Hospital Centralization Impacts High-Risk Lung and Bladder Cancer Surgical Patients.
Wil Lieberman-CribbinMatthew GalskyMartin CaseyBian LiuWilliam OhRaja FloresEmanuela TaioliPublished in: Cancer investigation (2017)
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.
Keyphrases
- healthcare
- adverse drug
- case report
- end stage renal disease
- minimally invasive
- ejection fraction
- spinal cord injury
- acute care
- newly diagnosed
- emergency department
- type diabetes
- metabolic syndrome
- cardiovascular events
- peritoneal dialysis
- weight loss
- acute coronary syndrome
- high resolution
- insulin resistance
- muscle invasive bladder cancer