Effects of Hospital Procedure Volume and Resident Training on Clinical Outcomes and Resource Use in Radical Retropubic Prostatectomy Surgery in the Department of Veterans Affairs

Journal of Urology

Volumn 179, Issue 1, 2008, Pages 272-279

  Ku, Tse Sun ^a,c   Kane, Christopher J ^a,d   Sen, Saunak ^b,c   Henderson, William G ^e   Dudley, R Adams ^d   Cason, Brian A ^a,c  

^a SAN FRANCISCO VETERANS AFFAIRS MEDICAL CENTER   (United States)

^b Research Enhancement Award Program   (United States)

^c UNIVERSITY OF CALIFORNIA   (United States)

^d UNIVERSITY OF CALIFORNIA   (United States)

^e UNIVERSITY OF COLORADO   (United States)

Author keywords

economics; education; graduate; hospital; medical; outcome and process assessment (health care); prostatectomy; retropubic

Indexed keywords

ADULT; AGED; ARTICLE; BLOOD TRANSFUSION; COHORT ANALYSIS; EDUCATION PROGRAM; HOSPITAL ADMISSION; HUMAN; LENGTH OF STAY; MALE; MULTIVARIATE ANALYSIS; OPERATION DURATION; OUTCOME ASSESSMENT; POSTOPERATIVE COMPLICATION; PREDICTION; PRIORITY JOURNAL; RADICAL RETROPUBIC PROSTATECTOMY; REOPERATION; RESIDENCY EDUCATION; RETROSPECTIVE STUDY; RISK ASSESSMENT; SAMPLE SIZE; SURGICAL RISK; SURGICAL WARD;

ADULT; AGED; AGED, 80 AND OVER; COHORT STUDIES; HUMANS; INTERNSHIP AND RESIDENCY; MALE; MIDDLE AGED; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); PROSTATECTOMY; RETROSPECTIVE STUDIES; TREATMENT OUTCOME; UNITED STATES; UNITED STATES DEPARTMENT OF VETERANS AFFAIRS;

EID: 36749066828     PISSN: 00225347     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.juro.2007.08.149     Document Type: Article

References (20)

1. Khuri S.F., Daley J., Henderson W., Hur K., Demakis J., Aust J.B., et al. The Department of Veterans Affairs' NSQIP: the first national, validated, outcome-based, risk-adjusted, and peer-controlled program for the measurement and enhancement of the quality of surgical care. National VA Surgical Quality Improvement Program. Ann Surg 228 (1998) 491
2. Khuri S.F., Daley J., and Henderson W.G. The comparative assessment and improvement of quality of surgical care in the Department of Veterans Affairs. Arch Surg 137 (2002) 20
3. Van Buuren S., and Oudshoorn C. MICE: Multivariate Imputation by Chained Equations (2005)
4. R statistical software. Available at www.R-project.org. Accessed May 1, 2007.
5. Panageas K.S., Schrag D., Riedel E., Bach P.B., and Begg C.B. The effect of clustering of outcomes on the association of procedure volume and surgical outcomes. Ann Intern Med 139 (2003) 658
6. Wolfinger R., and O'Connell M. Generalized linear mixed models: a pseudo-likelihood approach. J Stat Comput Simul 48 (1993) 233
7. Bridges M., and Diamond D.L. The financial impact of teaching surgical residents in the operating room. Am J Surg 177 (1999) 28
8. Khuri S.F., Najjar S.F., Daley J., Krasnicka B., Hossain M., Henderson W.G., et al. Comparison of surgical outcomes between teaching and nonteaching hospitals in the Department of Veterans Affairs. Ann Surg 234 (2001) 370
9. Yuan Z., Cooper G.S., Einstadter D., Cebul R.D., and Rimm A.A. The association between hospital type and mortality and length of stay: a study of 16.9 million hospitalized Medicare beneficiaries. Med Care 38 (2000) 231
10. Rosenthal G.E., Harper D.L., Quinn L.M., and Cooper G.S. Severity-adjusted mortality and length of stay in teaching and nonteaching hospitals. Results of a regional study. JAMA 278 (1997) 485
11. Ellison L.M., Heaney J.A., and Birkmeyer J.D. The effect of hospital volume on mortality and resource use after radical prostatectomy. J Urol 163 (2000) 867
12. Yao S.-L., and Lu-Yao G. Population-based study of relationships between hospital volume of prostatectomies, patient outcomes, and length of hospital stay. J Natl Cancer Inst 91 (1999) 1950
13. Begg C.B., Riedel E.R., Bach P.B., Kattan M.W., Schrag D., Warren J.L., et al. Variations in morbidity after radical prostatectomy. N Engl J Med 346 (2002) 1138
14. Hu J.C., Gold K.F., Pashos C.L., Mehta S.S., and Litwin M.S. Role of surgeon volume in radical prostatectomy outcomes. J Clin Oncol 21 (2003) 401
15. Konety B.R., Allareddy V., Modak S., and Smith B. Mortality after major surgery for urologic cancers in specialized urology hospitals: are they any better?. J Clin Oncol 24 (2006) 2006
16. Best W.R., Khuri S.F., Phelan M., Hur K., Henderson W.G., Demakis J.G., et al. Identifying patient preoperative risk factors and postoperative adverse events in administrative databases: results from the Department of Veterans Affairs National Surgical Quality Improvement Program. J Am Coll Surg 194 (2002) 257
17. Lepor H., Nieder A.M., and Ferrandino M.N. Intraoperative and postoperative complications of radical retropubic prostatectomy in a consecutive series of 1,000 cases. J Urol 166 (2001) 1729
18. Cooperberg M.R., Lubeck D.P., Penson D.F., Mehta S.S., Carroll P.R., and Kane C.J. Sociodemographic and clinical risk characteristics of patients with prostate cancer within the Veterans Affairs health care system: data from CaPSURE. J Urol 170 (2003) 905
19. Itani K.M.F., DePalma R.G., Schifftner T., Sanders K.M., Chang B.K., Henderson W.G., et al. Surgical resident supervision in the operating room and outcomes of care in Veterans Affairs hospitals. Am J Surg 190 (2005) 725
20. Chang S.S., Duong D.T., Wells N., Cole E.E., Smith Jr. J.A., and Cookson M.S. Predicting blood loss and transfusion requirements during radical prostatectomy: the significant negative impact of increasing body mass index. J Urol 171 (2004) 1861