Variation of Thyroidectomy-Specific Outcomes Among Hospitals and Their Association With Risk Adjustment and Hospital Performance.

ABSTRACT:

Importance

Current surgical quality metrics might be insufficient to fully judge the quality of certain operations because they are not procedure specific. Hypocalcemia, recurrent laryngeal nerve (RLN) injury, and hematoma are considered to be the most relevant outcomes to measure after thyroidectomy. Whether these outcomes can be used as hospital quality metrics is unknown.

Objectives

To evaluate whether thyroidectomy-specific outcomes vary among hospitals, whether the addition of thyroidectomy-specific variables affects risk adjustment, and whether differences in hospital performance are associated with thyroidectomy-specific care processes.

Design, setting, and participants

In this retrospective cohort study, patients undergoing thyroidectomies from January 1, 2013

SUBMITTER: Liu JB 

PROVIDER: S-EPMC5833609 | biostudies-literature | 2018 Jan

REPOSITORIES: biostudies-literature