Title

The effect of surgeon volume and hospital characteristics on in-hospital outcome after ureteral reimplantation in children

Document Type

Journal Article

Publication Date

5-1-2006

Journal

Pediatric Surgery International

Volume

22

Issue

5

DOI

10.1007/s00383-006-1679-7

Keywords

Child; Outcome assessment; Ureteral reimplantation; Vesicoureteral reflux

Abstract

The aim of this study was to examine the association between surgeon and hospital characteristics on in-hospital outcome after ureteral reimplantation in children. Patients < 18 years undergoing vesicoureteral reimplantation (n = 3,109) were identified in Kids' Inpatient Database, an administrative database containing discharge records from 27 states during 2000 in the US. Based on patient volume in 2000, surgeons were designated as low volume (< 11 procedures), medium volume (11-20 procedures) and high volume (> 20 procedures) surgeons. Length of stay and hospital charges were analyzed using multivariate linear regression analysis.A significant association between shorter length of stay and higher surgeon volume (p = 0.02) was observed that was independent of children's hospital status, hospital volume and other hospital characteristics. Length of stay was 20% shorter when the procedure was performed by the highest volume surgeons compared to when performed by the lowest. No significant effect of surgeon volume on hospital charges, however, was observed. Higher surgeon volume was associated with shorter length of stay but no difference in hospital charges among children undergoing vesicoureteral reimplantation. © Springer-Verlag 2006.

This document is currently not available here.

Share

COinS