INTRODUCTION: Although hospital variation in costs and outcomes has been described for @entity1 undergoing operation, the relationship between them is unknown. The purpose of this study was to evaluate this relationship among @entity1 undergoing colon resection for @entity5 and identify characteristics of "high-quality, low-cost" hospitals. METHODS: We identified adult @entity1 who underwent colon resection for @entity5 in California, Florida, and New York from 2009 to 2010. We estimated hospital-level, risk-standardized 30-day hospital costs, in-hospital mortality rates, and 30-day readmission rates by using hierarchical generalized linear models. Costs were compared between hospitals identified as low, average, and high performers. RESULTS: The final sample included 14,790 @entity1 discharged from 389 hospitals. After adjusting for case mix, variation was noted in risk-standardized costs (median  =   26,169, inter-quartile range [IQR]  =   6,559), in-hospital mortality (median  =  1.8%, IQR  =  2.3%), and 30-day readmission (12.2%, IQR  =  0.7%) rates. Minimal correlation was noted between a hospital's costs and outcomes, with similar costs noted across hospital performance groups (low  =   25,994 vs average  =   26,998 vs high  =   25,794, P  =  .19). High-quality, low-cost hospitals treated a greater percentage of Medicare beneficiaries, approached fewer cases laparoscopically, and trended toward greater volume. CONCLUSION: Hospital costs are not correlated with outcomes in this population. More work is needed to identify means of providing high-quality care at lesser costs.

A variation in the value of colectomy for XXXX across hospitals: mortality, readmissions, and costs.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity5 :: ('MESH:D009369', 'Disease') :: ['cancer']
@entity5 :: (MESH:D009369,Disease) :: ['cancer']
