Why the study?
In patients having 1 of 8 common surgical procedures of intermediate complexity in Veterans Health Administration (VHA) hospitals, is surgical volume related to 30 day mortality and stroke?
In patients having 1 of 8 common surgical procedures of intermediate complexity in Veterans Health Administration (VHA) hospitals, is surgical volume related to 30 day mortality and stroke?
In the Veterans Health Administration system, surgical volume was not significantly related to 30-day mortality across eight common intermediate-complexity operations.
Does not support volume-based referral changes in VHA; leaves open generalizability to other systems.
(1999) Ann Surg 230, 414. Khuri SF, Daley J, Henderson W, et al, . and the participants in the VA National Surgical Quality Improvement Program. . Relation of surgical volume to outcome in eight common operations. Results from the VA National Surgical QualityImprovement Program. . Sep; . : . –32 . [OpenUrl][1][CrossRef][2][PubMed][3][Web of Science][4] QUESTION: In patients having 1 of 8 common surgical procedures of intermediate complexity in Veterans Health Administration (VHA) hospitals, is surgical volume related to 30 day mortality and stroke? 6 year cohort study using the database of the Veterans Affairs (VA) National Surgical Quality Improvement Program. 125 VA medical centres in the United States. 68 631 patients (mean age 64 y, 97% men, 78% white) who were having 1 of 8 major surgical procedures: non-ruptured abdominal aortic aneurysm repair, vascular infrainguinal reconstruction, carotid endarterectomy (CEA), lung lobectomy or pneumonectomy, open cholecystectomy, laparoscopic cholecystectomy, colectomy, and total hip arthroplasty. Preoperative risk factors that are predictive of 30 day mortality were identified in logistic regression models constructed for each operation. An additional model was constructed to identify risk factors predictive of stroke within 30 days of CEA. 30 day mortality for all procedures and stroke within 30 … [1]: {openurl}?query=rft.jtitle%253DAnnals%2Bof%2Bsurgery%26rft.stitle%253DAnn%2BSurg%26rft.aulast%253DKhuri%26rft.auinit1%253DS.%2BF.%26rft.volume%253D230%26rft.issue%253D3%26rft.spage%253D414%26rft.epage%253D429%26rft.atitle%253DRelation%2Bof%2Bsurgical%2Bvolume%2Bto%2Boutcome%2Bin%2Beight%2Bcommon%2Boperations%253A%2Bresults%2Bfrom%2Bthe%2BVA%2BNational%2BSurgical%2BQuality%2BImprovement%2BProgram.%26rft_id%253Dinfo%253Adoi%252F10.1097%252F00000658-199909000-00014%26rft_id%253Dinfo%253Apmid%252F10493488%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [2]: /lookup/external-ref?access_num=10.1097/00000658-199909000-00014&link_type=DOI [3]: /lookup/external-ref?access_num=10493488&link_type=MED&atom=%2Febmed%2F5%2F2%2F62.atom [4]: /lookup/external-ref?access_num=000082514800027&link_type=ISI
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John D. Birkmeyer (2000) studied this question.
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