Journal Article

Surgeon Volume and Operative Mortality in the United States

Birkmeyer, John D, Goodney, Philip P, Wennberg, David E, Lucas, F. Lee, Siewers, Andrea E, Stukel, Therese A

2003

Overview

Research has demonstrated that there is lower operative mortality at hospitals with higher surgical volume. Using administrative data from Medicare, this study found lower mortality associated with each of eight procedures when performed by surgeons who undertook the operation more frequently. Lower mortality with surgeons who operate frequently. For many surgical procedures, patients at hospitals where a high number of such procedures are performed (high-volume hospitals) have lower mortality rates than those at hospitals that are less experienced with the procedures. 1 – 4 In one recent study of the national population of Medicare recipients, we found strong relations between hospital volume and operative mortality associated with 14 high-risk cancer resections and cardiovascular procedures. 5 Despite the considerable body of research in this area, little is known about the mechanisms underlying the observed associations between volume and outcome. Because they tend to be much larger facilities, high-volume hospitals have a broader . . .

• Publisher: Massachusetts Medical Society
• Subject: Aged / Biological and medical sciences / Cardiovascular Surgical Procedures - mortality / Cardiovascular Surgical Procedures - utilization / Databases, Factual / Female / General Surgery - standards / General Surgery - statistics & numerical data / Hospitals / Hospitals - utilization / Humans / Logistic Models / Male / Medical sciences / Medicare / Miscellaneous / Mortality / Neoplasms - surgery / Outcome Assessment (Health Care) / Surgeons / Surgery / Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases / Surgical Procedures, Operative - mortality / Surgical Procedures, Operative - utilization / United States