{"id":"https://openalex.org/W4394803014","doi":"https://doi.org/10.1097/01.ju.0001008808.16085.aa.07","title":"PD57-07 IMPACT OF QUALITY IMPROVEMENT INITIATIVE TIED TO VALUE-BASED REIMBURSEMENT METRIC ON SALVAGE THERAPY UTILIZATION AFTER RADICAL PROSTATECTOMY","display_name":"PD57-07 IMPACT OF QUALITY IMPROVEMENT INITIATIVE TIED TO VALUE-BASED REIMBURSEMENT METRIC ON SALVAGE THERAPY UTILIZATION AFTER RADICAL PROSTATECTOMY","publication_year":2024,"publication_date":"2024-04-15","ids":{"openalex":"https://openalex.org/W4394803014","doi":"https://doi.org/10.1097/01.ju.0001008808.16085.aa.07"},"language":"en","primary_location":{"id":"doi:10.1097/01.ju.0001008808.16085.aa.07","doi":"https://doi.org/10.1097/01.ju.0001008808.16085.aa.07","is_oa":false,"landing_page_url":"https://doi.org/10.1097/01.ju.0001008808.16085.aa.07","pdf_url":null,"source":{"id":"https://openalex.org/S30525748","display_name":"The Journal of Urology","issn_l":"0022-5347","issn":["0022-5347","1527-3792"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Urology","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5114149506","display_name":"Arsyad Santosa","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Arsyad Santosa","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060177498","display_name":"Apoorv Dhir","orcid":"https://orcid.org/0000-0002-7396-2230","observed_orcids":["https://orcid.org/0000-0002-7396-2230"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Apoorv Dhir","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5057313740","display_name":"Kevin Ginsburg","orcid":"https://orcid.org/0000-0002-8140-9793","observed_orcids":["https://orcid.org/0000-0002-8140-9793"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Kevin Ginsburg","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"Tudor Borza","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Tudor Borza","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"Anna Johnson","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Anna Johnson","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034708452","display_name":"Robert Timothy Dess","orcid":"https://orcid.org/0000-0003-2331-3758","observed_orcids":["https://orcid.org/0000-0003-2331-3758"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Robert Dess","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5030236382","display_name":"Patrick Lewicki","orcid":"https://orcid.org/0000-0002-0692-2909","observed_orcids":["https://orcid.org/0000-0002-0692-2909"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Patrick Lewicki","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5062478592","display_name":"Arvin George","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Arvin George","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113753419","display_name":"Mohammad Jafri","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Mohammad Jafri","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"Brad Rosenberg","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Brad Rosenberg","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5076238068","display_name":"Daniel Eidelberg Spratt","orcid":"https://orcid.org/0000-0002-5973-4741","observed_orcids":["https://orcid.org/0000-0002-5973-4741"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Daniel Spratt","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5027920712","display_name":"Todd Matthew Morgan","orcid":"https://orcid.org/0000-0002-1140-0603","observed_orcids":["https://orcid.org/0000-0002-1140-0603"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Todd Morgan","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5088662388","display_name":"for the Michigan Urological Surgery Improvement Collaborativ","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"for the Michigan Urological Surgery Improvement Collaborativ","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":3000,"currency":"USD","value_usd":3000},"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.08794796,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"211","issue":"5S","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10124","display_name":"Prostate Cancer Diagnosis and Treatment","score":0.961899995803833,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10124","display_name":"Prostate Cancer Diagnosis and Treatment","score":0.961899995803833,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.010400000028312206,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.0013000000035390258,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/salvage-radiotherapy","display_name":"salvage radiotherapy","score":0.9580000042915344},{"id":"https://openalex.org/keywords/radical-prostatectomy","display_name":"radical prostatectomy","score":0.8899999856948853},{"id":"https://openalex.org/keywords/biochemical-recurrence","display_name":"biochemical recurrence","score":0.953000009059906},{"id":"https://openalex.org/keywords/value-based-payment","display_name":"value-based payment","score":0.8889999985694885},{"id":"https://openalex.org/keywords/quality-improvement","display_name":"quality improvement","score":0.6690000295639038},{"id":"https://openalex.org/keywords/physician-training","display_name":"physician training","score":0.5009999871253967},{"id":"https://openalex.org/keywords/prostate-cancer","display_name":"prostate cancer","score":0.515999972820282},{"id":"https://openalex.org/keywords/michigan-urological-surgery-improvement-collaborative","display_name":"Michigan Urological Surgery Improvement Collaborative","score":0.8370000123977661},{"id":"https://openalex.org/keywords/shared-decision-making","display_name":"shared decision-making","score":0.4300000071525574},{"id":"https://openalex.org/keywords/patient-satisfaction","display_name":"patient satisfaction","score":0.3100000023841858},{"id":"https://openalex.org/keywords/patient-reported-outcomes","display_name":"patient-reported outcomes","score":0.4020000100135803}],"concepts":[{"id":"https://openalex.org/C2779703844","wikidata":"https://www.wikidata.org/wiki/Q760125","display_name":"Reimbursement","level":3,"score":0.855988621711731},{"id":"https://openalex.org/C2779466945","wikidata":"https://www.wikidata.org/wiki/Q1765251","display_name":"Prostatectomy","level":4,"score":0.8034429550170898},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6303178668022156},{"id":"https://openalex.org/C2780182762","wikidata":"https://www.wikidata.org/wiki/Q1630279","display_name":"Guideline","level":2,"score":0.49330273270606995},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.48951494693756104},{"id":"https://openalex.org/C2908924136","wikidata":"https://www.wikidata.org/wiki/Q7156607","display_name":"Value-Based Purchasing","level":3,"score":0.4687618911266327},{"id":"https://openalex.org/C509974204","wikidata":"https://www.wikidata.org/wiki/Q180507","display_name":"Radiation therapy","level":2,"score":0.4372097849845886},{"id":"https://openalex.org/C71405471","wikidata":"https://www.wikidata.org/wiki/Q757012","display_name":"Quality management","level":3,"score":0.42672282457351685},{"id":"https://openalex.org/C2780192828","wikidata":"https://www.wikidata.org/wiki/Q181257","display_name":"Prostate cancer","level":3,"score":0.376233845949173},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3462439775466919},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.20557653903961182},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.18471738696098328},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.1731809675693512},{"id":"https://openalex.org/C21547014","wikidata":"https://www.wikidata.org/wiki/Q1423657","display_name":"Operations management","level":1,"score":0.14490312337875366},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.09902995824813843},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.09351605176925659},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C198783460","wikidata":"https://www.wikidata.org/wiki/Q629173","display_name":"Management system","level":2,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1097/01.ju.0001008808.16085.aa.07","doi":"https://doi.org/10.1097/01.ju.0001008808.16085.aa.07","is_oa":false,"landing_page_url":"https://doi.org/10.1097/01.ju.0001008808.16085.aa.07","pdf_url":null,"source":{"id":"https://openalex.org/S30525748","display_name":"The Journal of Urology","issn_l":"0022-5347","issn":["0022-5347","1527-3792"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Urology","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9940000176429749,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2796325707","https://openalex.org/W2912265329","https://openalex.org/W4408027370","https://openalex.org/W2048690555","https://openalex.org/W4407701826","https://openalex.org/W4411700170","https://openalex.org/W3042835140","https://openalex.org/W2796011225","https://openalex.org/W2136355944","https://openalex.org/W6908949939"],"abstract_inverted_index":{"You":[0],"have":[1,160],"accessJournal":[2],"of":[3,144,175,194,201,227,273,301,308,335,342,355,361,368,438,470,480,488],"UrologyProstate":[4],"Cancer:":[5],"Localized:":[6],"Radiation":[7],"Therapy":[8],"(PD57)1":[9],"May":[10],"2024PD57-07":[11],"IMPACT":[12],"OF":[13],"QUALITY":[14],"IMPROVEMENT":[15],"INITIATIVE":[16],"TIED":[17],"TO":[18],"VALUE-BASED":[19],"REIMBURSEMENT":[20],"METRIC":[21],"ON":[22],"SALVAGE":[23],"THERAPY":[24],"UTILIZATION":[25],"AFTER":[26],"RADICAL":[27],"PROSTATECTOMY":[28],"Arsyad":[29,61,520],"Santosa,":[30],"Apoorv":[31,65,527],"Dhir,":[32],"Kevin":[33,69,534],"Ginsburg,":[34],"Tudor":[35,73,541],"Borza,":[36],"Anna":[37,77,548],"Johnson,":[38],"Robert":[39,81,555],"Dess,":[40],"Patrick":[41,85,562],"Lewicki,":[42],"Arvin":[43,89,569],"George,":[44],"Mohammad":[45,93,576],"Jafri,":[46],"Brad":[47,97,583],"Rosenberg,":[48],"Daniel":[49,101,590],"Spratt,":[50],"Todd":[51,105,597],"Morgan,":[52],"and":[53,109,216,238,253,265,327,347,373,393,411,432,460,497,515],"for":[54,110,117,148,232,402,421,604],"the":[55,111,118,199,255,276,288,297,391,409,430,453,468,605],"Michigan":[56,112,119,195,210,489,606],"Urological":[57,113,120,211,494,512,607],"Surgery":[58,114,121,212,608],"Improvement":[59,115,122,213,609],"Collaborative":[60,116,123,214,610],"SantosaArsyad":[62],"Santosa":[63,521],",":[64,68,72,76,80,84,88,92,96,100,104,108],"DhirApoorv":[66],"Dhir":[67,528],"GinsburgKevin":[70],"Ginsburg":[71,535],"BorzaTudor":[74],"Borza":[75,542],"JohnsonAnna":[78],"Johnson":[79,549],"DessRobert":[82],"Dess":[83,556],"LewickiPatrick":[86],"Lewicki":[87,563],"GeorgeArvin":[90],"George":[91,570],"JafriMohammad":[94],"Jafri":[95,577],"RosenbergBrad":[98],"Rosenberg":[99,584],"SprattDaniel":[102],"Spratt":[103,591],"MorganTodd":[106],"Morgan":[107,598],"View":[124],"All":[125,617],"Author":[126,518],"Informationhttps://doi.org/10.1097/01.JU.0001008808.16085.aa.07AboutPDF":[127],"ToolsAdd":[128],"to":[129,172,181,222,287,352],"favoritesDownload":[130],"CitationsTrack":[131],"CitationsPermissionsReprints":[132],"ShareFacebookLinked":[133],"InTwitterEmail":[134],"Abstract":[135],"INTRODUCTION":[136],"AND":[137],"OBJECTIVE:":[138],"Despite":[139],"guideline":[140,471],"recommendations":[141],"in":[142,187,474],"support":[143],"salvage":[145,205,310,365,423,439,454],"radiotherapy":[146],"(sRT)":[147],"patients":[149,247,337],"with":[150,189,225,240,338],"biochemical":[151],"recurrence":[152],"(BCR)":[153],"following":[154,256],"radical":[155],"prostatectomy":[156],"(RP),":[157],"previous":[158],"investigations":[159],"shown":[161],"low":[162],"utilization.":[163,207],"In":[164],"2019,":[165],"we":[166,244],"initiated":[167],"a":[168,182,219,339],"quality":[169,226],"improvement":[170],"strategy":[171,203],"increase":[173],"rates":[174],"sRT,":[176],"coupling":[177],"an":[178],"educational":[179,241,459],"initiative":[180],"value-based":[183],"reimbursement":[184,224,461],"(VBR)":[185],"metric":[186,221],"collaboration":[188],"Blue":[190,192,484,486],"Cross":[191,485],"Shield":[193,487],"(BCBSM).":[196],"We":[197],"report":[198],"impact":[200],"this":[202,475,525,532,539,546,553,560,567,574,581,588,595,602,614],"on":[204],"therapy":[206,311,375,424,440,455],"METHODS:":[208],"The":[209,293,306,332,398,417],"(MUSIC)":[215],"BCBSM":[217],"developed":[218],"VBR":[220,323],"align":[223],"care.":[228],"This":[229],"was":[230,296,312,382,404,425,463],"applied":[231],"sRT":[233,302,380,403],"from":[234,251,350,483],"July":[235],"2019-June":[236,325],"2021":[237],"coupled":[239],"sessions.":[242],"Here,":[243],"identified":[245],"MUSIC":[246],"who":[248,280],"underwent":[249,363],"RP":[250,264,284,351],"2012-2023":[252],"met":[254],"criteria:":[257],"PSA":[258,270,290,354,378],"\u22650.1":[259],"after":[260,275],"30":[261],"days":[262],"post":[263],"at":[266,303,379,466],"least":[267],"1":[268,304],"follow-up":[269],"or":[271,285],"initiation":[272,381],"treatment":[274,282],"detectable":[277,289,353],"PSA.":[278],"Patients":[279],"received":[281],"before":[283],"prior":[286],"were":[291,317],"excluded.":[292],"primary":[294],"outcome":[295],"Kaplan-Meier":[298],"probability":[299,307,400,419],"estimate":[300,401,420],"year.":[305],"any":[309,364,422],"also":[313],"assessed.":[314],"Time":[315],"periods":[316],"categorized":[318],"as":[319],"pre-VBR":[320],"(2012-June":[321],"2019),":[322],"(July":[324,329],"2021),":[326],"post-VBR":[328,413,434],"2021-2023).":[330],"RESULTS:":[331],"cohort":[333],"consisted":[334],"5,811":[336],"median":[340,348],"age":[341],"64":[343],"yrs":[344],"(IQR":[345],"59-69)":[346],"time":[349],"4.4":[356],"mo":[357],"(1.6-17.4).":[358],"A":[359],"total":[360],"2,533":[362],"therapy,":[366],"consisting":[367],"RT":[369],"(n=469),":[370],"RT+ADT":[371],"(n=957),":[372],"ADT/systemic":[374],"(n=1,107).":[376],"Median":[377],"0.5":[383],"ng/mL":[384,388,395],"(0.2-1.9)":[385,396],"pre-VBR,":[386,406,427],"0.4":[387,394],"(0.2-1.5)":[389],"during":[390,408,429],"VBR,":[392,410,431],"post-VBR.":[397],"1-year":[399,418],"26%":[405],"28%":[407],"36%":[412],"(p<0.001;":[414],"Figure":[415],"1).":[416],"42%":[426],"43%":[428],"55%":[433],"(p<0.001).":[435],"CONCLUSIONS:":[436],"Rates":[437],"changed":[441],"little":[442],"initially":[443],"but":[444],"increased":[445],"significantly":[446],"over":[447],"time.":[448],"These":[449],"data":[450],"suggest":[451],"that":[452],"initiative,":[456],"employing":[457],"both":[458],"strategies,":[462],"ultimately":[464],"successful":[465],"improving":[467],"delivery":[469],"concordant":[472],"care":[473],"setting.":[476],"Download":[477],"PPT":[478],"Source":[479],"Funding:":[481],"Funding":[482],"\u00a9":[490],"2024":[491,509],"by":[492,510,524,531,538,545,552,559,566,573,580,587,594,601,613],"American":[493,511],"Association":[495,513],"Education":[496,514],"Research,":[498,516],"Inc.FiguresReferencesRelatedDetails":[499],"Volume":[500],"211Issue":[501],"5SMay":[502],"2024Page:":[503],"e1211":[504],"Advertisement":[505,618],"Copyright":[506],"&":[507],"Permissions\u00a9":[508],"Inc.Metrics":[517],"Information":[519],"More":[522,529,536,543,550,557,564,571,578,585,592,599,611],"articles":[523,530,537,544,551,558,565,572,579,586,593,600,612],"author":[526,533,540,547,554,561,568,575,582,589,596,603,615],"Expand":[616],"PDF":[619],"downloadLoading":[620],"...":[621]},"counts_by_year":[],"updated_date":"2026-11-01T11:40:01.658920","created_date":"2024-04-16T00:00:00"}