publication . Article . Other literature type . 2003

Transsphenoidal surgery for pituitary tumors in the United States, 1996-2000: mortality, morbidity, and the effects of hospital and surgeon volume.

Barker, Fred G.; Klibanski, Anne; Swearingen, Brooke;
Open Access
  • Published: 01 Oct 2003 Journal: The Journal of Clinical Endocrinology & Metabolism, volume 88, pages 4,709-4,719 (issn: 0021-972X, eissn: 1945-7197, Copyright policy)
  • Publisher: The Endocrine Society
Larger surgical caseload is associated with better patient outcome for many complex procedures. We examined the volume-outcome relationship for transsphenoidal pituitary tumor surgery using the Nationwide Inpatient Sample, 1996–2000. Multivariate regression adjusted for patient demographics, acuity measures, medical comorbidities, and endocrine status. A total of 5497 operations were performed at 538 hospitals by 825 surgeons. Outcome measured at hospital discharge was: death (0.6%), discharge to long-term care (0.9%), to short-term rehabilitation (2.1%), or directly home (96.2%). Outcomes were better after surgery at higher-volume hospitals (OR 0.74 for 5-fold-...
free text keywords: Clinical Biochemistry, Biochemistry, Endocrinology, Diabetes and Metabolism, Endocrinology, Biochemistry, medical
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