Relationship between hospital volume and short-term outcomes: a nationwide population-based study including 75,280 rectal cancer surgical procedures

There is growing interest on the potential relationship between hospital volume (HV) and outcomes as it might justify the centralization of care for rectal cancer surgery. From the National Italian Hospital Discharge Dataset, data on 75,280 rectal cancer patients who underwent elective major surgery...

Full description

Saved in:
Bibliographic Details
Published in:Oncotarget 2018-03, Vol.9 (24), p.17149-17159
Main Authors: Pucciarelli, Salvatore, Zorzi, Manuel, Gennaro, Nicola, Marchegiani, Francesco, Barina, Andrea, Rugge, Massimo, Zuin, Matteo, Perin, Alessandro, Maretto, Isacco, Bergamo, Francesca, Boso, Caterina, Urso, Emanuele Damiano Luca, Frambach, Patrick, Corti, Maria Chiara
Format: Article
Language:English
Subjects:
Clinical Research Paper
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:There is growing interest on the potential relationship between hospital volume (HV) and outcomes as it might justify the centralization of care for rectal cancer surgery. From the National Italian Hospital Discharge Dataset, data on 75,280 rectal cancer patients who underwent elective major surgery between 2002 and 2014 were retrieved and analyzed. HV was grouped into tertiles: low-volume performed 1-12, while high-volume hospitals performed 33+ procedures/year. The impact of HV on in-hospital mortality, abdominoperineal resection (APR), 30-day readmission, and length of stay (LOS) was assessed. Risk factors were calculated using multivariate logistic regression. The proportion of procedures performed in low-volume hospitals decreased by 6.7 percent (p
ISSN:1949-2553
1949-2553
DOI:10.18632/oncotarget.24699