The volume-mortality relation for radical cystectomy in England: retrospective analysis of hospital episode statistics.

ABSTRACT:

Objectives

To investigate the relation between volume and mortality after adjustment for case mix for radical cystectomy in the English healthcare setting using improved statistical methodology, taking into account the institutional and surgeon volume effects and institutional structural and process of care factors.

Design

Retrospective analysis of hospital episode statistics using multilevel modelling.

Setting

English hospitals carrying out radical cystectomy in the seven financial years 2000/1 to 2006/7.

Participants

Patients with a primary diagnosis of cancer undergoing an inpatient elective cystectomy.

Main outcome measure

Mortality within 30 days of cystectomy.

Results

Compared with low volume institutions, medium volume ones had a significan

SUBMITTER: Mayer EK 

PROVIDER: S-EPMC2842924 | biostudies-literature | 2010 Mar

REPOSITORIES: biostudies-literature