Relative impact of surgeon and hospital volume on operative mortality and complications following pancreatic resection in Medicare patients.

ABSTRACT:

Background

Surgeon and hospital volume are both known to affect outcomes for patients undergoing pancreatic resection. The objective was to evaluate the relative effects of surgeon and hospital volume on 30-d mortality and 30-d complications after pancreatic resection among older patients.

Materials and methods

The study used Texas Medicare data (2000-2012), identifying high-volume surgeons as those performing ≥4 pancreatic resections/year, and high-volume hospitals as those performing ≥11 pancreatic resections/year, on Medicare patients. Three-level hierarchical logistic regression models were used to evaluate the relative effects of surgeon and hospital volumes on mortality and complications, after adjusting for case mix differences.

Results

There were 2453 pancreat

SUBMITTER: Mehta HB 

PROVIDER: S-EPMC5002309 | biostudies-literature | 2016 Aug

REPOSITORIES: biostudies-literature