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01-05-2006 | Original Article

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

Authors: Rian J. Dickstein, Joseph G. Barone, J. G. Liao, Randall S. Burd

Published in: Pediatric Surgery International | Issue 5/2006

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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Title: The effect of surgeon volume and hospital characteristics on in-hospital outcome after ureteral reimplantation in children
Authors: Rian J. Dickstein
Joseph G. Barone
J. G. Liao
Randall S. Burd
Publication date: 01-05-2006
Publisher: Springer-Verlag
Published in: Pediatric Surgery International / Issue 5/2006
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-006-1679-7

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

Abstract

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