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Effect of Hospital and Surgeon Case Volume on Perioperative Quality of Care and Short-term Outcomes After Radical Cystectomy for Muscle-invasive Bladder Cancer: Results From a European Tertiary Care Center Cohort

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Effect of Hospital and Surgeon Case Volume on Perioperative Quality of Care and Short-term Outcomes After Radical Cystectomy for Muscle-invasive Bladder Cancer: Results From a European Tertiary Care Center Cohort. / Vetterlein, Malte W; Meyer, Christian P; Leyh-Bannurah, Sami-Ramzi; Mayr, Roman; Gierth, Michael; Fritsche, Hans-Martin; Burger, Maximilian; Keck, Bastian; Wullich, Bernd; Martini, Thomas; Bolenz, Christian; Pycha, Armin; Hanske, Julian; Roghmann, Florian; Noldus, Joachim; Bastian, Patrick J; Gilfrich, Christian; May, Matthias; Rink, Michael; Chun, Felix K-H; Dahlem, Roland; Fisch, Margit; Aziz, Atiqullah; PROMETRICS 2011 study group.

In: CLIN GENITOURIN CANC, Vol. 15, No. 5, 10.2017, p. e809-e817.

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

Harvard

Vetterlein, MW, Meyer, CP, Leyh-Bannurah, S-R, Mayr, R, Gierth, M, Fritsche, H-M, Burger, M, Keck, B, Wullich, B, Martini, T, Bolenz, C, Pycha, A, Hanske, J, Roghmann, F, Noldus, J, Bastian, PJ, Gilfrich, C, May, M, Rink, M, Chun, FK-H, Dahlem, R, Fisch, M, Aziz, A & PROMETRICS 2011 study group 2017, 'Effect of Hospital and Surgeon Case Volume on Perioperative Quality of Care and Short-term Outcomes After Radical Cystectomy for Muscle-invasive Bladder Cancer: Results From a European Tertiary Care Center Cohort', CLIN GENITOURIN CANC, vol. 15, no. 5, pp. e809-e817. https://doi.org/10.1016/j.clgc.2017.04.021

APA

Vetterlein, M. W., Meyer, C. P., Leyh-Bannurah, S-R., Mayr, R., Gierth, M., Fritsche, H-M., Burger, M., Keck, B., Wullich, B., Martini, T., Bolenz, C., Pycha, A., Hanske, J., Roghmann, F., Noldus, J., Bastian, P. J., Gilfrich, C., May, M., Rink, M., ... PROMETRICS 2011 study group (2017). Effect of Hospital and Surgeon Case Volume on Perioperative Quality of Care and Short-term Outcomes After Radical Cystectomy for Muscle-invasive Bladder Cancer: Results From a European Tertiary Care Center Cohort. CLIN GENITOURIN CANC, 15(5), e809-e817. https://doi.org/10.1016/j.clgc.2017.04.021

Vancouver

Vetterlein MW, Meyer CP, Leyh-Bannurah S-R, Mayr R, Gierth M, Fritsche H-M et al. Effect of Hospital and Surgeon Case Volume on Perioperative Quality of Care and Short-term Outcomes After Radical Cystectomy for Muscle-invasive Bladder Cancer: Results From a European Tertiary Care Center Cohort. CLIN GENITOURIN CANC. 2017 Oct;15(5):e809-e817. https://doi.org/10.1016/j.clgc.2017.04.021

Bibtex

@article{67a25b2eae6f40acbbeabd1370285bd4,
title = "Effect of Hospital and Surgeon Case Volume on Perioperative Quality of Care and Short-term Outcomes After Radical Cystectomy for Muscle-invasive Bladder Cancer: Results From a European Tertiary Care Center Cohort",
abstract = "BACKGROUND: Case volume has been suggested to affect surgical outcomes in different arrays of procedures. We aimed to delineate the relationship between case volume and surgical outcomes and quality of care criteria of radical cystectomy (RC) in a prospectively collected multicenter cohort.PATIENTS AND METHODS: This was a retrospective analysis of a prospectively collected European cohort of patients with bladder cancer treated with RC in 2011. We relied on 479 and 459 eligible patients with available information on hospital case volume and surgeon case volume, respectively. Hospital case volume was divided into tertiles, and surgeon volume was dichotomized according to the median annual number of surgeries performed. Binomial generalized estimating equations controlling for potential known confounders and inter-hospital clustering assessed the independent association of case volume with short-term complications and mortality, as well as the fulfillment of quality of care criteria.RESULTS: The high-volume threshold for hospitals was 45 RCs and, for high-volume surgeons, was > 15 cases annually. In adjusted analyses, high hospital volume remained an independent predictor of fewer 30-day (odds ratio, 0.34; P = .002) and 60- to 90-day (odds ratio, 0.41; P = .03) major complications but not of fulfilling quality of care criteria or mortality. No difference between surgeon volume groups was noted for complications, quality of care criteria, or mortality after adjustments.CONCLUSION: The coordination of care at high-volume hospitals might confer a similar important factor in postoperative outcomes as surgeon case volume in RC. This points to organizational elements in high-volume hospitals that enable them to react more appropriately to adverse events after surgery.",
keywords = "Journal Article",
author = "Vetterlein, {Malte W} and Meyer, {Christian P} and Sami-Ramzi Leyh-Bannurah and Roman Mayr and Michael Gierth and Hans-Martin Fritsche and Maximilian Burger and Bastian Keck and Bernd Wullich and Thomas Martini and Christian Bolenz and Armin Pycha and Julian Hanske and Florian Roghmann and Joachim Noldus and Bastian, {Patrick J} and Christian Gilfrich and Matthias May and Michael Rink and Chun, {Felix K-H} and Roland Dahlem and Margit Fisch and Atiqullah Aziz and {PROMETRICS 2011 study group}",
note = "Copyright {\textcopyright} 2017 Elsevier Inc. All rights reserved.",
year = "2017",
month = oct,
doi = "10.1016/j.clgc.2017.04.021",
language = "English",
volume = "15",
pages = "e809--e817",
journal = "CLIN GENITOURIN CANC",
issn = "1558-7673",
publisher = "Elsevier",
number = "5",

}

RIS

TY - JOUR

T1 - Effect of Hospital and Surgeon Case Volume on Perioperative Quality of Care and Short-term Outcomes After Radical Cystectomy for Muscle-invasive Bladder Cancer: Results From a European Tertiary Care Center Cohort

AU - Vetterlein, Malte W

AU - Meyer, Christian P

AU - Leyh-Bannurah, Sami-Ramzi

AU - Mayr, Roman

AU - Gierth, Michael

AU - Fritsche, Hans-Martin

AU - Burger, Maximilian

AU - Keck, Bastian

AU - Wullich, Bernd

AU - Martini, Thomas

AU - Bolenz, Christian

AU - Pycha, Armin

AU - Hanske, Julian

AU - Roghmann, Florian

AU - Noldus, Joachim

AU - Bastian, Patrick J

AU - Gilfrich, Christian

AU - May, Matthias

AU - Rink, Michael

AU - Chun, Felix K-H

AU - Dahlem, Roland

AU - Fisch, Margit

AU - Aziz, Atiqullah

AU - PROMETRICS 2011 study group

N1 - Copyright © 2017 Elsevier Inc. All rights reserved.

PY - 2017/10

Y1 - 2017/10

N2 - BACKGROUND: Case volume has been suggested to affect surgical outcomes in different arrays of procedures. We aimed to delineate the relationship between case volume and surgical outcomes and quality of care criteria of radical cystectomy (RC) in a prospectively collected multicenter cohort.PATIENTS AND METHODS: This was a retrospective analysis of a prospectively collected European cohort of patients with bladder cancer treated with RC in 2011. We relied on 479 and 459 eligible patients with available information on hospital case volume and surgeon case volume, respectively. Hospital case volume was divided into tertiles, and surgeon volume was dichotomized according to the median annual number of surgeries performed. Binomial generalized estimating equations controlling for potential known confounders and inter-hospital clustering assessed the independent association of case volume with short-term complications and mortality, as well as the fulfillment of quality of care criteria.RESULTS: The high-volume threshold for hospitals was 45 RCs and, for high-volume surgeons, was > 15 cases annually. In adjusted analyses, high hospital volume remained an independent predictor of fewer 30-day (odds ratio, 0.34; P = .002) and 60- to 90-day (odds ratio, 0.41; P = .03) major complications but not of fulfilling quality of care criteria or mortality. No difference between surgeon volume groups was noted for complications, quality of care criteria, or mortality after adjustments.CONCLUSION: The coordination of care at high-volume hospitals might confer a similar important factor in postoperative outcomes as surgeon case volume in RC. This points to organizational elements in high-volume hospitals that enable them to react more appropriately to adverse events after surgery.

AB - BACKGROUND: Case volume has been suggested to affect surgical outcomes in different arrays of procedures. We aimed to delineate the relationship between case volume and surgical outcomes and quality of care criteria of radical cystectomy (RC) in a prospectively collected multicenter cohort.PATIENTS AND METHODS: This was a retrospective analysis of a prospectively collected European cohort of patients with bladder cancer treated with RC in 2011. We relied on 479 and 459 eligible patients with available information on hospital case volume and surgeon case volume, respectively. Hospital case volume was divided into tertiles, and surgeon volume was dichotomized according to the median annual number of surgeries performed. Binomial generalized estimating equations controlling for potential known confounders and inter-hospital clustering assessed the independent association of case volume with short-term complications and mortality, as well as the fulfillment of quality of care criteria.RESULTS: The high-volume threshold for hospitals was 45 RCs and, for high-volume surgeons, was > 15 cases annually. In adjusted analyses, high hospital volume remained an independent predictor of fewer 30-day (odds ratio, 0.34; P = .002) and 60- to 90-day (odds ratio, 0.41; P = .03) major complications but not of fulfilling quality of care criteria or mortality. No difference between surgeon volume groups was noted for complications, quality of care criteria, or mortality after adjustments.CONCLUSION: The coordination of care at high-volume hospitals might confer a similar important factor in postoperative outcomes as surgeon case volume in RC. This points to organizational elements in high-volume hospitals that enable them to react more appropriately to adverse events after surgery.

KW - Journal Article

U2 - 10.1016/j.clgc.2017.04.021

DO - 10.1016/j.clgc.2017.04.021

M3 - SCORING: Journal article

C2 - 28550955

VL - 15

SP - e809-e817

JO - CLIN GENITOURIN CANC

JF - CLIN GENITOURIN CANC

SN - 1558-7673

IS - 5

ER -