Large-volume medical centers produce best clinical and economic results for complex gastrointestinal surgery

A handful of complicated, high-risk gastrointestinal surgeries are safer and easier on patients -- and pocketbooks -- when performed at medical centers that do the most of them, according to results of a Johns Hopkins study published in the July 1999 issue of the Journal of the American College of Surgeons.

For the study, investigators checked key clinical and economic outcomes for 4,561 consecutive patients who underwent one of five gastrointestinal operations in Maryland from July 1989 through June 1997. Specifically, they measured in-hospital deaths, average length of hospital stay, and average total hospital charges for patients undergoing excision of the esophagus, total gastrectomy (removal of the stomach), total abdominal colectomy (removal of the colon), hepatic lobectomy (removal of a liver lobe), biliary tract anastomosis (reconnecting parts of the bile transport system, or radical pancreaticoduodenectomy (removal of the pancreas head along with an encircling loop of the duodenum), also known as the Whipple procedure.

To assess the role of patient volume and surgical experience on outcomes, the researchers grouped the 51 hospitals studied into four categories based on the number of surgeries performed: minimal (10 or less surgeries per year), low (11-20), medium (21-50), and high-volume (201 or more per year).

Only one hospital, Johns Hopkins, met all the criteria for a high-volume provider, accounting for 1,711, of the 4,561 operations. In contrast, the medium-volume group, consisting of four hospitals, performed 762 procedures. There were seven low-volume hospitals which performed 750 procedures, while the minimal-volume group, consisting of 39 hospitals, performed 1,338.

The statewide in-hospital death rate totaled 8.7 percent, compared to the high-volume center's rate of 2.9 percent. The medium-, low-, and minimal-volume provider's rates were 8.4 percent, 12.7 percent,

Contact: Gary Stephenson
Johns Hopkins Medical Institutions

Page: 1 2

Related medicine news :

1. Advertising by academic medical centers may risk eroding public trust, says study
2. NIH state-of-the-science panel calls for demedicalization of menopause
3. Community care tops medical care at preventing heart disease in black Americans
4. Breakthrough in medical research: New chemotherapy gives hope to brain tumour patients
5. Jefferson Lab medical imager spots breast cancer
6. Society of Hospital Medicine to launch new medical journal
7. LA BioMed medical/research briefs March 2005
8. Promising new strategy for Swedish medical research
9. Flu vaccination benefits people of any age with high-risk medical conditions
10. UCLA study: Nearly a third of drug ads in medical journals contain no references for medical claims
11. Electronic medical records reduce hours, cut cost

Post Your Comments:

(Date:2/13/2019)... ... ... CBD Hacker , the definitive guide to the CBD industry, has named ... of rigorous testing of more than 20 products, including third-party potency testing, hands-on evaluations, ... a fast-acting, effective delivery method for CBD. And the fact that it’s a highly ...
(Date:2/13/2019)... ... February 13, 2019 , ... ... possibility of another shutdown looming, the American Academy of Sleep Medicine (AASM) is ... fatigue among air traffic controllers and Transportation Security Administration (TSA) officers. , “Even ...
(Date:2/13/2019)... ... 13, 2019 , ... With Valentine’s Day tomorrow and love in the air, ... sharing 7 tips to ensure ‘Safe Sex’: , 1. Talk To Your Partner. ... safe sex. Having clear, open, and honest communication is key so that both partners ...
(Date:2/13/2019)... ... February 13, 2019 , ... Diameter Health , the leader in ... Federal Information Security Management Act (FISMA) High General Support System Authority to Operate (ATO) ... environment is mandatory for the VA because of their work with confidential patient data. ...
(Date:2/13/2019)... ... February 13, 2019 , ... Castle announced today that it has raised ... investors Y Combinator , First Round and F-Prime Capital Partners ... René Bonvanie, CMO at Palo Alto Networks, and Olivier Pomel, CEO at Datadog. This ...
Breaking Medicine News(10 mins):
(Date:2/16/2019)... ... February 15, 2019 , ... Adolfson ... Program (MNSHARP) award for safety excellence. Commissioner Kristin Batson, Department of Labor and ... , Safety is more than just a set of rules for AP; it’s ...
(Date:2/14/2019)... BOULDER, Colo. (PRWEB) , ... February 14, 2019 ... ... the Month , Lewis and Clark College Emeritus Professor of Education Gregory A. ... Center. They discuss the emergence of Brand Ambassador programs, a new phenomenon in ...
(Date:2/14/2019)... ... February 14, 2019 , ... Strategic Radiology announces its ... Asheville, North Carolina. , “We are excited to welcome the physicians and ... Radiology,” said Arl Van Moore Jr, MD, Strategic Radiology CEO and Chair. “When ...
Breaking Medicine Technology:
Cached News: