Variation in inpatient tonsillectomy costs within and between US hospitals attributable to postoperative complications

Medical Care

Volumn 51, Issue 12, 2013, Pages 1048-1054

  Sun, Gordon H ^a,b   Auger, Katherine A ^a   Aliu, Oluseyi ^a   Patrick, Stephen W ^a   Demonner, Sonya ^a   Davis, Matthew M ^a,b  

^a UNIVERSITY OF MICHIGAN   (United States)

^b UNIVERSITY OF MICHIGAN MEDICAL SCHOOL   (United States)

Author keywords

comorbidity; complication; costs; epidemiology; hemorrhage; mechanical ventilation; respiratory distress; tonsillectomy; variation

Indexed keywords

ADENOTONSILLECTOMY; ADOLESCENT; ADULT; AGED; ARTICLE; ARTIFICIAL VENTILATION; CHILD; COHORT ANALYSIS; FEMALE; HEALTH DISPARITY; HOSPITAL; HOSPITAL CHARGE; HOSPITAL PATIENT; HOSPITALIZATION COST; HUMAN; MAJOR CLINICAL STUDY; MALE; MECHANICAL VENTILATOR; OUTCOME ASSESSMENT; POSTOPERATIVE COMPLICATION; POSTOPERATIVE HEMORRHAGE; PRESCHOOL CHILD; PRIORITY JOURNAL; RETROSPECTIVE STUDY; SCHOOL CHILD; TONSILLECTOMY; UNITED STATES;

ADOLESCENT; ADULT; AGE FACTORS; CHILD; CHILD, PRESCHOOL; COMORBIDITY; COSTS AND COST ANALYSIS; FEMALE; HEALTH SERVICES RESEARCH; HUMANS; INFANT; INPATIENTS; MALE; MIDDLE AGED; POSTOPERATIVE COMPLICATIONS; POSTOPERATIVE HEMORRHAGE; RESPIRATION, ARTIFICIAL; RETROSPECTIVE STUDIES; RISK FACTORS; SEX FACTORS; SOCIOECONOMIC FACTORS; TONSILLECTOMY; UNITED STATES; YOUNG ADULT;

EID: 84888135426     PISSN: 00257079     EISSN: 15371948     Source Type: Journal    
DOI: 10.1097/MLR.0b013e3182a50325     Document Type: Article

References (39)

1. Cullen KA, Hall MJ, Golosinskiy A. Ambulatory surgery in the United States, 2006. Natl Health Stat Report. 2009;11:1-25
2. Younis RT, Lazar RH. History and current practice of tonsillectomy. Laryngoscope. 2002;112(pt 2 suppl 100):3-5
3. Dimick JB, Chen SL, Taheri PA, et al. Hospital costs associated with surgical complications: A report from the private-sector National Surgical Quality Improvement Program. J Am Coll Surg. 2004;199:531-537
4. Boss EF, Marsteller JA, Simon AE. Outpatient tonsillectomy in children: Demographic and geographic variation in the United States, 2006. J Pediatr. 2012;160:814-819
5. Suleman M, Clark MPA, Goldacre M, et al. Exploring the variation in paediatric tonsillectomy rates between English regions: A 5-year NHS and independent sector data analysis. Clin Otolaryngol. 2010;35: 111-117
6. van den Akker EH, Hoes AW, Burton MJ, et al. Large international differences in (adeno)tonsillectomy rates. Clin Otolaryngol. 2004; 29:161-164
7. Russo CA, Elixhauser A, Steiner C, et al. Hospital-Based Ambulatory Surgery, 2007. HCUP Statistical Brief #86. Rockville, MD: Agency for Healthcare Research and Quality; 2010
8. Keren R, Luan X, Localio R, et al. Prioritization of comparative effectiveness research topics in hospital pediatrics. Arch Pediatr Adolesc Med. 2012;166:1155-1164
9. Introduction to the HCUP Nationwide Inpatient Sample (NIS) 2009. 2011. Available at: Http://www.hcup-us.ahrq.gov/db/nation/nis/NIS- 2009-INTRODUCTION.pdf. Accessed February 25, 2013
10. Friedman B, Jiang HJ, Elixhauser A, et al. Hospital inpatient costs for adults with multiple chronic conditions. Med Care Res Rev. 2006;63: 327-346
11. Van Kooy MA, Gargiulo RF. Postobstructive pulmonary edema. Am Fam Physician. 2000;62:401-404
12. Dasta JF, McLaughlin TP, Mody SH, et al. Daily cost of an intensive care unit day: The contribution of mechanical ventilation. Crit Care Med. 2005;33:1266-1271
13. Life Stages & Specific Populations. 2011. Available at: Http://www. cdc.gov/lifestages/. Accessed February 25, 2013
14. Chronic Condition Indicator. 2011. Available at: Http://www.hcup-us. ahrq.gov/toolssoftware/chronic/chronic.jsp. Accessed February 25, 2013
15. Berry JG, Toomey SL, Zaslavsky AM, et al. Pediatric readmission prevalence and variability across hospitals. JAMA. 2013;309:372-380
16. Cohen E, Kuo DZ, Agrawal R, et al. Children with medical complexity: An emerging population for clinical and research initiatives. Pediatrics. 2011;127:529-538
17. Merlo J, Chaix B, Yang M, et al. A brief conceptual tutorial of multilevel analysis in social epidemiology: Linking the statistical concept of clustering to the idea of contextual phenomenon. J Epidemiol Community Health. 2005;59:443-449
18. Krishna P, Lee D. Post-Tonsillectomy bleeding: A meta-Analysis. Laryngoscope. 2001;111:1358-1361
19. Hessen Soderman AC, Ericsson E, Hemlin C, et al. Reduced risk of primary postoperative hemorrhage after tonsil surgery in Sweden: Results from the National Tonsil Surgery Register in Sweden covering more than 10 years and 54,696 operations. Laryngoscope. 2011;121:2322-2326
20. Tomkinson A, Harrison W, Owens D, et al. Risk factors for postoperative hemorrhage following tonsillectomy. Laryngoscope. 2011;121:279-288
21. Windfuhr JP, Chen YS, Remmert S. Hemorrhage following tonsillectomy and adenoidectomy in 15,218 patients. Otolaryngol Head Neck Surg. 2005;132:281-286
22. Erickson BK, Larson DR St, Sauver JL, et al. Changes in incidence and indications of tonsillectomy and adenotonsillectomy, 1970-2005. Otolaryngol Head Neck Surg. 2009;140:894-901
23. Kohler MJ, Thormaehlen S, Kennedy JD, et al. Differences in the association between obesity and obstructive sleep apnea among children and adolescents. J Clin Sleep Med. 2009;5:506-511
24. Young T, Palta M, Dempsey J, et al. The occurrence of sleep-disordered breathing among middle-Aged adults. N Engl J Med. 1993;328:1230-1235
25. Fung E, Cave D, Witmans M, et al. Postoperative respiratory complications and recovery in obese children following adenotonsillectomy for sleep-disordered breathing: A case-control study. Otolaryngol Head Neck Surg. 2010;142:898-905
26. Voelker R. Escalating obesity rates pose health, budget threats. JAMA. 2012;308:1514
27. Biavati MJ, Manning SC, Phillips DL. Predictive factors for respiratory complications after tonsillectomy and adenoidectomy in children. Arch Otolaryngol Head Neck Surg. 1997;123:517-521
28. McColley SA, April MM, Carroll JL, et al. Respiratory compromise after adenotonsillectomy in children with obstructive sleep apnea. Arch Otolaryngol Head Neck Surg. 1992;118:940-943
29. Statham MM, Elluru RG, Buncher R, et al. Adenotonsillectomy for obstructive sleep apnea syndrome in young children: Prevalence of pulmonary complications. Arch Otolaryngol Head Neck Surg. 2006; 132:476-480
30. Ye J, Liu H, Zhang G, et al. Postoperative respiratory complications of adenotonsillectomy for obstructive sleep apnea syndrome in older children: Prevalence, risk factors, and impact on clinical outcome. J Otolaryngol Head Neck Surg. 2009;38:49-58
31. Baugh RF, Archer SM, Mitchell RB, et al. Clinical practice guideline: Tonsillectomy in children. Otolaryngol Head Neck Surg. 2011; 144(suppl):S1-S30
32. Makarov DV, Loeb S, Landman AB, et al. Regional variation in total cost per radical prostatectomy in the healthcare cost and utilization project nationwide inpatient sample database. J Urol. 2010;183: 1504-1509
33. Roland PS, Rosenfeld RM, Brooks LJ, et al. Clinical practice guideline: Polysomnography for sleep-disordered breathing prior to tonsillectomy in children. Otolaryngol Head Neck Surg. 2011;145(suppl):S1-S15
34. Windfuhr JP, Schloendorff G, Sesterhenn AM, et al. A devastating outcome after adenoidectomy and tonsillectomy: Ideas for improved prevention and management. Otolaryngol Head Neck Surg. 2009; 140:191-196
35. Kalb PE, Miller DH. Utilization strategies for intensive care units. JAMA. 1989;261:2389-2395
36. Kahn JM, Rubenfeld GD, Rohrbach J, et al. Cost savings attributable to reductions in intensive care unit length of stay for mechanically ventilated patients. Med Care. 2008;46:1226-1233
37. Hill CA, Litvak A, Canapari C, et al. A pilot study to identify pre-And peri-operative risk factors for airway complications following adenotonsillectomy for treatment of severe pediatric OSA. Int J Pediatr Otorhinolaryngol. 2011;75:1385-1390
38. Al-Khatib SM, Hellkamp A, Curtis J, et al. Non-evidence-based ICD implantations in the United States. JAMA. 2011;305:43-49
39. Kleinman LC, Kosecoff J, Dubois RW, et al. The medical appropriateness of tympanostomy tubes proposed for children younger than 16 years in the United States. JAMA. 1994;271:1250-1255