The effect of annual surgical caseload on the rates of in-hospital pneumonia and other in-hospital outcomes after radical prostatectomy

Jan Schmitges, Quoc Dien Trinh, Marco Bianchi, Maxine Sun, Firas Abdollah, Sascha A. Ahyai, Claudio Jeldres, Thomas Steuber, Paul Paerrotte, Shahrokh F. Shariat, Mani Menon, Francesco Montorsi, Markus Graefen, Pierre I. Karakiewicz

Research output: Contribution to journalArticle

Abstract

Purpose To examine the effect of annual surgical caseload (ASC) on contemporary in-hospital pneumonia (IHP) rates and three other in-hospital outcomes after radical prostatectomy (RP). Methods Between 1999 and 2008, 34,490 open RPs were performed in the state of Florida. First, logistic regression models predicting the rate of IHP were fitted. Second, other logistic regression models examined the association between IHP and three other outcomes: in-hospital mortality, hospital charges within the highest quartile, and length of stay (LOS) within the highest quartile. Covariates included ASC, age, race, baseline Charlson Comorbidity Index (CCI), interval between admission and surgery, as well as blood transfusion. Results The overall IHP rate was 0.5%. It was higher in patients operated within the low (0.7%) and intermediate (0.5%) ASC tertile versus high ASC tertile (0.2%, P$37,333, and were 20-fold more likely to have a LOS >3 days (all P

Original languageEnglish
Pages (from-to)799-806
Number of pages8
JournalInternational Urology and Nephrology
Volume44
Issue number3
DOIs
Publication statusPublished - Jun 2012

Keywords

  • Hospital-acquired pneumonia
  • Perioperative complications
  • Prostatectomy
  • Prostatic neoplasms

ASJC Scopus subject areas

  • Nephrology
  • Urology

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  • Cite this

    Schmitges, J., Trinh, Q. D., Bianchi, M., Sun, M., Abdollah, F., Ahyai, S. A., Jeldres, C., Steuber, T., Paerrotte, P., Shariat, S. F., Menon, M., Montorsi, F., Graefen, M., & Karakiewicz, P. I. (2012). The effect of annual surgical caseload on the rates of in-hospital pneumonia and other in-hospital outcomes after radical prostatectomy. International Urology and Nephrology, 44(3), 799-806. https://doi.org/10.1007/s11255-011-0103-y