Frequency with which surgeons undertake pancreaticoduodenectomy determines length of stay, hospital charges, and in-hospital mortality

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
A S RosemurgyL C Carey

Abstract

Others have suggested that in certain technically challenging operations, outcome and experience are related. Because pancreaticoduodenectomy is a technically complex procedure, this study was undertaken to evaluate mortality, length of hospital stay, and hospital charges when compared to volume of experience. The database of the State of Florida Agency for Health Care Administration was queried for pancreaticoduodenectomies undertaken during a recent 33-month period. Length of stay, hospital charges, and in-hospital mortality were stratified by the frequency of pancreaticoduodenectomy. A total of 282 surgeons performed 698 pancreaticoduodenectomies over 33 months. Eighty-nine percent of surgeons performed one pancreaticoduodenectomy per year or less and accounted for 52% of the procedures. Overall mortality rate was 5.1%. Average hospital charges were $72,171.64. The more frequently pancreaticoduodenectomy was undertaken, the shorter the hospital stay (P = 0.025, regression analysis) and the lower the hospital charges (P = 0.008, regression analysis) and in-hospital mortality (P = 0.036, log likelihood ratio test). Surgeons who undertake pancreaticoduodenectomy more frequently have patients with shorter hospital stays, ...Continue Reading

Citations

Jul 4, 2003·Annals of Surgical Oncology·Kristin A SkinnerRichard Sposto
Sep 5, 2003·The Journal of Bone and Joint Surgery. American Volume·Lindsay B GreenDonald Fithian
Jan 30, 2004·Cancer Control : Journal of the Moffitt Cancer Center·Emmanuel E ZervosAlan J Durkin
Aug 19, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Taylor S RiallJames S Goodwin
Jul 27, 2017·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Francisco Igor B MacedoNipun Merchant
Jun 27, 2018·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Dimitrios XourafasJordan M Cloyd
Jun 15, 2004·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·William H SlatteryMark Oppenheimer
May 4, 2007·Digestive Surgery·Koichi HirataTomohisa Furuhata
Dec 25, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Alexander RosemurgyEmmanuel Zervos
Aug 3, 2010·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Timothy J KennedyPaul D Hansen
Aug 10, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Whalen ClarkAlexander Rosemurgy
Aug 27, 2018·Annals of Surgical Oncology·Alex CoffmanShane Lloyd
Mar 11, 2004·Current Treatment Options in Gastroenterology·J. Chad JohnsonWilliam M. Grady
Apr 11, 2006·The Kaohsiung Journal of Medical Sciences·Wei-Ching ChungHerng-Chia Chiu
Aug 18, 2010·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Saboor KhanMichael B Farnell
Oct 13, 2007·The British Journal of Surgery·G BalzanoV Di Carlo
Jan 30, 2007·The British Journal of Surgery·M M ChowdhuryA Pierro
Sep 12, 2015·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Jeffrey M HardacreJohn Dumot
Jun 30, 2009·Annals of Surgery·Leon D BoudourakisJulie A Sosa
Apr 5, 2015·Annals of Surgical Oncology·Jeffrey M SuttonDaniel E Abbott
Aug 23, 2019·JAMA Surgery·Sarah B BateniRichard J Bold
Jan 18, 2018·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Jonathan L HatchTheodore R McRackan
Sep 30, 2020·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Onur C KutluClaudius Conrad
Mar 27, 2021·Journal of the American College of Surgeons·Lauren M PerryJeffrey S Hoch
Oct 31, 2002·Annales de chirurgie·K SlimJ Chipponi
Jun 2, 2021·Seminars in Cancer Biology·Benno TraubMarko Kornmann
Aug 7, 2007·Seminars in Oncology·Michael B Ujiki, Mark S Talamonti
Oct 18, 2008·Journal of the American College of Surgeons·Karl Y BilimoriaDavid J Bentrem
May 25, 2010·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Jonathan HernandezAlexander Rosemurgy

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