학술논문
Hospital Centralization Impacts High-Risk Lung and Bladder Cancer Surgical Patients.
Document Type
Journal Article
Author
Source
Subject
*BLADDER cancer patients
*BLADDER cancer treatment
*LUNG cancer
*ONCOLOGIC surgery
*CANCER-related mortality
*COMPARATIVE studies
*LENGTH of stay in hospitals
*HOSPITALS
*LUNG tumors
*RESEARCH methodology
*MEDICAL cooperation
*RESEARCH
*SURGICAL complications
*EVALUATION research
BLADDER tumors
*
*
*
*
*
*
*
*
*
*
*
*
*
Language
ISSN
0735-7907
Abstract
We investigated the effects of hospital centralization on the distribution of the individual surgical patient risk in higher versus lower volume hospitals. Lung (n = 28,471) and bladder (n = 8,160) cancer surgical patients were selected from the New York Statewide Planning and Research Cooperative System database, 1997-2011. Estimated patient risk was consistently lower in the highest compared to the lowest hospital volume-quartiles for lung and bladder cancer mortality, complications, and long length of stay. Although centralization has improved outcomes, lower volume hospitals continue to perform surgery on higher surgical risk patients compared to higher volume hospitals. [ABSTRACT FROM AUTHOR]