Provider versus patient factors impacting hospital length of stay after pancreaticoduodenectomy

Eric B. Schneider, Omar Hyder, Christopher Wolfgang, Rebecca M. Dodson, Adil H. Haider, Joseph M. Herman, Timothy M. Pawlik

Research output: Contribution to journalArticle

Abstract

Background: Studies reporting perioperative outcomes after pancreaticoduodenectomy (PD) have focused on morbidity and mortality. Understanding factors that impact hospital duration of stay may have cost-saving implications. We sought to examine variation in duration of stay after PD occurring at the patient, surgeon, and hospital levels. Methods: Year-specific PD volumes for both surgeons and hospitals were determined from the 2003-2009 Nationwide Inpatient Sample and grouped into terciles. Patient age, gender, and comorbidities were examined. Median duration of stay was calculated and modified Poisson regression examined factors associated with duration of stay. Results: Among 5,190 individuals undergoing PD, median age was 65 years and 49.3% were female. Median duration of stay was 13 days (range, 0-234). Older patients and those with comorbid illness were more likely to have duration of stay of ≥14 days (P

Original languageEnglish (US)
Pages (from-to)152-161
Number of pages10
JournalSurgery
Volume154
Issue number2
DOIs
StatePublished - Aug 2013

Fingerprint

Pancreaticoduodenectomy
Length of Stay
Comorbidity
Inpatients
Morbidity
Costs and Cost Analysis
Mortality
Surgeons

ASJC Scopus subject areas

  • Surgery

Cite this

Schneider, E. B., Hyder, O., Wolfgang, C., Dodson, R. M., Haider, A. H., Herman, J. M., & Pawlik, T. M. (2013). Provider versus patient factors impacting hospital length of stay after pancreaticoduodenectomy. Surgery, 154(2), 152-161. https://doi.org/10.1016/j.surg.2013.03.013

Provider versus patient factors impacting hospital length of stay after pancreaticoduodenectomy. / Schneider, Eric B.; Hyder, Omar; Wolfgang, Christopher; Dodson, Rebecca M.; Haider, Adil H.; Herman, Joseph M.; Pawlik, Timothy M.

In: Surgery, Vol. 154, No. 2, 08.2013, p. 152-161.

Research output: Contribution to journalArticle

Schneider, EB, Hyder, O, Wolfgang, C, Dodson, RM, Haider, AH, Herman, JM & Pawlik, TM 2013, 'Provider versus patient factors impacting hospital length of stay after pancreaticoduodenectomy', Surgery, vol. 154, no. 2, pp. 152-161. https://doi.org/10.1016/j.surg.2013.03.013
Schneider, Eric B. ; Hyder, Omar ; Wolfgang, Christopher ; Dodson, Rebecca M. ; Haider, Adil H. ; Herman, Joseph M. ; Pawlik, Timothy M. / Provider versus patient factors impacting hospital length of stay after pancreaticoduodenectomy. In: Surgery. 2013 ; Vol. 154, No. 2. pp. 152-161.
@article{846ca282832f49f99cc8dc904f64dc88,
title = "Provider versus patient factors impacting hospital length of stay after pancreaticoduodenectomy",
abstract = "Background: Studies reporting perioperative outcomes after pancreaticoduodenectomy (PD) have focused on morbidity and mortality. Understanding factors that impact hospital duration of stay may have cost-saving implications. We sought to examine variation in duration of stay after PD occurring at the patient, surgeon, and hospital levels. Methods: Year-specific PD volumes for both surgeons and hospitals were determined from the 2003-2009 Nationwide Inpatient Sample and grouped into terciles. Patient age, gender, and comorbidities were examined. Median duration of stay was calculated and modified Poisson regression examined factors associated with duration of stay. Results: Among 5,190 individuals undergoing PD, median age was 65 years and 49.3{\%} were female. Median duration of stay was 13 days (range, 0-234). Older patients and those with comorbid illness were more likely to have duration of stay of ≥14 days (P",
author = "Schneider, {Eric B.} and Omar Hyder and Christopher Wolfgang and Dodson, {Rebecca M.} and Haider, {Adil H.} and Herman, {Joseph M.} and Pawlik, {Timothy M.}",
year = "2013",
month = "8",
doi = "10.1016/j.surg.2013.03.013",
language = "English (US)",
volume = "154",
pages = "152--161",
journal = "Surgery",
issn = "0039-6060",
publisher = "Mosby Inc.",
number = "2",

}

TY - JOUR

T1 - Provider versus patient factors impacting hospital length of stay after pancreaticoduodenectomy

AU - Schneider, Eric B.

AU - Hyder, Omar

AU - Wolfgang, Christopher

AU - Dodson, Rebecca M.

AU - Haider, Adil H.

AU - Herman, Joseph M.

AU - Pawlik, Timothy M.

PY - 2013/8

Y1 - 2013/8

N2 - Background: Studies reporting perioperative outcomes after pancreaticoduodenectomy (PD) have focused on morbidity and mortality. Understanding factors that impact hospital duration of stay may have cost-saving implications. We sought to examine variation in duration of stay after PD occurring at the patient, surgeon, and hospital levels. Methods: Year-specific PD volumes for both surgeons and hospitals were determined from the 2003-2009 Nationwide Inpatient Sample and grouped into terciles. Patient age, gender, and comorbidities were examined. Median duration of stay was calculated and modified Poisson regression examined factors associated with duration of stay. Results: Among 5,190 individuals undergoing PD, median age was 65 years and 49.3% were female. Median duration of stay was 13 days (range, 0-234). Older patients and those with comorbid illness were more likely to have duration of stay of ≥14 days (P

AB - Background: Studies reporting perioperative outcomes after pancreaticoduodenectomy (PD) have focused on morbidity and mortality. Understanding factors that impact hospital duration of stay may have cost-saving implications. We sought to examine variation in duration of stay after PD occurring at the patient, surgeon, and hospital levels. Methods: Year-specific PD volumes for both surgeons and hospitals were determined from the 2003-2009 Nationwide Inpatient Sample and grouped into terciles. Patient age, gender, and comorbidities were examined. Median duration of stay was calculated and modified Poisson regression examined factors associated with duration of stay. Results: Among 5,190 individuals undergoing PD, median age was 65 years and 49.3% were female. Median duration of stay was 13 days (range, 0-234). Older patients and those with comorbid illness were more likely to have duration of stay of ≥14 days (P

UR - http://www.scopus.com/inward/record.url?scp=84880896397&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84880896397&partnerID=8YFLogxK

U2 - 10.1016/j.surg.2013.03.013

DO - 10.1016/j.surg.2013.03.013

M3 - Article

C2 - 23889945

AN - SCOPUS:84880896397

VL - 154

SP - 152

EP - 161

JO - Surgery

JF - Surgery

SN - 0039-6060

IS - 2

ER -