| |  Online-Ressource |
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| Verfasst von: | Baum, Philip [VerfasserIn]  |
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| | Diers, Johannes [VerfasserIn] |
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| | Haag, Johannes C. [VerfasserIn] |
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| | Klotz, Laura Valentina [VerfasserIn] |
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| | Eichhorn, Florian [VerfasserIn] |
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| | Eichhorn, Martin E. [VerfasserIn] |
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| | Wiegering, Armin [VerfasserIn] |
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| | Winter, Hauke [VerfasserIn] |
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| Titel: | Nationwide effect of high procedure volume in lung cancer surgery on in-house mortality in Germany |
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| Verf.angabe: | Philip Baum, Johannes Diers, Johannes Haag, Laura Klotz, Florian Eichhorn, Martin Eichhorn, Armin Wiegering, Hauke Winter |
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| E-Jahr: | 2020 |
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| Jahr: | 31 August 2020 |
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| Umfang: | 6 S. |
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| Fussnoten: | Gesehen am 23.11.2020 |
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| Titel Quelle: | Enthalten in: Lung cancer |
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| Ort Quelle: | Amsterdam [u.a.] : Elsevier, 1985 |
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| Jahr Quelle: | 2020 |
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| Band/Heft Quelle: | 149(2020), Seite 78-83 |
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| ISSN Quelle: | 1872-8332 |
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| Abstract: | Background - The literature reports that hospital caseload volume is associated with survival for lung cancer resection. The aim of this study is to explore this association in a nationwide setting according to individual hospital caseload volume of every inpatient case in Germany. - Methods - This retrospective analysis of nationwide hospital discharge data in Germany between 2014 and 2017 comprises 121,837 patients of whom 36,051 (29.6 %) underwent surgical anatomic resection. Hospital volumes were defined according to the number of patient resections for lung cancer in each hospital, and patients were categorized into 5 quintiles based on hospital caseload volume. A logistic regression model accounting for death according to sex, age, comorbidity, and resection volume was calculated, and effect modification was evaluated using the Mantel-Haenszel method. - Results - In-house mortality ranged from 2.1 % in very high-volume centers to 4.0 % in very low-volume hospitals (p<0.01). In multivariable logistic regression analysis, lower in-house mortality in very high-volume centers performing > 140 anatomic lung resections per year was observed compared with very low-volume centers performing < 27 resections (OR, 0.58; CI, 0.46 to 0.72; p<0.01). This relationship also held for failure to rescue rates (12.9 vs 16.7 %, p=0.01), although a greater number of extended resections were performed (23.1 vs. 14.8 %, p<0.01). - Conclusions - Hospitals with high volumes of lung cancer resections performed surgery with a higher ratio of complex procedures and achieved reduced in-house mortality, fewer complications, and lower failure to rescue rates. |
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| DOI: | doi:10.1016/j.lungcan.2020.08.018 |
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| URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.
Volltext ; Verlag: https://doi.org/10.1016/j.lungcan.2020.08.018 |
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| | Volltext: http://www.sciencedirect.com/science/article/pii/S0169500220305924 |
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| | DOI: https://doi.org/10.1016/j.lungcan.2020.08.018 |
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| Datenträger: | Online-Ressource |
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| Sprache: | eng |
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| Sach-SW: | Caseload volume |
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| | Complications |
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| | Failure to rescue |
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| | Germany |
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| | Lung cancer |
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| | Lymph node dissection |
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| | Minimally invasive surgery |
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| | Mortality |
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| | NSCLC |
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| | Procedure volume |
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| | Surgery |
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| | Thoracic surgery |
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| | Volume outcome relationship |
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| K10plus-PPN: | 1740346033 |
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| Verknüpfungen: | → Zeitschrift |
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Nationwide effect of high procedure volume in lung cancer surgery on in-house mortality in Germany / Baum, Philip [VerfasserIn]; 31 August 2020 (Online-Ressource)
