The relationship of surgeon and hospital volume to outcome after gastric bypass surgery in Pennsylvania: a 3-year summary.
作者： Anita Courcoulas , Matthew Schuchert , Guido Gatti , James Luketich
DOI: 10.1016/S0039-6060(03)00306-4
关键词:
摘要: Abstract Background This study explores the volume-outcome relationship for gastric bypass surgery obesity to determine whether higher-volume hospitals, surgeons, or both are associated fewer adverse outcomes. Methods The Pennsylvania state discharge database was used identify 4685 cases of between 1999 and 2001. Statistical modeling analyses were mortality outcome rate significantly related hospital surgeon volume; data controlled risk factors such as age, gender, comorbidities, others. Results There 28 deaths (0.6%) 813 outcomes (17.4%). a significant risk-adjusted volume outcome, same trend observed deaths. Surgeons who performed than 10 procedures per year had 28% 5% death, compared with 14% (P Conclusion Risk-adjusted in-hospital is lower when by surgeons.
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