• Login
    View Item 
    •   Home
    • UMass Chan Student Research and Publications
    • T.H. Chan School of Medicine
    • Senior Scholars Program
    • View Item
    •   Home
    • UMass Chan Student Research and Publications
    • T.H. Chan School of Medicine
    • Senior Scholars Program
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of eScholarship@UMassChanCommunitiesPublication DateAuthorsUMass Chan AffiliationsTitlesDocument TypesKeywordsThis CollectionPublication DateAuthorsUMass Chan AffiliationsTitlesDocument TypesKeywords

    My Account

    LoginRegister

    Help

    AboutSubmission GuidelinesData Deposit PolicySearchingAccessibilityTerms of UseWebsite Migration FAQ

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Hospital volume as a surrogate for laparoscopically assisted colectomy

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Authors
    Singla, Anand
    Simons, Jessica P.
    Carroll, James E.
    Li, Youfu
    Ng, Sing Chau
    Tseng, Jennifer F.
    Shah, Shimul A.
    UMass Chan Affiliations
    Department of Surgery
    Document Type
    Journal Article
    Publication Date
    2010-03-19
    Keywords
    Colectomy
    Hospitals
    Patient Admission
    Treatment Outcome
    Outcome Assessment (Health Care)
    Length of Stay
    Life Sciences
    Medicine and Health Sciences
    Surgery
    
    Metadata
    Show full item record
    Link to Full Text
    http://dx.doi.org/10.1007/s00464-009-0665-2
    Abstract
    BACKGROUND: Although laparoscopic colectomy is reported to have favorable outcomes compared with open colectomy, it has yet to gain widespread acceptance in the United States. This study sought to investigate whether hospital volume is a factor determining the use of laparoscopy for colectomy. METHODS: Using the Nationwide Inpatient Sample (NIS, 1998-2006), patients undergoing elective colon resection with and without laparoscopy were identified. Unique hospital identifiers were used to divide hospital volume into equal thirds, with the highest third defined as high volume and the lower two-thirds defined as low volume. The primary end point was the use of laparoscopy after adjustment for patient and hospital covariates. RESULTS: A total of 209,769 colon resections were performed in the study period. Overall, only 8,407 (4%) of these resections were performed with laparoscopy. High-volume centers, which tended to be large, urban teaching hospitals, treated more patients in the highest income bracket and patients with private insurance than low-volume hospitals (p < 0.0001). High-volume hospitals used laparoscopy more often than low-volume hospitals (5.2% vs. 3.4%). After adjustment for covariates using multivariate analysis and propensity scores, analysis showed that patients with private insurance and those in the highest income bracket were more likely to receive laparoscopy (p < 0.0009). High-volume hospitals were more likely to perform laparoscopically assisted colectomy than low-volume hospitals (odds ratio [OR], 1.42; 95% confidence interval [CI], 1.23-1.56). CONCLUSIONS: Socioeconomic differences appear to exist between high- and low-volume hospitals in the use of laparoscopy. High hospital volume is associated with an increased likelihood that colectomy will be performed with laparoscopy.
    Source
    Surg Endosc. 2010 Mar;24(3):662-9. Epub 2009 Aug 18. Link to article on publisher's site
    DOI
    10.1007/s00464-009-0665-2
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/49439
    PubMed ID
    19688386
    Notes

    Medical student Anand Singla participated in this study as part of his Senior Scholars research project.

    Related Resources
    Link to Article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.1007/s00464-009-0665-2
    Scopus Count
    Collections
    T.H. Chan School of Medicine Student Publications
    Senior Scholars Program

    entitlement

    DSpace software (copyright © 2002 - 2023)  DuraSpace
    Lamar Soutter Library, UMass Chan Medical School | 55 Lake Avenue North | Worcester, MA 01655 USA
    Quick Guide | escholarship@umassmed.edu
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.