Effect of hospital volume on in-hospital mortality with pancreaticoduodenectomy

Autor:	Sandra M. Sharp, John D. Birkmeyer, Samuel R.G. Finlayson, Anna N. A. Tosteson, Andrew L. Warshaw, Elliott S. Fisher
Rok vydání:	1999
Předmět:	medicine.medical_specialty Referral business.industry medicine.medical_treatment Mortality rate Pancreaticoduodenectomy Logistic regression Surgery Quartile Emergency medicine medicine Population study Risk factor business Cohort study
Zdroj:	Surgery. 125:250-256
ISSN:	0039-6060
Popis:	Background: Reports of better results at national referral centers than at low-volume community hospitals have prompted calls for regionalizing pancreaticoduodenectomy (the Whipple procedure). We examined the relationship between hospital volume and mortality with this procedure across all US hospitals. Methods: Using information from the Medicare claims database, we performed a national cohort study of 7229 Medicare patients more than 65 years old undergoing pancreaticoduodenectomy between 1992 and 1995. We divided the study population into approximate quartiles according to the hospital's average annual volume of pancreaticoduodenectomies in Medicare patients: very low (
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::06a691959fb29ffee76ef8851a7e4ddf https://doi.org/10.1016/s0039-6060(99)70234-5 Zobrazit plný text záznamu Full Text from ScienceDirect