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

Christine G. Gourin, Arlene A. Forastiere, Giuseppe Sanguineti, Shanthi Marur, Wayne M. Koch, 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 oropharyngeal cancer. Methods: The Maryland Health Service Cost Review Commission database was queried for oropharyngeal cancer surgical case volumes from 1990 to 2009. Multivariable regression models were used to identify significant associations between surgeon and hospital case volume, as well as independent variables predictive of in-hospital death, postoperative wound complications, length of hospitalization, and hospital-related cost of care. Results: Overall, 1,534 oropharyngeal cancer surgeries were performed during the study period. Complete financial data was available for 1,482 oropharyngeal cancer surgeries, performed by 233 surgeons at 36 hospitals. The only independently significant factors associated with the risk of in-hospital death were an APR-DRG mortality risk score of 4 (odds ratio [OR] = 14.0, P

Original languageEnglish
Pages (from-to)746-752
Number of pages7
JournalLaryngoscope
Volume121
Issue number4
DOIs
Publication statusPublished - Apr 2011

Keywords

  • cost
  • mortality
  • oropharyngeal neoplasms
  • squamous cell cancer
  • surgery
  • Volume

ASJC Scopus subject areas

  • Otorhinolaryngology

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