Journal of Vascular Surgery
Volume 50, Issue 2 , Pages 243-250 , August 2009

Impact of hospital teaching status on survival from ruptured abdominal aortic aneurysm repair

Presented at the Annual Meeting of Eastern Vascular Association, Boston, Mass, September 12, 2008.

Received 18 September 2008 ,Accepted 21 January 2009.

References 

  1. Johansson G, Swedenborg J. Ruptured abdominal aortic aneurysms: a study of incidence and mortality. Br J Surg. 1986;73:101–103
  2. Ernst CB. Abdominal aortic aneurysm. N Engl J Med. 1993;328:1167–1172
  3. Dimick JB, Cowan JA, Stanley JC, Henke PK, Pronovost PJ, Upchurch GR. Surgeon specialty and provider volumes are related to outcome of intact abdominal aortic aneurysm repair in the United States. J Vasc Surg. 2003;38:739–744
  4. Pearce WH, Parker MA, Feinglass J, Ujiki M, Manheim LM. The importance of surgeon volume and training in outcomes for vascular surgical procedures. J Vasc Surg. 1999;29:768–776discussion 777-8
  5. Cho JS, Kim JY, Rhee RY, Gupta N, Marone LK, Dillavou ED, et al. Contemporary results of open repair of ruptured abdominal aortoiliac aneurysms: effect of surgeon volume on mortality. J Vasc Surg. 2008;48:10–17discussion 17-8
  6. Killeen SD, Andrews EJ, Redmond HP, Fulton GJ. Provider volume and outcomes for abdominal aortic aneurysm repair, carotid endarterectomy, and lower extremity revascularization procedures. J Vasc Surg. 2007;45:615–626
  7. Dimick JB, Cowan JA, Colletti LM, Upchurch GR. Hospital teaching status and outcomes of complex surgical procedures in the United States. Arch Surg. 2004;139:137–141
  8. Ayanian JZ, Weissman JS, Chasan-Taber S, Epstein AM. Quality of care for two common illnesses in teaching and nonteaching hospitals. Health Aff (Millwood). 1998;17:194–205
  9. Meguid RA, Brooke BS, Chang DC, Sherwood JT, Brock MV, Yang SC. Are surgical outcomes for lung cancer resections improved at teaching hospitals?. Ann Thorac Surg. 2008;85:1015–1024discussion 1024-5
  10. Dimick JB, Goodney PP, Orringer MB, Birkmeyer JD. Specialty training and mortality after esophageal cancer resection. Ann Thorac Surg. 2005;80:282–286
  11. Brooke BS, Perler BA, Dominici F, Makary MA, Pronovost PJ. Reduction of in-hospital mortality among California hospitals meeting Leapfrog evidence-based standards for abdominal aortic aneurysm repair. J Vasc Surg. 2008;47:1155–1156discussion 1163-4
  12. Healthcare Cost and Utilization Project (HCUP): Nationwide Inpatient Sample. Agency for Healthcare Research and Quality; 2005;
  13. Reports - Programs by Specialty. Accreditation Council for Graduate Medical Education; 2008;
  14. International Classification of Diseases, Ninth Revision. Ninth Edition ed.. Washington, DC: Public Health Service, US Department of Health and Human Services; 1988;
  15. Timaran CH, Veith FJ, Rosero EB, Modrall JG, Arko FR, Clagett GP, et al. Endovascular aortic aneurysm repair in patients with the highest risk and in-hospital mortality in the United States. Arch Surg. 2007;142:520–524discussion 524-5
  16. Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40:373–383
  17. Romano PS, Roos LL, Jollis JG. Adapting a clinical comorbidity index for use with ICD-9-CM administrative data: differing perspectives. J Clin Epidemiol. 1993;46:1075–1079discussion 1081-90
  18. Lesperance K, Andersen C, Singh N, Starnes B, Martin MJ. Expanding use of emergency endovascular repair for ruptured abdominal aortic aneurysms: disparities in outcomes from a nationwide perspective. J Vasc Surg. 2008;47:1165–1170discussion 1170-1
  19. Donabedian A. The quality of care (How can it be assessed?). JAMA. 1988;260:1743–1748
  20. Cornwell EE, Chang DC, Phillips J, Campbell KA. Enhanced trauma program commitment at a level I trauma center: effect on the process and outcome of care. Arch Surg. 2003;138:838–843
  21. Angus DC, Shorr AF, White A, Dremsizov TT, Schmitz RJ, Kelley MA. Critical care delivery in the United States: distribution of services and compliance with Leapfrog recommendations. Crit Care Med. 2006;34:1016–1024
  22. Pronovost PJ, Jenckes MW, Dorman T, Garrett E, Breslow MJ, Rosenfeld BA, et al. Organizational characteristics of intensive care units related to outcomes of abdominal aortic surgery. JAMA. 1999;281:1310–1317
  23. Dimick JB, Pronovost PJ, Heitmiller RF, Lipsett PA. Intensive care unit physician staffing is associated with decreased length of stay, hospital cost, and complications after esophageal resection. Crit Care Med. 2001;29:753–758
  24. Billingsley KG, Morris AM, Dominitz JA, Matthews B, Dobie S, Barlow W, et al. Surgeon and hospital characteristics as predictors of major adverse outcomes following colon cancer surgery: understanding the volume-outcome relationship. Arch Surg. 2007;142:23–31discussion 32
  25. Makary MA, Sexton JB, Freischlag JA, Millman EA, Pryor D, Holzmueller C, et al. Patient safety in surgery. Ann Surg. 2006;243:628–632discussion 632-5
  26. Zehr KJ, Dawson PB, Yang SC, Heitmiller RF. Standardized clinical care pathways for major thoracic cases reduce hospital costs. Ann Thorac Surg. 1998;66:914–919
  27. Silvestri GA, Handy J, Lackland D, Corley E, Reed CE. Specialists achieve better outcomes than generalists for lung cancer surgery. Chest. 1998;114:675–680
  28. Goodney PP, Lucas FL, Stukel TA, Birkmeyer JD. Surgeon specialty and operative mortality with lung resection. Ann Surg. 2005;241:179–184
  29. Gadacz TR, Talamini MA, Lillemoe KD, Yeo CJ. Laparoscopic cholecystectomy. Surg Clin North Am. 1990;70:1249–1262
  30. Chang L, Satava RM, Pellegrini CA, Sinanan MN. Robotic surgery: identifying the learning curve through objective measurement of skill. Surg Endosc. 2003;17:1744–1748
  31. Lillemoe KD. Current management of bile duct injury. Br J Surg. 2008;95:403–405

 The study was supported through Robert A. Meguid on the Ruth L. Kirschstein National Research Service Award (T32DK007713-11) while undertaking this study.

 Competition of interest: none.

PII: S0741-5214(09)00073-1

doi: 10.1016/j.jvs.2009.01.046

Journal of Vascular Surgery
Volume 50, Issue 2 , Pages 243-250 , August 2009

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