Relationship Between Provider Volume and Mortality for Carotid Endarterectomies in New York State
作者： Edward L Hannan , A John Popp , Bruce Tranmer , Paul Fuestel , John Waldman
DOI: 10.1161/01.STR.29.11.2292
关键词:
摘要: Background and Purpose—The objective of this study was to assess the relationship between each 2 provider volume measures for carotid endarterectomies (CEs) (annual hospital annual surgeon volume) in-hospital mortality. New York’s Statewide Planning Research (SPARCS) administrative database used identify all 28 207 patients whom endarterectomy principal procedure performed in York State hospitals January 1, 1990, December 31, 1995. Methods—A statistical model developed predict mortality using age, admission status, several conditions found be associated with higher-than-average This then calculate risk-adjusted rates various intersections ranges. Results—Risk-adjusted ranged from 1.96% (95%confidence interval, 1.47 2.57) having surgeons CE volumes <5 ≤1...
sci-hub.se 参考文章(21)
E L Hannan, H Kilburn, E P Shields, H R Bernard, A Yazici, J F O'Donnell, M L Lindsey, A longitudinal analysis of the relationship between in-hospital mortality in New York State and the volume of abdominal aortic aneurysm surgeries performed. Health Services Research. ,vol. 27, pp. 517- 542 ,(1992)
H S Luft, S S Hunt, S C Maerki, The volume-outcome relationship: practice-makes-perfect or selective-referral patterns? Health Services Research. ,vol. 22, pp. 157- 182 ,(1987)
M L Dyken, R Pokras, The performance of endarterectomy for disease of the extracranial arteries of the head. Stroke. ,vol. 15, pp. 948- 950 ,(1984) , 10.1161/01.STR.15.6.948
Edward L Hannan, Joseph F O'Donnell, Harold Kilburn, Harvey R Bernard, Altan Yazici, None, Investigation of the Relationship Between Volume and Mortality for Surgical Procedures Performed in New York State Hospitals JAMA: The Journal of the American Medical Association. ,vol. 262, pp. 503- 510 ,(1989) , 10.1001/JAMA.1989.03430040075029
Robert G. Hughes, Sandra S. Hunt, Harold S. Luft, Effects of Surgeon Volume and Hospital Volume on Quality of Care in Hospitals Medical Care. ,vol. 25, pp. 489- 503 ,(1987) , 10.1097/00005650-198706000-00004
Robert A. Solomon, Stephan A. Mayer, John J. Tarmey, Relationship Between the Volume of Craniotomies for Cerebral Aneurysm Performed at New York State Hospitals and In-Hospital Mortality Stroke. ,vol. 27, pp. 13- 17 ,(1996) , 10.1161/01.STR.27.1.13
J D Easton, D G Sherman, Stroke and mortality rate in carotid endarterectomy: 228 consecutive operations. Stroke. ,vol. 8, pp. 565- 568 ,(1977) , 10.1161/01.STR.8.5.565
Ana Livia Cordero, The Determination of Medical Care Needs in Relation to a Concept of Minimal Adequate Care: an evaluation of the curative outpatient services of a rural health centre Medical Care. ,vol. 2, pp. 95- 103 ,(1964) , 10.1097/00005650-196404000-00005
Edward L Hannan, Albert L Siu, Dinesh Kumar, Harold Kilburn, Mark R Chassin, None, The decline in coronary artery bypass graft surgery mortality in New York State. The role of surgeon volume. JAMA. ,vol. 273, pp. 209- 213 ,(1995) , 10.1001/JAMA.1995.03520270043029
Constance M. Winslow, David H. Solomon, Mark R. Chassin, Jacqueline Kosecoff, Nancy J. Merrick, Robert H. Brook, The Appropriateness of Carotid Endarterectomy The New England Journal of Medicine. ,vol. 318, pp. 721- 727 ,(1988) , 10.1056/NEJM198803243181201