Investigation of the Relationship Between Volume and Mortality for Surgical Procedures Performed in New York State Hospitals

JAMA: The Journal of the American Medical Association

Volumn 262, Issue 4, 1989, Pages 503-510

  Hannan, Edward L ^a   O’Donnell, Joseph F ^a   Kilburn, Harold ^a   Bernard, Harvey R ^a,b   Yazici, Altan ^a  

^a NEW YORK STATE DEPARTMENT OF HEALTH   (United States)

^b Albany ^*  (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANEURYSM SURGERY; CHOLECYSTECTOMY; COLON RESECTION; CORONARY ARTERY BYPASS SURGERY; EDUCATION; FATALITY; GASTRECTOMY; HUMAN; PRIORITY JOURNAL; SURGERY; SURGICAL MORTALITY;

AGE FACTORS; AORTA, ABDOMINAL; AORTIC ANEURYSM; CHOLECYSTECTOMY; COLECTOMY; CORONARY ARTERY BYPASS; GASTRECTOMY; HOSPITALS; HUMAN; NEW YORK; PATIENT ADMISSION; REGRESSION ANALYSIS; SEVERITY OF ILLNESS INDEX;

EID: 0024384269     PISSN: 00987484     EISSN: 15383598     Source Type: Journal    
DOI: 10.1001/jama.1989.03430040075029     Document Type: Article

References (24)

1. Farber BF, Kaiser DL, Wenzel RP. Relation between surgical volume and incidence of postoperative wound infection. N Engl J Med. 1981;305:200-204.
2. Flood AB, Scott WR, Ewy W. Does practice make perfect? I: the relation between hospital volume and outcomes for selected diagnostic categories. Med Care. 1984;22:98-114.
3. Flood AB, Scott WR, Ewy W. Does practice make perfect? II: the relation between volume and outcomes and other hospital characteristics. Med Care. 1984;22:115-125.
4. Fowles J, Bunker JP, Oda M, Schurman DJ, Osborn PN, Loftus M. Relation of surgical volume to outcomes and charges: pilot study of total hip replacement using northern California Medicare data. Business Health. 1987;4:44-46.
5. Freeland MS, Hunt SS, Luft HS. Selective contracting for hospital care based on volume, quality and price: prospects, problems and unanswered questions. J Health Polit Policy Law. 1987;12:409-426.
6. Hughes RG, Garnick DW, Luft HS, McPhee SJ, Hunt SS. Hospital volume and patient outcomes: the case of hip fracture patients. Med Care. 1988;26:1057-1067.
7. Hughes RG, Hunt SS, Luft HS. Effects of surgeon volume and hospital volume on quality of care in hospitals. Med Care. 1987;25:489-503.
8. Kelly JV, Hellinger FJ. Heart disease and hospital deaths: an empirical study. Health Serv Res. 1987;22:369-395.
9. Kelly JV, Hellinger FJ. Physician and hospital factors associated with mortality of surgical patients. Med Care. 1986;24:785-800.
10. Luft HS, Hunt SS, Maerki SC. The volume-outcome relationship: practice makes perfect or selective referral patterns? Health Serv Res. 1987;22:157-182.
11. Luft HS. The relations between surgical volume and mortality: an exploration of causal factors and alternative models. Med Care. 1980;18:940-959.
12. Luft HS, Bunker JP, Enthoven AC. Should operations be regionalized? The empirical relation between surgical volume and mortality. N Engl J Med. 1979;301:1364-1369.
13. Maerki SC, Luft HS, Hunt SS. Selecting categories of patients for regionalization: implications of the relationship between volume and outcome. Med Care. 1986;24:148-158.
14. Roos LL, Cageorge SM, Roos NP, Danzinger R. Centralization, certification and monitoring: readmissions and complications after surgery. Med Care. 1986;24:1044-1066.
15. Shortell SM, LoGerfo JP. Hospital medical staff organization and quality of care: results for myocardial infarction and appendectomy. Med Care. 1981;19:1041-1055.
16. Showstack JA, Rosenfeld KE, Garnick DW, Luft HS, Schaffarzick RE, Fowles J. Association of volume with outcome of coronary artery bypass graft surgery. JAMA. 1987;257:785-789.
17. Sloan FA, Perrin JM, Valvona F. In-hospital mortality of surgical patients: is there an empiric basis for standard setting? Surgery. 1986;99:446-453.
18. Gonnella JS, Hornbrook MC, Louis DZ. Staging of disease: a case-mix measurement. JAMA. 1984;251:637-644.
19. Fleiss JL. Statistical Methods for Rates and Proportions. New York, NY: John Wiley & Sons Inc; 1973.
20. Kleinbaum DG, Kupper LL, Morgenstern H. Epidemiologic Research: Principles and Quantitative Methods. New York, NY: Van Nostrand Reinhold Co; 1982.
21. Medicare Hospital Mortality Information. Washington, DC: Health Care Financing Administration; 1987. Publication 01-002.
22. Medicare Hospital Mortality Information. Washington, DC: Health Care Financing Administration; 1988. Publication 00641.
23. Jencks SF, Williams DK, Kay TL. Assessing hospital-associated deaths from discharge data: the role of length of stay and comorbidities. JAMA. 1988;260:2240-2246.
24. Luft HS, Garnick DW, Mark D, McPhee SJ, Tetrault J. Evaluating Research on the Use of Volume of Services Performed in Hospitals as an Indicator of Quality. Washington, DC: Office of Technology Assessment, US Congress; 1987.