Trends in Hospital Volume and Failure to Rescue for Pancreatic Surgery

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
Neda AminiTimothy M Pawlik

Abstract

We sought to evaluate trends in selection of high volume (HV) hospitals for pancreatic surgery, as well as examine trends in preoperative complications, mortality, and failure to rescue (FTR). Patients who underwent pancreatic resection between 2000 and 2011 were identified from the Nationwide Inpatient Sample (NIS). Preoperative morbidity, mortality, and FTR were examined over time. Hospital volume was stratified into tertiles based on the number of pancreatic resections per year for each time period. Logistic regression models were used to assess the effect of hospital volume on risk of complication, postoperative mortality, and FTR over time. A total of 35,986 patients were identified. Median hospital volume increased from 13 in 2000-2003 to 55 procedures/year in 2008-2011 (P < 0.001). Morbidity remained relatively the same over time at low volume (LV), intermediate volume (IV), and HV hospitals (all P > 0.05). Overall postoperative mortality was 5%, and it decreased over time across all hospital volumes (P < 0.05). FTR was more common at LV (12.0%) and IV (8.5%) volume hospitals compared with HV hospitals (6.4%). The improvement in FTR over time was most pronounced at LV and IV hospitals versus HV hospitals (P = 0.001). Med...Continue Reading

References

Jul 26, 1995·JAMA : the Journal of the American Medical Association·J H SilberS V Williams
Aug 26, 1998·The British Journal of Surgery·R M JonesK J Hardy
Sep 22, 1998·Annals of Surgery·J A SosaJ L Cameron
Feb 19, 1999·Medical Care·S R FinlaysonR F Nease
Mar 7, 2000·JAMA : the Journal of the American Medical Association·R A DudleyA Milstein
Apr 18, 2001·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·T A SohnK D Lillemoe
Dec 12, 2001·Journal of the American College of Cardiology·B K NallamothuK A Eagle
Apr 12, 2002·The New England Journal of Medicine·John D BirkmeyerDavid E Wennberg
May 10, 2002·European Journal of Anaesthesiology·G CammuE Mortier
Aug 2, 2003·Annals of Surgery·Philip P GoodneyJohn D Birkmeyer
Dec 3, 2003·The New England Journal of Medicine·John D BirkmeyerF Lee Lucas
Mar 17, 2004·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Michael G HouseKeith D Lillemoe
Jul 10, 2004·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·C SouvignetL Baril
Oct 9, 2004·Health Affairs·Justin B DimickJohn D Birkmeyer
Nov 24, 2004·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Marcia M WardYang Lei
Feb 24, 2006·Annals of Surgery·John D BirkmeyerDouglas O Staiger
Jun 24, 2006·Annals of Surgery·John L CameronKenneth A Belcher
Nov 7, 2006·Journal of the American College of Surgeons·André R ChappelSamuel R G Finlayson
Dec 30, 2006·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Brent K HollenbeckJohn T Wei
Apr 26, 2007·Annals of Surgery·John D BirkmeyerTherese A Stukel
Aug 2, 2007·Annals of Surgery·James T McPheeJennifer F Tseng
Aug 19, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Taylor S RiallJames S Goodwin
Sep 7, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·N PalM P N Lewis
Oct 3, 2009·The New England Journal of Medicine·Amir A GhaferiJustin B Dimick
Feb 22, 2011·Annals of Surgical Oncology·David Yu GreenblattSharon M Weber
Jun 3, 2011·The New England Journal of Medicine·Jonathan F FinksJohn D Birkmeyer
Jan 9, 2014·Journal of Gastroenterology·Masamichi Yokoe
Apr 25, 2014·The British Journal of Surgery·G SpolveratoT M Pawlik
Sep 27, 2014·Stroke; a Journal of Cerebral Circulation·Nicole R GonzalesUNKNOWN CREST Investigators
Oct 10, 2014·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Eric B SchneiderTimothy M Pawlik

❮ Previous
Next ❯

Citations

Dec 31, 2015·Annals of Surgical Oncology·Faiz GaniTimothy M Pawlik
Jul 2, 2016·The Journal of Surgical Research·Neda AminiTimothy M Pawlik
Sep 14, 2016·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Nikolaos AndreatosTimothy M Pawlik
Aug 31, 2017·Current Treatment Options in Gastroenterology·Laura Maggino, Charles M Vollmer
Sep 1, 2018·Annals of Surgery·René VonlanthenPierre-Alain Clavien
Apr 5, 2019·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Leonardo GottinEnrico Polati
Apr 25, 2019·Current Gastroenterology Reports·Matthew T MoyerJohn M DeWitt
May 10, 2016·Nature Reviews. Disease Primers·Jorg KleeffJohn P Neoptolemos
Jan 24, 2020·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·R AholaJ Laukkarinen
Mar 19, 2020·Journal of Biomaterials Applications·Thomas Moritz PauschThilo Hackert
Sep 19, 2019·Nature Reviews. Gastroenterology & Hepatology·Nadine C M van HuijgevoortMarc G Besselink
Apr 29, 2016·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Stefan BuettnerTimothy M Pawlik
Feb 18, 2017·World Journal of Surgery·Hiroki UedaMinoru Tanabe
Mar 23, 2018·World Journal of Surgery·Qinyu ChenTimothy M Pawlik
Aug 23, 2019·JAMA Surgery·Sarah B BateniRichard J Bold
Jul 1, 2017·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Faiz GaniTimothy M Pawlik
Mar 4, 2020·Journal of Surgical Oncology·Patrick J SweigertTimothy M Pawlik
Jul 25, 2020·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Adrian DiazTimothy M Pawlik
May 26, 2017·The Journal of Trauma and Acute Care Surgery·Daniel N HolenaPatrick M Reilly
Dec 12, 2019·Annals of Hepato-biliary-pancreatic Surgery·Patrick CaseyDaren Subar
Aug 2, 2020·Khirurgiia·D S GorinS V Berelavichus
Dec 3, 2017·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·U F WellnerUNKNOWN Deutsche Gesellschaft für Allgemein- und Viszeralchirurgie e. V., Qualitätskommission
Jan 7, 2017·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Daniel J KagedanNatalie G Coburn
Feb 25, 2021·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Jean-Baptiste LequeuCatherine Quantin
Mar 21, 2021·Surgery·Anouk E J LatensteinUNKNOWN Global Audits on Pancreatic Surgery Group (GAPASURG)
Mar 30, 2021·Surgery·Zachary TranPeyman Benharash
Aug 15, 2017·Gastroenterology·Matthew T MoyerCharles E Dye
Apr 30, 2021·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Priya PathakTimothy M Pawlik
Apr 5, 2021·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Courtney LesterMatthew T Moyer
Dec 16, 2020·VideoGIE : an Official Video Journal of the American Society for Gastrointestinal Endoscopy·Kayla M HartzMatthew T Moyer
May 6, 2021·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·D Rohan JeyarajahTimothy M Pawlik
Aug 12, 2017·Advances in Surgery·Christopher T Aquina, Fergal J Fleming

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.