Impact of hospital and surgeon volumes on outcomes following pelvic reconstructive surgery in the United States

Vivian W. Sung; Michelle L. Rogers; Deborah L. Myers; Melissa A. Clark

doi:10.1016/j.ajog.2006.07.015

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Impact of hospital and surgeon volumes on outcomes following pelvic reconstructive surgery in the United States

Journal article

Peer reviewed

Impact of hospital and surgeon volumes on outcomes following pelvic reconstructive surgery in the United States

Vivian W. Sung, Michelle L. Rogers, Deborah L. Myers and Melissa A. Clark

American journal of obstetrics and gynecology, v 195(6), pp 1778-1783

01 Dec 2006

DOI: https://doi.org/10.1016/j.ajog.2006.07.015

PMID: 17014809

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Abstract

Hospital volume

Mortality

Pelvic floor disorders

Pelvic reconstructive surgery

Surgeon volume

The purpose of this study was to estimate the effect of hospital and surgeon volumes on outcomes following urogynecologic surgery. This was a retrospective cohort study of women who underwent urogynecologic procedures between 1998 and 2003 from the Nationwide Inpatient Sample. Hospitals and surgeons were categorized as low, medium, or high volume based on average number of cases per year. Outcomes included in-hospital mortality, complications, and nonroutine discharges. Multivariable analyses were performed using generalized estimation equations to estimate relative risks. There were 310,759 women and 2986 hospitals. Women who had procedures at low-volume hospitals were 2.75 (95% CI 2.33-3.16) times more likely to die and 1.63 (95% CI 1.44-1.83) times more likely to have a nonroutine discharge, compared to those at high-volume hospitals. Women who had procedures by low-volume surgeons were also more likely to suffer complications and have nonroutine discharges compared to those with high-volume surgeons. Differences in hospital and surgeon volumes of urogynecologic procedures may contribute to variations in mortality and morbidity risks.

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39 citations in Web of Science

40 citations in Scopus

Details

Title: Impact of hospital and surgeon volumes on outcomes following pelvic reconstructive surgery in the United States
Creators: Vivian W. Sung - Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, Brown Medical School
Michelle L. Rogers - Brown University
Deborah L. Myers - Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, Brown Medical School
Melissa A. Clark - Brown University
Publication Details: American journal of obstetrics and gynecology, v 195(6), pp 1778-1783
Publisher: Mosby, Inc
Resource Type: Journal article
Language: English
Academic Unit: Information Science
Web of Science ID: WOS:000242819400043
Scopus ID: 2-s2.0-33751215263
Other Identifier: 991021786588404721

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Web of Science research areas: Obstetrics & Gynecology