Vestibular schwannoma surgical volume and short-term outcomes in Maryland

Bryan Ward, Christine Gourin, Howard W. Francis

Research output: Contribution to journalArticle

Abstract

Objective: To characterize contemporary practice patterns and outcomes of vestibular schwannoma surgery. Design: Cross-sectional analysis. Setting: Maryland Health Service Cost Review Commission database. Patients: The study included patients who underwent surgery for vestibular schwannoma between 1990 and 2009. Main Outcome Measures: Temporal trends and relationships between volume and in-hospital deaths, central nervous system (CNS) complications, length of hospitalization, and costs. Results: A total of 1177 surgical procedures were performed by 57 surgeons at 12 hospitals. Most cases were performed by high-volume surgeons (47%) at highvolume hospitals (79%). The number of cases increased from 474 in 1999-2000 to 703 in 2000-2009. Vestibular schwannoma surgery in 2000-2009 was associated with a decrease in CNS complications (odds ratio [OR] 0.4; P

Original languageEnglish (US)
Pages (from-to)577-583
Number of pages7
JournalArchives of Otolaryngology--Head and Neck Surgery
Volume138
Issue number6
DOIs
StatePublished - Jun 2012

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Acoustic Neuroma
Central Nervous System
Health Care Costs
Health Services
Hospitalization
Cross-Sectional Studies
Odds Ratio
Outcome Assessment (Health Care)
Databases
Costs and Cost Analysis
Surgeons

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery

Cite this

Vestibular schwannoma surgical volume and short-term outcomes in Maryland. / Ward, Bryan; Gourin, Christine; Francis, Howard W.

In: Archives of Otolaryngology--Head and Neck Surgery, Vol. 138, No. 6, 06.2012, p. 577-583.

Research output: Contribution to journalArticle

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