Treatment of Craniosynostosis: The Impact of Hospital Surgical Volume on Cost, Resource Utilization, and Outcomes

The Journal of Craniofacial Surgery
Anmol ChatthaSamuel J Lin

Abstract

The authors aim to quantify the impact of hospital volume of craniosynostosis surgery on inpatient complications and resource utilization using national data. Children <12 months with nonsyndromic craniosynostosis who underwent surgery in 2012 at academic hospitals in the United States were identified from the Kids' Inpatient Database (KID) developed by the Healthcare Cost and Utilization Project (HCUP). Hospital craniosynostosis surgery volume was stratified into tertiles based on total annual hospital cases: low volume (LV, 1-13), intermediate volume (IV, 14-34), and high volume (HV, ≥35). Outcomes of interest include major complications, blood transfusion, charges, and length of stay (LOS). In 2012, 154 hospitals performed 1617 total craniosynostosis surgeries. Of these 580 cases (35.8%) were LV, 549 cases (33.9%) were IV, and 488 cases (30.2%) were HV. There was no difference in major complications between hospital volume tertiles (4.3% LV; 3.8% IV; 3.1% HV; P = 0.487). The highest blood transfusion rates were seen at LV hospitals (47.8% LV; 33.9% IV; 26.2%; P < 0.001). Hospital charges were lowest at HV hospitals ($55,839) compared with IV hospitals ($65,624; P < 0.001) and LV hospitals ($62,325; P = 0.005). Mean LOS was s...Continue Reading

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Citations

Feb 23, 2020·Oral and Maxillofacial Surgery Clinics of North America·Shayna Azoulay-AvinoamBonnie L Padwa
Apr 24, 2021·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·David ChiSamuel J Lin
Oct 16, 2020·The Journal of Craniofacial Surgery·Danielle H RochlinRohit K Khosla
Oct 16, 2020·The Journal of Craniofacial Surgery·Danielle H RochlinHermann Peter Lorenz

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