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Hospital Volume and Surgical Mortality in the United States
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Journal Article
Hospital Volume and Surgical Mortality in the United States
2002
Overview
For surgical procedures, operative mortality varies inversely with the number of procedures performed at a hospital. This study quantified the relation between volume and outcome among Medicare patients for 14 different surgical procedures. The relative effect of surgical volume on outcome varied markedly among types of procedures. For pancreatic resection, the absolute difference in mortality rates between the highest-volume and the lowest-volume hospitals was over 12 percent, whereas for carotid endarterectomy, the difference was only 0.2 percent.
This study quantified the relation for 14 surgical procedures in Medicare patients.
Over the past three decades, numerous studies have described higher rates of operative mortality with selected surgical procedures at hospitals where few such procedures are performed (low-volume hospitals).
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Several recent reviews suggest that thousands of preventable surgical deaths occur each year in the United States because elective but high-risk surgery is performed in hospitals that have inadequate experience with the surgical procedures involved.
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As part of a broader initiative aimed at improving hospital safety, a large coalition of private and public purchasers of health insurance — the Leapfrog Group — is encouraging patients undergoing one of five high-risk . . .
Publisher
Massachusetts Medical Society
Subject
/ Biological and medical sciences
/ Cardiovascular Surgical Procedures - mortality
/ Cardiovascular Surgical Procedures - utilization
/ Female
/ Health maintenance organizations
/ HMOs
/ Humans
/ Male
/ Medicare
/ Outcome Assessment (Health Care)
/ Surgery
/ Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
/ Surgical Procedures, Operative - mortality
/ Surgical Procedures, Operative - standards
/ Surgical Procedures, Operative - utilization
