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Vestibular Schwannoma Surgical Volume and Short-term Outcomes in Maryland

Vestibular Schwannoma Surgical Volume and Short-term Outcomes in Maryland ORIGINAL ARTICLE Vestibular Schwannoma Surgical Volume and Short-term Outcomes in Maryland Bryan K. Ward, MD; Christine G. Gourin, MD, MPH; Howard W. Francis, MD Objective: To characterize contemporary practice pat- P .001) and an increase in cases performed by inter- terns and outcomes of vestibular schwannoma surgery. mediate-volume (OR, 4.2; P = .002) and high-volume (OR, 3.2; P = .005) hospitals and intermediate-volume (OR, 1.9; Design: Cross-sectional analysis. P = .004) and high-volume (OR, 1.8; P = .006) surgeons. High-volume care was inversely related to the odds of ur- Setting: Maryland Health Service Cost Review Com- gent and emergent surgery (OR, 0.2; P .001) and re- mission database. admissions (OR, 0.1; P = .02). Surgeon volume ac- counted for 59% of the effect of hospital volume for urgent Patients: The study included patients who underwent and emergent admissions and 20% for readmissions. Af- surgery for vestibular schwannoma between 1990 and ter all other variables were controlled for, there was no 2009. significant association between hospital or surgeon vol- ume and in-hospital mortality or CNS complications; how- Main Outcome Measures: Temporal trends and re- ever, surgery at high-volume hospitals was associated with lationships between volume and in-hospital deaths, cen- significantly http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Otolaryngology - Head & Neck Surgery American Medical Association

Vestibular Schwannoma Surgical Volume and Short-term Outcomes in Maryland

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References (27)

Publisher
American Medical Association
Copyright
Copyright 2012 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6181
eISSN
2168-619X
DOI
10.1001/archoto.2012.877
pmid
22710510
Publisher site
See Article on Publisher Site

Abstract

ORIGINAL ARTICLE Vestibular Schwannoma Surgical Volume and Short-term Outcomes in Maryland Bryan K. Ward, MD; Christine G. Gourin, MD, MPH; Howard W. Francis, MD Objective: To characterize contemporary practice pat- P .001) and an increase in cases performed by inter- terns and outcomes of vestibular schwannoma surgery. mediate-volume (OR, 4.2; P = .002) and high-volume (OR, 3.2; P = .005) hospitals and intermediate-volume (OR, 1.9; Design: Cross-sectional analysis. P = .004) and high-volume (OR, 1.8; P = .006) surgeons. High-volume care was inversely related to the odds of ur- Setting: Maryland Health Service Cost Review Com- gent and emergent surgery (OR, 0.2; P .001) and re- mission database. admissions (OR, 0.1; P = .02). Surgeon volume ac- counted for 59% of the effect of hospital volume for urgent Patients: The study included patients who underwent and emergent admissions and 20% for readmissions. Af- surgery for vestibular schwannoma between 1990 and ter all other variables were controlled for, there was no 2009. significant association between hospital or surgeon vol- ume and in-hospital mortality or CNS complications; how- Main Outcome Measures: Temporal trends and re- ever, surgery at high-volume hospitals was associated with lationships between volume and in-hospital deaths, cen- significantly

Journal

JAMA Otolaryngology - Head & Neck Surgery – American Medical Association

Published: Jun 1, 2012

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