Impact of surgeon and hospital volume on short-term outcomes and cost of laryngeal cancer surgical care

Christine G. Gourin, Arlene A. Forastiere, Giuseppe Sanguineti, Wayne M. Koch, Shanthi Marur, Robert E. Bristow

Research output: Contribution to journalArticle

Abstract

Objective: To evaluate the impact of surgeon and hospital case volume and other related variables on short-term outcomes after surgery for laryngeal cancer. Methods: The Maryland Health Service Cost Review Commission database was queried for laryngeal cancer surgical case volumes from 1990 to 2009. Multivariate logistic regression analyses and multiple linear regression models were used to evaluate for significant associations between surgeon and hospital case volume, as well as other independent variables and the risk of in-hospital death, postoperative wound complications, length of hospital stay, and hospital-related cost of care. Results: Overall, 1,981 laryngeal cancer surgeries were performed with complete financial data available for 1,885 laryngeal cancer surgeries, performed by 284 surgeons at 37 hospitals. The only independently significant factor associated with the risk of in-hospital death was an APR-DRG mortality risk score of 4 (odds ratio [OR] = 10.7, P

Original languageEnglish
Pages (from-to)85-90
Number of pages6
JournalLaryngoscope
Volume121
Issue number1
DOIs
Publication statusPublished - Jan 2011

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Keywords

  • complications
  • cost
  • laryngeal neoplasms
  • Level of evidence: 2c.
  • mortality
  • squamous cell cancer
  • surgery
  • Volume

ASJC Scopus subject areas

  • Otorhinolaryngology

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