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Association of Hospital Volume With Laryngectomy Outcomes in Patients With Larynx Cancer

Association of Hospital Volume With Laryngectomy Outcomes in Patients With Larynx Cancer Key PointsQuestionWhat is the association between hospital volume and outcomes for laryngectomy surgery? FindingsAmong 45 156 patients at 5516 hospitals in this cross-sectional study, a minimum hospital volume threshold of more than 6 cases per year was associated with reduced odds of postoperative complications, with a greater reduction in the odds of complications with increasing volume. High-volume hospital care (>28 cases per year) was also associated with lower odds of in-hospital mortality, the mean incremental length of hospitalization, and costs. MeaningLaryngectomy outcomes appear to be associated with hospital volume, with reduced morbidity associated with a minimum hospital volume threshold and with reduced mortality, morbidity, length of hospitalization, and costs associated with higher hospital volume. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Otolaryngology - Head & Neck Surgery American Medical Association

Association of Hospital Volume With Laryngectomy Outcomes in Patients With Larynx Cancer

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References (36)

Publisher
American Medical Association
Copyright
Copyright 2018 American Medical Association. All Rights Reserved.
ISSN
2168-6181
eISSN
2168-619X
DOI
10.1001/jamaoto.2018.2986
Publisher site
See Article on Publisher Site

Abstract

Key PointsQuestionWhat is the association between hospital volume and outcomes for laryngectomy surgery? FindingsAmong 45 156 patients at 5516 hospitals in this cross-sectional study, a minimum hospital volume threshold of more than 6 cases per year was associated with reduced odds of postoperative complications, with a greater reduction in the odds of complications with increasing volume. High-volume hospital care (>28 cases per year) was also associated with lower odds of in-hospital mortality, the mean incremental length of hospitalization, and costs. MeaningLaryngectomy outcomes appear to be associated with hospital volume, with reduced morbidity associated with a minimum hospital volume threshold and with reduced mortality, morbidity, length of hospitalization, and costs associated with higher hospital volume.

Journal

JAMA Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Jan 21, 2019

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