Research ExplorerPublicationsDoes partial nephrectomy at an academic institution result i...

Does partial nephrectomy at an academic institution result in better outcomes?

Standard

Does partial nephrectomy at an academic institution result in better outcomes? / Trinh, Quoc-Dien; Schmitges, Jan; Sun, Maxine; Sammon, Jesse; Shariat, Shahrokh F; Sukumar, Shyam; Zorn, Kevin; Bianchi, Marco; Jeldres, Claudio; Perrotte, Paul; Graefen, Markus; Rogers, Craig G; Peabody, James O; Menon, Mani; Karakiewicz, Pierre I.

In: WORLD J UROL, Vol. 30, No. 4, 4, 2012, p. 505-510.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Trinh, Q-D, Schmitges, J, Sun, M, Sammon, J, Shariat, SF, Sukumar, S, Zorn, K, Bianchi, M, Jeldres, C, Perrotte, P, Graefen, M, Rogers, CG, Peabody, JO, Menon, M & Karakiewicz, PI 2012, 'Does partial nephrectomy at an academic institution result in better outcomes?', WORLD J UROL, vol. 30, no. 4, 4, pp. 505-510. <http://www.ncbi.nlm.nih.gov/pubmed/21904920?dopt=Citation>

APA

Trinh, Q-D., Schmitges, J., Sun, M., Sammon, J., Shariat, S. F., Sukumar, S., Zorn, K., Bianchi, M., Jeldres, C., Perrotte, P., Graefen, M., Rogers, C. G., Peabody, J. O., Menon, M., & Karakiewicz, P. I. (2012). Does partial nephrectomy at an academic institution result in better outcomes? WORLD J UROL, 30(4), 505-510. [4]. http://www.ncbi.nlm.nih.gov/pubmed/21904920?dopt=Citation

Vancouver

Trinh Q-D, Schmitges J, Sun M, Sammon J, Shariat SF, Sukumar S et al. Does partial nephrectomy at an academic institution result in better outcomes? WORLD J UROL. 2012;30(4):505-510. 4.

Bibtex

@article{95644a3db80244d48168c342b506e1ad,
title = "Does partial nephrectomy at an academic institution result in better outcomes?",
abstract = "PURPOSE: Partial nephrectomy (PN) outcomes may be better at academic institutions than at non-academic centers. Peer-review, sub-specialized practice profile, higher individual surgeon and institutional caseload may explain this observation. To the best of our knowledge, the role of institutional academic affiliation has not been examined with regard to PN postoperative outcomes. METHODS: Within the Health Care Utilization Project Nationwide Inpatient Sample (NIS), we focused on PNs performed within the 10 most contemporary years (1998-2007). We explored the effect of academic status on three short-term PN outcomes (intraoperative and postoperative complications, as well as in-hospital mortality). Multivariable logistic regression analyses further adjusted for age, race, gender, Charlson Comorbidity Index (CCI), surgical approach, hospital region, annual hospital caseload and insurance status. RESULTS: Overall, 8,513 PNs were identified. Of those, 5,906 (69.4%) were recorded at academic institutions. Academic institution patients had lower CCI, were less frequently Caucasian and more frequently had private insurance (all P <0.001). Academic institution PNs were associated with fewer postoperative complications (14.6% vs. 16.6%, P = 0.018). In multivariable analyses, institutional academic status did not affect the three short-term PN outcomes. CONCLUSIONS: Patient selection explains better PN postoperative outcomes at academic institutions. Control for these biases removes the outcome differences, at least when the three short-term PN outcomes are considered. However, the interpretation of these findings needs to take into account the lack of adjustment for case complexity.",
author = "Quoc-Dien Trinh and Jan Schmitges and Maxine Sun and Jesse Sammon and Shariat, {Shahrokh F} and Shyam Sukumar and Kevin Zorn and Marco Bianchi and Claudio Jeldres and Paul Perrotte and Markus Graefen and Rogers, {Craig G} and Peabody, {James O} and Mani Menon and Karakiewicz, {Pierre I}",
year = "2012",
language = "English",
volume = "30",
pages = "505--510",
journal = "WORLD J UROL",
issn = "0724-4983",
publisher = "Springer",
number = "4",

}

RIS

TY - JOUR

T1 - Does partial nephrectomy at an academic institution result in better outcomes?

AU - Trinh, Quoc-Dien

AU - Schmitges, Jan

AU - Sun, Maxine

AU - Sammon, Jesse

AU - Shariat, Shahrokh F

AU - Sukumar, Shyam

AU - Zorn, Kevin

AU - Bianchi, Marco

AU - Jeldres, Claudio

AU - Perrotte, Paul

AU - Graefen, Markus

AU - Rogers, Craig G

AU - Peabody, James O

AU - Menon, Mani

AU - Karakiewicz, Pierre I

PY - 2012

Y1 - 2012

N2 - PURPOSE: Partial nephrectomy (PN) outcomes may be better at academic institutions than at non-academic centers. Peer-review, sub-specialized practice profile, higher individual surgeon and institutional caseload may explain this observation. To the best of our knowledge, the role of institutional academic affiliation has not been examined with regard to PN postoperative outcomes. METHODS: Within the Health Care Utilization Project Nationwide Inpatient Sample (NIS), we focused on PNs performed within the 10 most contemporary years (1998-2007). We explored the effect of academic status on three short-term PN outcomes (intraoperative and postoperative complications, as well as in-hospital mortality). Multivariable logistic regression analyses further adjusted for age, race, gender, Charlson Comorbidity Index (CCI), surgical approach, hospital region, annual hospital caseload and insurance status. RESULTS: Overall, 8,513 PNs were identified. Of those, 5,906 (69.4%) were recorded at academic institutions. Academic institution patients had lower CCI, were less frequently Caucasian and more frequently had private insurance (all P <0.001). Academic institution PNs were associated with fewer postoperative complications (14.6% vs. 16.6%, P = 0.018). In multivariable analyses, institutional academic status did not affect the three short-term PN outcomes. CONCLUSIONS: Patient selection explains better PN postoperative outcomes at academic institutions. Control for these biases removes the outcome differences, at least when the three short-term PN outcomes are considered. However, the interpretation of these findings needs to take into account the lack of adjustment for case complexity.

AB - PURPOSE: Partial nephrectomy (PN) outcomes may be better at academic institutions than at non-academic centers. Peer-review, sub-specialized practice profile, higher individual surgeon and institutional caseload may explain this observation. To the best of our knowledge, the role of institutional academic affiliation has not been examined with regard to PN postoperative outcomes. METHODS: Within the Health Care Utilization Project Nationwide Inpatient Sample (NIS), we focused on PNs performed within the 10 most contemporary years (1998-2007). We explored the effect of academic status on three short-term PN outcomes (intraoperative and postoperative complications, as well as in-hospital mortality). Multivariable logistic regression analyses further adjusted for age, race, gender, Charlson Comorbidity Index (CCI), surgical approach, hospital region, annual hospital caseload and insurance status. RESULTS: Overall, 8,513 PNs were identified. Of those, 5,906 (69.4%) were recorded at academic institutions. Academic institution patients had lower CCI, were less frequently Caucasian and more frequently had private insurance (all P <0.001). Academic institution PNs were associated with fewer postoperative complications (14.6% vs. 16.6%, P = 0.018). In multivariable analyses, institutional academic status did not affect the three short-term PN outcomes. CONCLUSIONS: Patient selection explains better PN postoperative outcomes at academic institutions. Control for these biases removes the outcome differences, at least when the three short-term PN outcomes are considered. However, the interpretation of these findings needs to take into account the lack of adjustment for case complexity.

M3 - SCORING: Journal article

VL - 30

SP - 505

EP - 510

JO - WORLD J UROL

JF - WORLD J UROL

SN - 0724-4983

IS - 4

M1 - 4

ER -