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Determining the Quality of Breast Cancer Care: Do Tumor Registries Measure Up?

Nina A. Bickell, MD, MPH; and Mark R. Chassin, MD, MPP, MPH
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From Mount Sinai School of Medicine, New York, New York.


Acknowledgments: The authors thank the members of the Mount Sinai-New York University Health System Early-Stage Breast Cancer Treatment Quality Improvement Steering Committee (Drs. Miguel Sanchez, Lewis Attas, David Dubin, Samuel Kopel, Morton Davidson, Angelo Cammarata, Alan Sickles, and Richard Hirshman and Ms. Annette Angelone); the tumor registrars of Cabrini, Englewood, and Maimonides hospitals; and all the participating physicians.

Grant Support: By the United Hospital Fund (961046B) and the Department of Health Policy of the Mount Sinai School of Medicine.

Requests for Single Reprints: Nina A. Bickell, MD, MPH, Mount Sinai School of Medicine, Department of Health Policy, Box 1077, One Gustave L. Levy Place, New York, NY 10029.

Requests To Purchase Bulk Reprints (minimum, 100 copies): the Reprints Coordinator; phone, 215-351-2657; e-mail, reprints@mail.acponline.org.

Current Author Addresses: Drs. Bickell and Chassin: Mount Sinai School of Medicine, Department of Health Policy, Box 1077, One Gustave L. Levy Place, New York, NY 10029.

Author Contributions: Conception and design: N.A. Bickell, M.R. Chassin.

Analysis and interpretation of the data: N.A. Bickell, M.R. Chassin.

Drafting of the article: N.A. Bickell.

Critical revision of the article for important intellectual content: N.A. Bickell, M.R. Chassin.

Final approval of the article: N.A. Bickell, M.R. Chassin.

Provision of study materials or patients: N.A. Bickell.

Statistical expertise: N.A. Bickell.

Obtaining of funding: N.A. Bickell, M.R. Chassin.

Administrative, technical, or logistic support: N.A. Bickell, M.R. Chassin.

Collection and assembly of data: N.A. Bickell.


Ann Intern Med. 2000;132(9):705-710. doi:10.7326/0003-4819-132-9-200005020-00004
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Consumers, purchasers, health plans, and regulators are increasingly demanding that physicians and hospitals provide information on the quality of health care. However, many observers (12), including those representing accrediting bodies and health plans (34), recognize that the cost of collecting data is a major impediment to more widespread quality assessment. In Ohio, the Cleveland Clinic Health System recently withdrew nine of its hospitals from participation in the Cleveland Health Quality Choice Program, citing the $2 million annual cost of providing data to the program as a major reason (5). Many would welcome a readily available, low-cost source of reliable and valid clinical information on health care quality.

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Summary for Patients

Are Tumor Registries a Good Way To Measure the Quality of Breast Cancer Care?

The summary below is from the full report titled “Determining the Quality of Breast Cancer Care: Do Tumor Registries Measure Up?” It is in the 2 May 2000 issue of Annals of Internal Medicine (volume 132, pages 705-710). The authors are N.A. Bickell and M.R. Chassin.

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