Regionalization of the surgical care of children: A risk-adjusted comparison of hospital surgical outcomes by geographic areas

Jose H. Salazar, Seth D. Goldstein, Jingyan Yang, Jeffrey Douaiher, Khaled Al-Omar, Maria Michailidou, Jonathan Aboagye, Fizan Abdullah

Research output: Contribution to journalArticlepeer-review

Abstract

Background There is an ongoing debate among pediatric surgeons regarding the need or lack thereof to centralize the surgical care of children to high-volume children's centers. Risk-adjusted comparisons of hospitals performing pediatric surgery are needed. Methods Admissions from 2006 to 2010 from two national administrative databases were analyzed. Only nontrauma pediatric patients undergoing a noncardiac surgical procedure were included. Risk-adjustment was performed with a validated International Classification of Diseases, 9th Revision code-based tool. Hospitals were grouped into metropolitan regions using the first three digits of their zip code. Poorly performing outlier hospitals were defined by an odds ratio >1 and P value

Original languageEnglish (US)
Pages (from-to)467-474
Number of pages8
JournalSurgery
Volume156
Issue number2
DOIs
StatePublished - 2014

ASJC Scopus subject areas

  • Surgery

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