Surgeon volume as a predictor of outcomes in inpatient and outpatient endocrine surgery.

摘要: Background Surgeon experience correlates with improved outcomes for complex operations. Endocrine operations are increasingly performed in the outpatient setting, where have not been systematically studied. We examined effect of surgeon volume on clinical and economic thyroid, parathyroid, adrenal surgery across inpatient settings. Methods New York Florida state discharge data (2002) were Surgeons grouped by annual endocrine operative volume: Group A, 1 to 3 operations; B, 4 8; C, 9 19; D, 20 50; E, 51 99; F, ≥100. Multiple regression analyses applied analyze complications, length stay (LOS), total charges (TC), while controlling comorbidity, factors, hospital-centric variables. Results identified 13,997 discharges, 28% an basis (admission/discharge same calendar day). For all cases, group A contributed disproportionately more complications (observed/expected [O/E] 1.65, P Conclusions inversely complication rates, LOS, TC, surgery. The lowest rates achieved surgeons performing ≥100 annually.