Hospital Volume and Patient Outcomes in Hepato-Pancreatico-Biliary Surgery: Is Assessing Differences in Mortality Enough?
Schneider EB, Ejaz A, Spolverato G, Hirose K, Makary MA, Wolfgang CL, Ahuja N, Weiss M, Pawlik TM. Hospital Volume and Patient Outcomes in Hepato-Pancreatico-Biliary Surgery: Is Assessing Differences in Mortality Enough? Journal Of Gastrointestinal Surgery 2014, 18: 2105-2115. PMID: 25297443, DOI: 10.1007/s11605-014-2619-9.Peer-Reviewed Original ResearchConceptsLength of stayHV hospitalsHV centersHospital volumeMajor complicationsLV centersBiliary surgeryHPB surgeryHospital patientsShorter median LOSMedian LOSComplex HPB surgeryHospital volume strataIncidence of complicationsPost-operative complicationsOverall mean ageHepato-PancreaticoLV hospitalsMedical comorbiditiesImpact of regionalizationMean ageBiliary proceduresHemorrhagic anemiaPatient outcomesIndex mortalityDoes relative value unit–based compensation shortchange the acute care surgeon?
Schwartz D, Hui X, Velopulos C, Schneider E, Selvarajah S, Lucas D, Haut E, McQuay N, Pawlik T, Efron D, Haider A. Does relative value unit–based compensation shortchange the acute care surgeon? Journal Of Trauma And Acute Care Surgery 2014, 76: 84-94. PMID: 24368361, PMCID: PMC5995323, DOI: 10.1097/ta.0b013e3182ab1ae3.Peer-Reviewed Original ResearchConceptsLength of stayAcute care surgeonsEmergent casesRelative value unitsPatient careNational Surgical Quality Improvement ProgramSurgical Quality Improvement ProgramComorbidities of interestEmergent operative managementHigher mortality riskQuality Improvement ProgramCurrent Procedural TerminologyElective colectomyMinor complicationsComplication rateOperative timeEmergent proceduresMore complicationsOperative managementBiliary proceduresElective proceduresOpen techniqueElective patientsOdds ratioHernia repair