Hospital Procedure Volume and Outcomes
Authors: Ashish V. Joshi, Lesley-Ann Miller
Journal: Annals of Internal Medicine (2004)

Letters15 June 2004Hospital Procedure Volume and OutcomesAshish V. Joshi, MS and Lesley-Ann Miller, PhDAshish V. Joshi, MSFrom Robert C. Byrd Health Sciences Center, Morgantown, WV 26506-9510.Search for more papers by this author and Lesley-Ann Miller, PhDFrom Robert C. Byrd Health Sciences Center, Morgantown, WV 26506-9510.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-140-12-200406150-00026 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:The article by Meyerhardt and colleagues (1) examined the effect of hospital volume on outcomes in patients with colon cancer following resection surgery. The use of clinical trial data rather than administrative claims data strengthened the study because it allowed the researchers to adjust for additional covariates, such as the number of positive lymph nodes, as well as model for recurrences recorded prospectively. The researchers did an excellent job of validating the Medicare procedure volume by comparing it with the Nationwide Inpatient Sample database. The researchers adjusted for any potential “clustering” that may have arisen because of ...References1. Meyerhardt JA, Catalano PJ, Schrag D, Ayanian JZ, Haller DG, Mayer RJ, et al . Association of hospital procedure volume and outcomes in patients with colon cancer at high risk for recurrence. Ann Intern Med. 2003;139:649-57. [PMID: 14568853] LinkGoogle Scholar2. Panageas KS, Schrag D, Riedel E, Bach PB, Begg CB. The effect of clustering of outcomes on the association of procedure volume and surgical outcomes. Ann Intern Med. 2003;139:658-65. [PMID: 14568854] LinkGoogle Scholar3. Prystowsky JB, Bordage G, Feinglass JM. Patient outcomes for segmental colon resection according to surgeon's training, certification, and experience. Surgery. 2002;132:663-70. [PMID: 12407351] CrossrefMedlineGoogle Scholar4. Ko CY, Chang JT, Chaudhry S, Kominski G. Are high-volume surgeons and hospitals the most important predictors of in-hospital outcome for colon cancer resection? Surgery. 2002;132:268-73. [PMID: 12219022] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Ashish V. Joshi, MS; Lesley-Ann Miller, PhDAffiliations: From Robert C. Byrd Health Sciences Center, Morgantown, WV 26506-9510. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAssociation of Hospital Procedure Volume and Outcomes in Patients with Colon Cancer at High Risk for Recurrence Jeffrey A. Meyerhardt , Paul J. Catalano , Deborah Schrag , John Z. Ayanian , Daniel G. Haller , Robert J. Mayer , John S. Macdonald , Al B. Benson III , and Charles S. Fuchs The Effect of Clustering of Outcomes on the Association of Procedure Volume and Surgical Outcomes Katherine S. Panageas , Deborah Schrag , Elyn Riedel , Peter B. Bach , and Colin B. Begg Hospital Procedure Volume and Outcomes Jeffrey A. Meyerhardt and Charles S. Fuchs Metrics Cited byOutcomes ResearchHealth Services Research 15 June 2004Volume 140, Issue 12 Page: 1061-1062 Keywords Colorectal cancer Databases Geographic areas Inpatients Lymph nodes Medicare Standard error Statistical data Surgeons Surgery ePublished: 15 June 2004 Issue Published: 15 June 2004 Copyright & PermissionsCopyright © 2004 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...