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

Rian J. Dickstein, Joseph G. Barone, Jiangang (Jason) Liao, Randall S. Burd

Research output: Contribution to journalArticle

5 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)417-421
Number of pages5
JournalPediatric Surgery International
Volume22
Issue number5
DOIs
StatePublished - May 1 2006

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Replantation
Hospital Charges
Length of Stay
Surgeons
Linear Models
Regression Analysis

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Surgery

Cite this

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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.",
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The effect of surgeon volume and hospital characteristics on in-hospital outcome after ureteral reimplantation in children. / Dickstein, Rian J.; Barone, Joseph G.; Liao, Jiangang (Jason); Burd, Randall S.

In: Pediatric Surgery International, Vol. 22, No. 5, 01.05.2006, p. 417-421.

Research output: Contribution to journalArticle

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