ Qual Saf","doi-asserted-by":"publisher","first-page":"128","DOI":"10.1016\/j.jacr.2014.08.022","article-title":"Better-than-average and worse-than-average hospitals may not significantly differ from average hospitals: an analysis of Medicare Hospital Compare ratings","volume":"24","author":"Paddock","year":"2015"},{"key":"b16-spine151155","series-title":"J Am Coll Radiol","doi-asserted-by":"publisher","first-page":"166","DOI":"10.1377\/hlthaff.2011.0719","article-title":"Characterizing the performance of the nation's hospitals in the Hospital Outpatient Quality Reporting Program's imaging efficiency measures","volume":"12","author":"Rosenkrantz","year":"2015"},{"key":"b17-spine151155","series-title":"Health Aff (Millwood)","doi-asserted-by":"publisher","first-page":"585","DOI":"10.1111\/1475-6773.12164","article-title":"Medicare's public reporting initiative on hospital quality had modest or no impact on mortality from three key conditions","volume":"31","author":"Ryan","year":"2012"},{"key":"b18-spine151155","series-title":"Health Serv Res","first-page":"1108","article-title":"Variation in surgical quality measure adherence within hospital referral regions: do publicly reported surgical quality measures distinguish among hospitals that patients are likely to compare?","volume":"49","author":"Safavi","year":"2014"},{"key":"b19-spine151155","series-title":"J Trauma","doi-asserted-by":"publisher","first-page":"771","DOI":"10.2307\/4589221","article-title":"Centers for Medicare and Medicaid services quality indicators do not correlate with risk-adjusted mortality at trauma centers","volume":"68","author":"Shafi","year":"2010"},{"key":"b20-spine151155","series-title":"Public Health Rep","doi-asserted-by":"publisher","first-page":"877","DOI":"10.1001\/jama.2010.841","article-title":"Approaches to the quality of hospital care","volume":"70","author":"Sheps","year":"1955"},{"key":"b21-spine151155","series-title":"JAMA","doi-asserted-by":"publisher","first-page":"2479","DOI":"10.1097\/PRS.0000000000000803","article-title":"Adherence to surgical care improvement project measures and the association with postoperative infections","volume":"303","author":"Stulberg","year":"2010"},{"key":"b22-spine151155","series-title":"Plast Reconstr Surg","doi-asserted-by":"publisher","first-page":"1e","DOI":"10.1377\/hlthaff.2008.0770","article-title":"Comparison of clinical outcomes and patient satisfaction in immediate single-stage versus two-stage implant-based breast reconstruction","volume":"135","author":"Susarla","year":"2015"},{"key":"b23-spine151155","series-title":"Health Aff (Millwood)","doi-asserted-by":"publisher","first-page":"1319","DOI":"10.1001\/jama.296.22.2694","article-title":"Public reporting on hospital process improvements is linked to better patient outcomes","volume":"29","author":"Werner","year":"2010"},{"key":"b24-spine151155","series-title":"JAMA","doi-asserted-by":"publisher","first-page":"2694","DOI":"10.1001\/jama.2015.5269","article-title":"Relationship between Medicare's hospital compare performance measures and mortality rates","volume":"296","author":"Werner","year":"2006"},{"key":"b25-spine151155","series-title":"JAMA","doi-asserted-by":"publisher","first-page":"1911","DOI":"10.1377\/hlthaff.2014.0201","article-title":"Hospital ratings: a guide for the perplexed","volume":"313","author":"Zuger","year":"2015"}],"container-title":["Journal of Neurosurgery: Spine"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/25\/2\/article-p264.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/25\/2\/article-p264.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/25\/2\/article-p264.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,15]],"date-time":"2023-04-15T22:04:54Z","timestamp":1681596294000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/25\/2\/article-p264.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,8]]},"references-count":25,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.3171\/2016.1.spine151155","relation":{},"ISSN":["1547-5654"],"issn-type":[{"value":"1547-5654","type":"print"}],"subject":[],"published":{"date-parts":[[2016,8]]}}}