Alpha 2.0
Login Register
» Articles » PMID: 10317676

Outcomes of Surgery Among the Medicare Aged: Surgical Volume and Mortality

Overview
Journal Health Care Financ Rev
Specialty Health Services
Date 1986 Mar 6
PMID 10317676
Citations 14
Authors
G Riley
J Lubitz
Affiliations
Soon will be listed here.
Abstract

We examined the relation between surgical volume and mortality, within 60 days of surgery, for eight procedures on aged Medicare beneficiaries. Logistic regression revealed that high surgical volume was significantly associated with lower mortality for resection of the intestine, coronary artery bypass, transurethral resection of the prostate (TURP), and hip arthroplasty (excluding total hip replacement). For cholecystectomy, total hip replacement, inguinal hernia repair, and femur fracture reduction, no relationship was found between surgical volume and postsurgical mortality. The analyses were repeated using inhospital deaths as the dependent variable, and the results indicated a considerably stronger association between volume and mortality.

Citing Articles

Effect of hospital volume on outcomes of total hip arthroplasty: a systematic review and meta-analysis.

Mufarrih S, Ghani M, Martins R, Qureshi N, Mufarrih S, Malik A J Orthop Surg Res. 2019; 14(1):468.

PMID: 31881918 PMC: 6935169. DOI: 10.1186/s13018-019-1531-0.

The volume-outcome relationship for hip fractures: a systematic review and meta-analysis of 2,023,469 patients.

Wiegers E, Sewalt C, Venema E, Schep N, Verhaar J, Lingsma H Acta Orthop. 2019; 90(1):26-32.

PMID: 30712501 PMC: 6366538. DOI: 10.1080/17453674.2018.1545383.

Modeling the volume-effectiveness relationship in the case of hip fracture treatment in Finland.

Sund R BMC Health Serv Res. 2010; 10:238.

PMID: 20707899 PMC: 2931498. DOI: 10.1186/1472-6963-10-238.

Surgery for rectal cancer performed at teaching hospitals improves survival and preserves continence.

Gutierrez J, Kassira N, Salloum R, Franceschi D, Koniaris L J Gastrointest Surg. 2007; 11(11):1441-8.

PMID: 17876673 DOI: 10.1007/s11605-007-0308-7.

Should soft tissue sarcomas be treated at high-volume centers? An analysis of 4205 patients.

Gutierrez J, Perez E, Moffat F, Livingstone A, Franceschi D, Koniaris L Ann Surg. 2007; 245(6):952-8.

PMID: 17522521 PMC: 1876958. DOI: 10.1097/01.sla.0000250438.04393.a8.

References
1.
Luft H, Bunker J, Enthoven A . Should operations be regionalized? The empirical relation between surgical volume and mortality. N Engl J Med. 1979; 301(25):1364-9. DOI: 10.1056/NEJM197912203012503. View
2.
Lubitz J, Deacon R . The rise in the incidence of hospitalizations for the aged, 1967 to 1979. Health Care Financ Rev. 1982; 3(3):21-40. PMC: 4191262. View
3.
Jensen J, Tondevold E . Mortality after hip fractures. Acta Orthop Scand. 1979; 50(2):161-7. DOI: 10.3109/17453677908989751. View
4.
Lubitz J, Riley G, Newton M . Outcomes of surgery among the Medicare aged: mortality after surgery. Health Care Financ Rev. 1986; 6(4):103-15. PMC: 4191488. View
5.
Gersh B, Kronmal R, Frye R, Schaff H, Ryan T, GOSSELIN A . Coronary arteriography and coronary artery bypass surgery: morbidity and mortality in patients ages 65 years or older. A report from the Coronary Artery Surgery Study. Circulation. 1983; 67(3):483-91. DOI: 10.1161/01.cir.67.3.483. View