Association of Very Low-Volume Practice With Vascular Surgery Outcomes in New York.

JAMA Surgery
Jialin MaoArt Sedrakyan

Abstract

Little research has focused on very low-volume surgery, especially in the context of decreasing vascular surgery volume with the adoption of endovascular procedures. To investigate the existence and outcomes of open abdominal aortic aneurysm repair (OAR) and carotid endarterectomy (CEA) performed by very low-volume surgeons in New York. This cohort study examined inpatient data of patients undergoing elective OAR or CEA from 2000 to 2014 from all New York hospitals. Surgeons who performed 1 or less designated procedure per year on average were considered very low volume, as opposed to higher-volume surgeons. Temporal trends of the existence of very low-volume practice were evaluated. Hierarchical logistic regression was used to compare in-hospital outcomes and health care resource use between patients treated by very low-volume surgeons and higher-volume surgeons for both OAR and CEA, adjusting for patient, surgeon, and hospital characteristics. There were 8781 OAR procedures and 68 896 CEA procedures included in the study. The mean (SD) patient age was 71.7 (8.4) years for OAR and 71.5 (9.1) years for CEA. A total of 614 surgeons performed OAR and 1071 performed CEA in New York during the study period. Of these, 318 (51.8%) an...Continue Reading

Citations

May 10, 2018·Obstetrics and Gynecology·Maria P RuizJason D Wright
Nov 8, 2019·Obstetrics and Gynecology·Charlotte R GambleJason D Wright
Oct 3, 2019·Health Services Research·Hemalkumar B MehtaJames S Goodwin
Nov 26, 2019·Obstetrics and Gynecology·Charlotte R GambleJason D Wright
Jun 7, 2019·Gynecologic Oncology·Jason D WrightDawn L Hershman
Jul 31, 2019·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·John R MontgomeryKenneth J Woodside
Sep 6, 2020·Journal of Vascular Surgery·Abhisekh MohapatraMohammad H Eslami
Apr 14, 2021·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Mouhamed D MoussaEmmanuel Robin
Mar 17, 2021·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Salvatore T ScaliKevin Mani
Jan 22, 2021·Gastrointestinal Endoscopy·Robert J HuangSubhas Banerjee

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