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Results 11 - 20
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341
Multivariate Analyses to Assess the Effects of Surgeon and Hospital Volume on Cancer Survival Rates: A Nationwide Population-Based Study in Taiwan
"... Background: Positive results between caseloads and outcomes have been validated in several procedures and cancer treatments. However, there is limited information available on the combined effects of surgeon and hospital caseloads. We used nationwide population-based data to explore the association ..."
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scores were used to assess the relationship between 5-year survival rates and different caseload combinations. Results: Based on the Cox proportional hazard model, cancer patients treated by low-volume surgeons in low-volume hospitals had poorer survival rates, and hazard ratios ranged from 1.3 in head
Association between Provider Volume and Healthcare Expenditures of Patients with Oral Cancer in Taiwan: A Population-Based Study
"... Background: Oral cancer requires considerable utilization of healthcare services. Wide resection of the tumor and reconstruction with free flap are widely used. Due to high recurrence rate, close follow-up is mandatory. This study was conducted to explore the relationship between the healthcare expe ..."
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-year follow-up expenditure, patients in low-volume hospitals had an additional $3439 than those in high-volume hospitals; patient in low-volume
In-Hospital Morbidity and Mortality after Endovascular Treatment of Unruptured Intracranial Aneurysms in the United States, 1996–2000: Effect of Hospital and Physician Volume
"... treatment of unruptured intracranial aneurysms. Our purpose was to determine the risk of adverse outcomes after contemporary endovascular treatment of unruptured intracranial aneurysms in the United States. Patient, treating physician, and hospital characteristics were tested as potential outcome pr ..."
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(>23 admissions per year) compared with 17.6 % at low volume hospitals (fewer than four admissions per year) (P <.001). Higher
Review Article Treatment of Pancreatic and Periampullary Cancers at a Community Hospital: Successful Application of Tertiary Care Treatment Standards
"... Copyright © 2011 Robert C. Moesinger et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Background. The treatment of pancreatic c ..."
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community cancer programs in regards to the treatment of periampullary cancer. In this study, a review of comprehensive periampullary cancer care at two low volume hospitals with comparison to national standards is presented. Methods. This is a retrospective review of 70 consecutive patients
EDITORIAL Is It Defensible to Use Volume Standards for Purchasing Care?
"... The emergence of the Leapfrog group initiative to use measures of quality and safetyas criteria for contracting for provision of medical services was a watershed event. Major payers would pay for quality, or, more accurately, no longer pay for inferior quality. Not surprisingly, physicians have been ..."
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’ expense. Equally galling was the use of volume of services as a measure of quality. For them, the findings by Goodney et al that there are no significant differences overall in length of stay (LOS) or return to the hospital between high-volume and low-volume hospitals comes as welcome news: See, it doesn
Determinants of Adverse Events in Vascular Surgery
"... BACKGROUND: Patient safety is a national priority. Patient Safety Indicators (PSIs) monitor potential adverse events during hospital stays. Surgical specialty PSI benchmarks do not exist, and are needed to account for differences in the range of procedures performed, reasons for the procedure, and d ..."
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and multivariate analyses. RESULTS: A total of 1,412,703 patients underwent a vascular procedure and a PSI developed in 5.2%. PSIs were more frequent in female, nonwhite patients with public payers (p 0.01). Patients at mid and low-volume hospitals had greater odds of developing a PSI (odds ratio [OR] 1.17; 95
Original Contribution Effect of Hospital Volume on Maternal Outcomes in Women with Prior Cesarean Delivery Undergoing Trial of Labor
, 2007
"... The authors examined the association between hospital volume of vaginal birth after cesarean section (VBAC) and VBAC failure, uterine rupture, and maternal morbidity. This was a secondary analysis of data from a retro-spective cohort study carried out from 1995 to 2000. Trained nurses extracted deta ..."
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deliveries, preeclampsia, diabetes mellitus, and high birth weight. Prior vaginal delivery was protective against adverse VBAC outcomes. The risk of an adverse VBAC outcome in low-volume hospitals was comparable to that in high-volume hospitals. cesarean section; obstetric labor complication; parturition
Effect of Surgical Volume on Outcomes for Laparoscopic Hysterectomy for Benign Indications
"... OBJECTIVE: To estimate the influence of surgical volume on outcome and resource utilization for laparoscopic hysterectomy for benign indications. METHODS: Patients who underwent laparoscopic hys-terectomy from 2000 to 2010 and recorded in a commer-cial database were analyzed. Patients were stratifie ..."
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. In multivariable models intraoperative complications, surgical-site complications, medical complications, pro-longed hospitalization, and transfusion rates were lower for high-volume surgeons. Overall morbidity was 5.8% for women treated at low-volume hospitals compared with 4.7 % at high-volume centers (P<.001
ORIGINAL ARTICLES Do Differences in Hospital and Surgeon Quality Explain Racial Disparities in Lower-Extremity Vascular Amputations?
"... Objective: To understand whether racial disparities in surgery for lower-extremity arterial disease are minimized by high-quality providers, or instead, differential treatment of otherwise similar patients pervades all settings. Summary Background Data: Black patients are substantially more likely t ..."
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and provider characteristics. Results: Blacks were far more likely to undergo amputation (45 % vs. 20%). Their procedures were performed more often by nonspecialists (41 % vs. 27%; P! 0.001), in low-volume hospitals (40 % vs. 32%; P! 0.001), with high amputation rates (53 % vs. 29%; P! 0.001). Controlling
What can Patient Outcomes tell us about Hospital Quality?
"... This paper examines the use of patient health outcomes to measure quality differences across hospitals. If patients choose hospitals based on their initial health status, the resulting selection bias needs to be taken into account when using patient outcomes to aseess the effect of hospital care on ..."
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, older and more severely ill patients are less likely to choose low volume hospitals and hospitals offering specialized procedures, so that failing to control for selection causes the effect of hospital volume on patient health outcomes to be underestimated, and of specialized procedure capabilities
Results 11 - 20
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341
