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Texas

Cancer Care Quality Measures and Metrics Compared to All States

State Performance Ratings

Rating Number of Measures for State in Summary Measure Number of Measures for All States in Summary Measure
Better than Average = The State rate on an NHQR measure is better than the all-State/regional average and is statistically different from the all-State/regional average. 4 186
Average = The State rate on an NHQR measure is not statistically different from the all-State/regional average. 6 373
Worse than Average = The State rate on an NHQR measure is worse than the all-State/regional average and is statistically different from the all-State/regional average. 6 230
N/A = An estimate or standard error was not available for a State measure or the relative standard error is greater than or equal to 30 percent. 0 27
Total number of measures for the State (excluding measures that are N/A) 16 789

Measures for which Texas's rate is Better than the all-State Average

Quality Dimension Short Measure Name State Performance1 Most Recent Data Year State Rate All-State Average2 Regional Average Baseline Year Average Annual Change3 Direction of Change Data Source4 Full NHQR Measure Title NHQR Table Number5
Cancer Breast cancer diagnosed at advanced stage Better than Average 2007 88.5 91.4 91.3 2004 -0.9% Unchanged NPCR_USCS Breast cancer diagnosed at advanced stage, per 100,000 women age 40 and over 1_1_2.2
Cancer All cancer deaths Better than Average 2007 170 177.5 179.3 2000 -2.0% Improved NVSS All cancer deaths per 100,000 population 1_4_1.4
Cancer Prostate cancer deaths Better than Average 2007 21.2 23.2 22.4 2000 -4.4% Improved NVSS Prostate cancer deaths per 100,000 male population 1_4_2.4
Cancer Lung cancer deaths Better than Average 2007 47.4 49.0 52.0 2000 -2.4% Improved NVSS Lung cancer deaths per 100,000 population 1_4_3.4


1 State Performance is for the most recent data year compared to All States

2 These all-State averages are calculated consistently across all measures and differ slightly from those in the National Healthcare Quality Report. For more information, select the Methods page.

3 The sign on entries under the column "Average Annual Change" indicates whether the measure has risen or fallen since the baseline year. Because "+" or "-" can represent an improvement or a worsening depending on how the measure is constructed, the column "Direction of Change" helps the user know what the change means.

4 Additional information about data sources/acronyms.

5 Select for other States' rates.

Measures for which Texas's rate is similar to the all-State Average

Quality Dimension Short Measure Name State Performance6 Most Recent Data Year State Rate All-State Average7 Regional Average Baseline Year Average Annual Change8 Direction of Change Data Source9 Full NHQR Measure Title NHQR Table Number10
Cancer Breast cancer axillary node dissection or sentinel lymph node biopsy Average 2008 93.9 94.2 94.7 2004 1.8% Improved NCDB Women with clinical Stage I-IIb breast cancer who received axillary node dissection or sentinel lymph node biopsy (SLNB) at the time of surgery (lumpectomy or mastectomy) 1_1_3.3
Cancer Breast cancer deaths Average 2007 22.6 22.7 23.3 2000 -1.6% Improved NVSS Breast cancer deaths per 100,000 female population 1_1_5.4
Cancer Any colorectal cancer screening Average 2008 53.6 50.4 53.9 No Data No Data No Data BRFSS Adults 50-75 years who ever received a colorectal cancer screening 1_3_1.3
Cancer Colorectal cancer diagnosed at advanced stage Average 2007 72 74.2 75.1 2004 -3.0% Improved NPCR_USCS Colorectal cancer diagnosed at advanced stage, per 100,000 population age 50 and over 1_3_4.2
Cancer Surgical resection of colon cancer Average 2008 83.1 81.8 81.4 2004 8.2% Improved NCDB Patients with colon cancer who received recommended treatment: resected colon specimen had at least 12 regional lymph nodes pathologically examined 1_3_5.3
Cancer Colorectal cancer deaths Average 2007 16.4 16.8 17.2 2000 -2.3% Improved NVSS Colorectal cancer deaths per 100,000 population per year 1_3_6.4


6 State Performance is for the most recent data year compared to All States

7 These all-State averages are calculated consistently across all measures and differ slightly from those in the National Healthcare Quality Report. For more information, select the Methods page.

8 The sign on entries under the column "Average Annual Change" indicates whether the measure has risen or fallen since the baseline year. Because "+" or "-" can represent an improvement or a worsening depending on how the measure is constructed, the column "Direction of Change" helps the user know what the change means.

9 Additional information about data sources/acronyms.

10 Select for other States' rates.

Measures for which Texas's rate is Worse than the all-State Average

Quality Dimension Short Measure Name State Performance11 Most Recent Data Year State Rate All-State Average12 Regional Average Baseline Year Average Annual Change13 Direction of Change Data Source14 Full NHQR Measure Title NHQR Table Number15
Cancer Mammograms Worse than Average 2008 77.1 81.4 77.0 2000 0.2% Unchanged BRFSS Women ages 50-74 who received a mammogram within the last 2 years 1_1_1.3
Cancer Breast cancer surgery and radiation therapy Worse than Average 2008 54.3 81.8 65.8 2004 0.5% Unchanged NCDB Women under age 70 treated for breast cancer with breast-conserving surgery who received radiation therapy to the breast within 1 year of diagnosis 1_1_4.3
Cancer Pap test Worse than Average 2008 83.3 85.7 81.2 2000 -0.0% Unchanged BRFSS Women ages 21-65 who received a Pap smear test within the last 3 years 1_2_1.3
Cancer Cervical cancer diagnosed at advanced stage Worse than Average 2007 13.5 10.9 13.4 2004 0.5% Unchanged NPCR_USCS Cervical cancer diagnosed at advanced stage per 100,000 women age 20 and over 1_2_2.2
Cancer Colonoscopy or sigmoidoscopy Worse than Average 2008 57.6 64.2 55.6 2001 4.1% Improved BRFSS Adults age 50 and over who ever received a colonoscopy or sigmoidoscopy 1_3_2.3
Cancer Fecal occult blood test Worse than Average 2008 19.9 21.6 20.1 2001 -3.9% Worsened BRFSS Adults age 50 and over who received a fecal occult blood test (FOBT) in the last 2 years 1_3_3.3


11 State Performance is for the most recent data year compared to All States

12 These all-State averages are calculated consistently across all measures and differ slightly from those in the National Healthcare Quality Report. For more information, select the Methods page.

13 The sign on entries under the column "Average Annual Change" indicates whether the measure has risen or fallen since the baseline year. Because "+" or "-" can represent an improvement or a worsening depending on how the measure is constructed, the column "Direction of Change" helps the user know what the change means.

14 Additional information about data sources/acronyms.

15 Select for other States' rates.