Key result
Lowest quartile anesthesiologist case volume was associated with higher 30-day readmission rates after radical cystectomy compared to the highest quartile (27% vs 21%; OR 1.36, 95% CI 1.09-1.71).
Why the study?
Does higher anesthesiologist case volume improve postoperative outcomes in patients undergoing radical cystectomy for bladder cancer?
Population
3585 patients undergoing radical cystectomy for bladder cancer in Ontario between 1994 and 2008
Comparison
High anesthesiologist case volume vs Low anesthesiologist case volume
Design
Cohort
Follow-up
5 years
Authors
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Lower-volume anesthesiologists were associated with higher readmission rates after cystectomy; leaves open whether consolidating providers improves outcomes.
Observational (n=3,585)
Yes
Does higher anesthesiologist case volume improve postoperative outcomes in patients undergoing radical cystectomy for bladder cancer?
Odds Ratio: 1.36 (95% CI 1.09–1.71)
Absolute Event Rate: 27% vs 21%
p-value: p=0.04
Lower anesthesiologist case volume is associated with higher 30-day and 90-day readmission rates after radical cystectomy for bladder cancer.
Jaeger et al. (2017) conducted an observational in Bladder cancer (n=3,585). Lowest quartile anesthesiologist case volume (Q1) vs. Highest quartile anesthesiologist case volume (Q4) was evaluated on 30-day postoperative readmission (OR 1.36, 95% CI 1.09-1.71, p=0.04). Lowest quartile anesthesiologist case volume was associated with higher 30-day readmission rates after radical cystectomy compared to the highest quartile (27% vs 21%; OR 1.36, 95% CI 1.09-1.71).
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