Effect of hospital volume on in-hospital mortality with pancreaticoduodenectomy

Background: Reports of better results at national referral centers than at low-volume community hospitals have prompted calls for regionalizing pancreaticoduodenectomy (the Whipple procedure). We examined the relationship between hospital volume and mortality with this procedure across all US hospit...

Full description

Saved in:
Bibliographic Details
Published in:Surgery 1999-03, Vol.125 (3), p.250-256
Main Authors: Birkmeyer, John D., Finlayson, Samuel R.G., Tosteson, Anna N.A., Sharp, Sandra M., Warshaw, Andrew L., Fisher, Elliott S.
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Clinical Competence - statistics & numerical data
Cohort Studies
Female
Hospital Mortality
Hospitals, Community - statistics & numerical data
Humans
Liver, biliary tract, pancreas, portal circulation, spleen
Logistic Models
Male
Medical sciences
Medicare
Outcome Assessment (Health Care)
Pancreaticoduodenectomy - mortality
Patient Admission - statistics & numerical data
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
United States - epidemiology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background: Reports of better results at national referral centers than at low-volume community hospitals have prompted calls for regionalizing pancreaticoduodenectomy (the Whipple procedure). We examined the relationship between hospital volume and mortality with this procedure across all US hospitals. Methods: Using information from the Medicare claims database, we performed a national cohort study of 7229 Medicare patients more than 65 years old undergoing pancreaticoduodenectomy between 1992 and 1995. We divided the study population into approximate quartiles according to the hospital's average annual volume of pancreaticoduodenectomies in Medicare patients: very low (
ISSN:0039-6060
1532-7361
DOI:10.1016/S0039-6060(99)70234-5