The Correlation Between Case Total Work Relative Value Unit, Operative Stress, and Patient Frailty: Retrospective Cohort Study.

ABSTRACT:

Objective

Assess the relationships between case total work relative value units (wRVU), patient frailty, and the physiologic stress of surgical interventions.

Summary of background data

Surgeon reimbursement is frequently apportioned by wRVU. These subjective, procedure-specific valuations generated by physician survey estimate the intensity and time for typical patient care services. We hypothesized wRVU would not adequately account for patient-specific factors, such as frailty, that modify the required physician work, regardless of procedural complexity.

Methods

Using National and Veterans Affairs Surgical Quality Improvement Programs (2015-2018), we evaluated the correlation between case total wRVU, patient frailty (risk analysis index) and physiologic surgical str

SUBMITTER: Reitz KM 

PROVIDER: S-EPMC8433485 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature