publication . Other literature type . Article . 2016

Surgeon specialization and operative mortality in United States: retrospective analysis.

Nikhil R Sahni; Maurice Dalton; David M Cutler; John D Birkmeyer; Amitabh Chandra;
  • Published: 21 Jul 2016
  • Publisher: BMJ
Abstract
Objective To measure the association between a surgeon’s degree of specialization in a specific procedure and patient mortality. Design Retrospective analysis of Medicare data. Setting US patients aged 66 or older enrolled in traditional fee for service Medicare. Participants 25 152 US surgeons who performed one of eight procedures (carotid endarterectomy, coronary artery bypass grafting, valve replacement, abdominal aortic aneurysm repair, lung resection, cystectomy, pancreatic resection, or esophagectomy) on 695 987 patients in 2008-13. Main outcome measure Relative risk reduction in risk adjusted and volume adjusted 30 day operative mortality between surgeons...
Subjects
free text keywords: Research, 1779, Retrospective cohort study, Relative risk reduction, Cardiovascular Surgical Procedure, Esophagectomy, medicine.medical_treatment, medicine, Carotid endarterectomy, Pathology, medicine.medical_specialty, Valve replacement, business.industry, business, Surgery, Abdominal aortic aneurysm, medicine.disease, Cystectomy
Funded by
NIH| FINANCIAL STATUS--RETIREMENT SAVING PROGRAMS
Project
  • Funder: National Institutes of Health (NIH)
  • Project Code: 2P01AG005842-04
  • Funding stream: NATIONAL INSTITUTE ON AGING
,
NIH| Causes and Consequences of Health Care Intensity
Project
  • Funder: National Institutes of Health (NIH)
  • Project Code: 5P01AG019783-03
  • Funding stream: NATIONAL INSTITUTE ON AGING
,
NIH| Expanding the National Health Accounts
Project
  • Funder: National Institutes of Health (NIH)
  • Project Code: 5P01AG031098-04
  • Funding stream: NATIONAL INSTITUTE ON AGING
Download fromView all 4 versions
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Article
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Article . 2016
Provider: Crossref
32 references, page 1 of 3

1 Birkmeyer JD, Stukel TA, Siewers AE, Goodney PP, Wennberg DE, Lucas FL. Surgeon volume and operative mortality in the United States. N Engl J Med 2003;349:2117-27. 10.1056/NEJMsa035205 pmid:14645640.14645640 [OpenAIRE] [PubMed] [DOI]

2 Birkmeyer JD, Siewers AE, Finlayson EV, et al. Hospital volume and surgical mortality in the United States. N Engl J Med 2002;346:1128-37. 10.1056/NEJMsa012337 pmid:11948273.11948273 [PubMed] [DOI]

3 Reames BN, Ghaferi AA, Birkmeyer JD, Dimick JB. Hospital volume and operative mortality in the modern era. Ann Surg 2014;260:244-51. 10.1097/SLA.0000000000000375 pmid:24368634.24368634 [OpenAIRE] [PubMed] [DOI]

4 Finks JF, Osborne NH, Birkmeyer JD. Trends in hospital volume and operative mortality for high-risk surgery. N Engl J Med 2011;364:2128-37. 10.1056/NEJMsa1010705 pmid:21631325.21631325 [OpenAIRE] [PubMed] [DOI]

5 Elixhauser A, Steiner C, Fraser I. Volume thresholds and hospital characteristics in the United States. Health Aff (Millwood)2003;22:167-77. 10.1377/hlthaff.22.2.167 pmid:12674419. [OpenAIRE] [DOI]

6 Chowdhury MM, Dagash H, Pi erro A. A systematic review of the impact of volume of surgery and specialization on patient outcome. Br J Surg 2007;94:145-61. 10.1002/bjs.5714 pmid:17256810.17256810 [OpenAIRE] [PubMed] [DOI]

7 Maruthappu M, Gilbert BJ, El-Harasis MA, et al. The influence of volume and experience on individual surgical performance: a systematic review. Ann Surg 2015;261:642-7. 10.1097/SLA.0000000000000852 pmid:25072442.25072442 [PubMed] [DOI]

8 KC D, Staats BR. Accumulating a portfolio of experience: the effect of focal and related experience on surgeon performance. Manuf Serv Oper Manag 2012;14:618-33 10.1287/msom.1120.0385. [DOI]

9 Bilimoria KY, Phillips JD, Rock CE, Hayman A, Prystowsky JB, Bentrem DJ. Effect of surgeon training, specialization, and experience on outcomes for cancer surgery: a systematic review of the literature. Ann Surg Oncol 2009;16:1799-808. 10.1245/s10434-009-0467-8 pmid:1944 4524.19444524 [OpenAIRE] [PubMed] [DOI]

10 Birkmeyer JD, Finks JF, O’Reilly A, et al. Michigan Bariatric Surgery Collaborative. Surgical skill and complication rates after bariatric surgery. N Engl J Med 2013;369:1434-42. 10.1056/NEJMsa1300625 pmid:24106936.24106936 [OpenAIRE] [PubMed] [DOI]

11 Staats BR, Gino F. Specialization and variety in repetitive tasks: evidence from a Japanese bank. Manage Sci 2012;58:1141-59 10.1287/mnsc.1110.1482. [DOI]

12 Tsikriktsis N. The effect of operational performance and focus on profitability: a longitudinal study of the U.S. airline industry. Manuf Serv Oper Manag 2007;9:506-17 10.1287/msom.1060.0133. [OpenAIRE] [DOI]

13 Huckman RS, Zinner D. Does Focus Improve Operational Performance? Lessons from the Management of Clinical Trials. Strateg Manage J 2008;29:173-93 10.1002/smj.650. [DOI]

14 Fisher ML, Ittner CD. The impact of product variety on automobile assembly operations: empirical evidence and simulation analysis. Manage Sci 1999;45:771-86 10.1287/mnsc.45.6.771. [OpenAIRE] [DOI]

15 Seymour NE, Gallagher AG, Roman SA, et al. Virtual reality training improves operating room performance: results of a randomized, double-blinded study. Ann Surg 2002;236:458-63, discussion 463-4. 10.1097/00000658-200210000-00008 pmid:12368674.12368674 [OpenAIRE] [PubMed] [DOI]

32 references, page 1 of 3
Abstract
Objective To measure the association between a surgeon’s degree of specialization in a specific procedure and patient mortality. Design Retrospective analysis of Medicare data. Setting US patients aged 66 or older enrolled in traditional fee for service Medicare. Participants 25 152 US surgeons who performed one of eight procedures (carotid endarterectomy, coronary artery bypass grafting, valve replacement, abdominal aortic aneurysm repair, lung resection, cystectomy, pancreatic resection, or esophagectomy) on 695 987 patients in 2008-13. Main outcome measure Relative risk reduction in risk adjusted and volume adjusted 30 day operative mortality between surgeons...
Subjects
free text keywords: Research, 1779, Retrospective cohort study, Relative risk reduction, Cardiovascular Surgical Procedure, Esophagectomy, medicine.medical_treatment, medicine, Carotid endarterectomy, Pathology, medicine.medical_specialty, Valve replacement, business.industry, business, Surgery, Abdominal aortic aneurysm, medicine.disease, Cystectomy
Funded by
NIH| FINANCIAL STATUS--RETIREMENT SAVING PROGRAMS
Project
  • Funder: National Institutes of Health (NIH)
  • Project Code: 2P01AG005842-04
  • Funding stream: NATIONAL INSTITUTE ON AGING
,
NIH| Causes and Consequences of Health Care Intensity
Project
  • Funder: National Institutes of Health (NIH)
  • Project Code: 5P01AG019783-03
  • Funding stream: NATIONAL INSTITUTE ON AGING
,
NIH| Expanding the National Health Accounts
Project
  • Funder: National Institutes of Health (NIH)
  • Project Code: 5P01AG031098-04
  • Funding stream: NATIONAL INSTITUTE ON AGING
Download fromView all 4 versions
BMJ
Article
Provider: UnpayWall
BMJ
Article . 2016
Provider: Crossref
32 references, page 1 of 3

1 Birkmeyer JD, Stukel TA, Siewers AE, Goodney PP, Wennberg DE, Lucas FL. Surgeon volume and operative mortality in the United States. N Engl J Med 2003;349:2117-27. 10.1056/NEJMsa035205 pmid:14645640.14645640 [OpenAIRE] [PubMed] [DOI]

2 Birkmeyer JD, Siewers AE, Finlayson EV, et al. Hospital volume and surgical mortality in the United States. N Engl J Med 2002;346:1128-37. 10.1056/NEJMsa012337 pmid:11948273.11948273 [PubMed] [DOI]

3 Reames BN, Ghaferi AA, Birkmeyer JD, Dimick JB. Hospital volume and operative mortality in the modern era. Ann Surg 2014;260:244-51. 10.1097/SLA.0000000000000375 pmid:24368634.24368634 [OpenAIRE] [PubMed] [DOI]

4 Finks JF, Osborne NH, Birkmeyer JD. Trends in hospital volume and operative mortality for high-risk surgery. N Engl J Med 2011;364:2128-37. 10.1056/NEJMsa1010705 pmid:21631325.21631325 [OpenAIRE] [PubMed] [DOI]

5 Elixhauser A, Steiner C, Fraser I. Volume thresholds and hospital characteristics in the United States. Health Aff (Millwood)2003;22:167-77. 10.1377/hlthaff.22.2.167 pmid:12674419. [OpenAIRE] [DOI]

6 Chowdhury MM, Dagash H, Pi erro A. A systematic review of the impact of volume of surgery and specialization on patient outcome. Br J Surg 2007;94:145-61. 10.1002/bjs.5714 pmid:17256810.17256810 [OpenAIRE] [PubMed] [DOI]

7 Maruthappu M, Gilbert BJ, El-Harasis MA, et al. The influence of volume and experience on individual surgical performance: a systematic review. Ann Surg 2015;261:642-7. 10.1097/SLA.0000000000000852 pmid:25072442.25072442 [PubMed] [DOI]

8 KC D, Staats BR. Accumulating a portfolio of experience: the effect of focal and related experience on surgeon performance. Manuf Serv Oper Manag 2012;14:618-33 10.1287/msom.1120.0385. [DOI]

9 Bilimoria KY, Phillips JD, Rock CE, Hayman A, Prystowsky JB, Bentrem DJ. Effect of surgeon training, specialization, and experience on outcomes for cancer surgery: a systematic review of the literature. Ann Surg Oncol 2009;16:1799-808. 10.1245/s10434-009-0467-8 pmid:1944 4524.19444524 [OpenAIRE] [PubMed] [DOI]

10 Birkmeyer JD, Finks JF, O’Reilly A, et al. Michigan Bariatric Surgery Collaborative. Surgical skill and complication rates after bariatric surgery. N Engl J Med 2013;369:1434-42. 10.1056/NEJMsa1300625 pmid:24106936.24106936 [OpenAIRE] [PubMed] [DOI]

11 Staats BR, Gino F. Specialization and variety in repetitive tasks: evidence from a Japanese bank. Manage Sci 2012;58:1141-59 10.1287/mnsc.1110.1482. [DOI]

12 Tsikriktsis N. The effect of operational performance and focus on profitability: a longitudinal study of the U.S. airline industry. Manuf Serv Oper Manag 2007;9:506-17 10.1287/msom.1060.0133. [OpenAIRE] [DOI]

13 Huckman RS, Zinner D. Does Focus Improve Operational Performance? Lessons from the Management of Clinical Trials. Strateg Manage J 2008;29:173-93 10.1002/smj.650. [DOI]

14 Fisher ML, Ittner CD. The impact of product variety on automobile assembly operations: empirical evidence and simulation analysis. Manage Sci 1999;45:771-86 10.1287/mnsc.45.6.771. [OpenAIRE] [DOI]

15 Seymour NE, Gallagher AG, Roman SA, et al. Virtual reality training improves operating room performance: results of a randomized, double-blinded study. Ann Surg 2002;236:458-63, discussion 463-4. 10.1097/00000658-200210000-00008 pmid:12368674.12368674 [OpenAIRE] [PubMed] [DOI]

32 references, page 1 of 3
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