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

doi:10.1016/j.surg.2014.04.003

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

School of Medicine

Research output: Contribution to journal › Article › peer-review

15 Scopus citations

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 language	English (US)
Pages (from-to)	467-474
Number of pages	8
Journal	Surgery
Volume	156
Issue number	2
DOIs	https://doi.org/10.1016/j.surg.2014.04.003
State	Published - 2014

ASJC Scopus subject areas

Surgery

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10.1016/j.surg.2014.04.003

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

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 ",

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T2 - A risk-adjusted comparison of hospital surgical outcomes by geographic areas

AU - Salazar, Jose H.

AU - Goldstein, Seth D.

AU - Yang, Jingyan

AU - Douaiher, Jeffrey

AU - Al-Omar, Khaled

AU - Michailidou, Maria

AU - Aboagye, Jonathan

AU - Abdullah, Fizan

PY - 2014

Y1 - 2014

N2 - 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

AB - 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

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

Abstract

ASJC Scopus subject areas

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