Pediatric Surgery International

, Volume 22, Issue 5, pp 417–421

The effect of surgeon volume and hospital characteristics on in-hospital outcome after ureteral reimplantation in children

  • Rian J. Dickstein
  • Joseph G. Barone
  • J. G. Liao
  • Randall S. Burd
Original Article

DOI: 10.1007/s00383-006-1679-7

Cite this article as:
Dickstein, R.J., Barone, J.G., Liao, J.G. et al. Ped Surgery Int (2006) 22: 417. doi:10.1007/s00383-006-1679-7

Abstract

The aim of this study was to examine the association between surgeon and hospital characteristics on in-hospital outcome after ureteral reimplantation in children. Patients < 18 years undergoing vesicoureteral reimplantation (n = 3,109) were identified in Kids’ Inpatient Database, an administrative database containing discharge records from 27 states during 2000 in the US. Based on patient volume in 2000, surgeons were designated as low volume (< 11 procedures), medium volume (11–20 procedures) and high volume (> 20 procedures) surgeons. Length of stay and hospital charges were analyzed using multivariate linear regression analysis. A significant association between shorter length of stay and higher surgeon volume (p = 0.02) was observed that was independent of children’s hospital status, hospital volume and other hospital characteristics. Length of stay was 20% shorter when the procedure was performed by the highest volume surgeons compared to when performed by the lowest. No significant effect of surgeon volume on hospital charges, however, was observed. Higher surgeon volume was associated with shorter length of stay but no difference in hospital charges among children undergoing vesicoureteral reimplantation.

Keywords

Vesicoureteral reflux Ureteral reimplantation Outcome assessment Child 

Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Rian J. Dickstein
    • 1
  • Joseph G. Barone
    • 1
  • J. G. Liao
    • 2
  • Randall S. Burd
    • 1
  1. 1.UMDNJ-Robert Wood Johnson Medical SchoolNew BrunswickUSA
  2. 2.UMDNJ-School of Public HealthPiscatawayUSA