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. 2021 May;12(4):623-631.
doi: 10.1016/j.jgo.2020.11.006. Epub 2020 Dec 2.

The association between patient experience and healthcare outcomes using SEER-CAHPS patient experience and outcomes among cancer survivors

Charan S Mohan  1 , Jason S Rotter  2 , Hung-Jui Tan  3 , Erin Kent  2 , Marc A Bjurlin  3 , Ethan Basch  4 , Cleo Samuel  2 , Matthew Nielsen  3 , Angela B Smith  5
Affiliations

The association between patient experience and healthcare outcomes using SEER-CAHPS patient experience and outcomes among cancer survivors

Charan S Mohan et al. J Geriatr Oncol. 2021 May.

Abstract

Objective: To understand the relationship between patient experience, as measured by scores on the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey, and clinical and financial outcomes among older cancer survivors.

Materials and methods: We analyzed the records of all Fee-for-Service (FFS) Medicare beneficiaries 66 years and older who completed one CAHPS survey from 2001 to 2004 or 2007-2013 with one of the five following cancer types: breast, bladder, colorectal, lung, or prostate; and completed a CAHPS survey within 5 years of cancer diagnosis date. We conducted a multivariate analysis, controlling for clinical and demographic variables, to evaluate the association between excellent CAHPS scores and the following clinical and financial outcomes: mortality, emergency department visits, and total healthcare expenditures.

Results: A total of 7395 individuals were present in our cohort, with 57% being male and 85.7% non-Hispanic White. Breakdown of the cohort by cancer site is as follows: prostate (40.4%), breast (28.6%), colorectal (14.0%), lung (9.4%), and bladder (7.6%). When looking at the relationship between CAHPS scores and clinical outcomes, there was no significant difference between excellent and non-excellent CAHPS score respondents in all three of the clinical outcomes studied. Furthermore, there was no association between ED utilization and patient experience scores when stratifying by cancer site and race/ethnicity among this cohort.

Conclusion: In this cohort, a highly rated patient experience, as measured by responses on the CAHPS survey, is not associated with improved clinical outcomes among older cancer survivors.

Keywords: CAHPS; Cancer; Medicare; Outcomes; Patient experience; SEER; Survey.

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Conflict of interest statement

Declaration of Competing Interest Charan Mohan has nothing to disclose. Jason Rotter has nothing to disclose. Hung-Jui Tan has nothing to disclose. Erin Kent has nothing to disclose. Marc Bjurlin has nothing to disclose. Ethan Basch reports grants the National Cancer Institute and Patient-Centered Outcomes Research Institute, and personal fees from Memorial Sloan Kettering Cancer Center, Research Triangle Institute/CMS, CareVive Systems, Sivan Healthcare, Navigating Cancer, and Self Care Catalysts all outside the submitted work. Cleo Samuel reports grants from National Cancer Institute, grants from National Comprehensive Cancer Network and Pfizer, personal fees from University of Miami, outside the submitted work. Matthew Nielsen reports consultant status from American College of Physicians and American Urological Association, and medical advisory board membership on Grand Rounds, outside the submitted work. Angela Smith reports consultant status with Photocure, consultant status with Merck, grants from PCORI, medical advisory board membership with Urogen, outside the submitted work.

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