Effect of surgeon and anesthesiologist volume on surgical outcomes

The Journal of Surgical Research
Faiz GaniTimothy M Pawlik

Abstract

Little is known regarding the effects of caseload volume of other relevant members of the "surgical team." The present study sought to report variations in health care utilization and outcomes relative to surgeon and anesthesiologist volume among patients undergoing pancreatic surgery. A total of 969 patients undergoing pancreatic surgery from 2011-2013 were identified at a large, tertiary care center. Multivariable regression analyses explored the effects of provider volume on crystalloid administration, blood transfusions, mortality, length of stay, and hospital charges. A total of 11 surgeons were identified while 100 anesthesiologists were involved in providing care to all patients. Annual case volume for surgeons ranged from 5-101 pancreatic resections per year; each anesthesiologist was involved in a fewer number of cases per year with a maximum of 15 patients treated by the same anesthesiologist. Higher volume surgeons had higher transfusions (odds ratio [OR], 1.85; 95% confidence interval [CI], 1.38-2.47; P < 0.001), greater crystalloid administration (OR, 1.62; 95% CI, 1.24-2.12; P < 0.001), and longer length of stay (OR, 1.74; 95% CI, 1.20-2.53; P = 0.003). In contrast, 30-d readmission was lower among higher volume s...Continue Reading

References

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Citations

Sep 25, 2016·The Journal of Surgical Research·Marcelo CerulloTimothy M Pawlik
Oct 16, 2016·HPB Surgery : a World Journal of Hepatic, Pancreatic and Biliary Surgery·Helge BrunsDalibor Antolovic
Jun 20, 2017·Anesthesia and Analgesia·Steven GreenbergEdward Mascha
Jul 4, 2019·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Lauren A WilsonStavros G Memtsoudis
May 23, 2021·Transplantation Proceedings·William D StollLatha Hebbar

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