Abstract
OBJECTIVE: To study the relationship of annual sur-geon case volume to surgical outcome following hyster-ectomy. STUDY DESIGN: We per-formed a retrospective cohort study of women who under-went hysterectomy between January 1995 and December 2005 and evaluated the rela-tionship of surgeon volume to complications and re-source utilization. RESULTS: A total of 214 physicians contributed a total of 8,747 patients to the study. Of these patients, 7,166 women underwent ab-dominal hysterectomy. Overall, rates of complications in the study population were low. However, compared with patients of low annual surgeon case volume (i.e., who performed <10 hysterectomies per year), high annual surgeon case volume (i.e., who performed > 10 hysterec-tomies per year) had fewer intraoperative complications, fewer postoperative complications and shorter procedure times than surgeons with low annual volume for abdom-inal hysterectomy. CONCLUSION: Among women undergoing abdominal hysterectomy, physicians who operate on more patients annually have fewer complications and faster procedure times, compared with lower volume surgeons. Both groups have low complication rates, however, confirming the safety of the procedure even in the hands of low-volume surgeons. (J Reprod Med 2009;54:193-202).
| Original language | English (US) |
|---|---|
| Pages (from-to) | 193-202 |
| Number of pages | 10 |
| Journal | Journal of Reproductive Medicine for the Obstetrician and Gynecologist |
| Volume | 54 |
| Issue number | 4 |
| State | Published - 2009 |
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Keywords
- Complications
- Gynecology
- Hysterectomy
- obstetrics
- Surgery case
ASJC Scopus subject areas
- Obstetrics and Gynecology
- Reproductive Medicine
Cite this
The relation of annual surgeon case volume to clinical outcomes and resource utilization in abdominal hysterectomy. / Hanstede, Miriam M F; Wise, Lauren A.; Stewart, Elizabeth A; Feldman, Sarah.
In: Journal of Reproductive Medicine for the Obstetrician and Gynecologist, Vol. 54, No. 4, 2009, p. 193-202.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The relation of annual surgeon case volume to clinical outcomes and resource utilization in abdominal hysterectomy
AU - Hanstede, Miriam M F
AU - Wise, Lauren A.
AU - Stewart, Elizabeth A
AU - Feldman, Sarah
PY - 2009
Y1 - 2009
N2 - OBJECTIVE: To study the relationship of annual sur-geon case volume to surgical outcome following hyster-ectomy. STUDY DESIGN: We per-formed a retrospective cohort study of women who under-went hysterectomy between January 1995 and December 2005 and evaluated the rela-tionship of surgeon volume to complications and re-source utilization. RESULTS: A total of 214 physicians contributed a total of 8,747 patients to the study. Of these patients, 7,166 women underwent ab-dominal hysterectomy. Overall, rates of complications in the study population were low. However, compared with patients of low annual surgeon case volume (i.e., who performed <10 hysterectomies per year), high annual surgeon case volume (i.e., who performed > 10 hysterec-tomies per year) had fewer intraoperative complications, fewer postoperative complications and shorter procedure times than surgeons with low annual volume for abdom-inal hysterectomy. CONCLUSION: Among women undergoing abdominal hysterectomy, physicians who operate on more patients annually have fewer complications and faster procedure times, compared with lower volume surgeons. Both groups have low complication rates, however, confirming the safety of the procedure even in the hands of low-volume surgeons. (J Reprod Med 2009;54:193-202).
AB - OBJECTIVE: To study the relationship of annual sur-geon case volume to surgical outcome following hyster-ectomy. STUDY DESIGN: We per-formed a retrospective cohort study of women who under-went hysterectomy between January 1995 and December 2005 and evaluated the rela-tionship of surgeon volume to complications and re-source utilization. RESULTS: A total of 214 physicians contributed a total of 8,747 patients to the study. Of these patients, 7,166 women underwent ab-dominal hysterectomy. Overall, rates of complications in the study population were low. However, compared with patients of low annual surgeon case volume (i.e., who performed <10 hysterectomies per year), high annual surgeon case volume (i.e., who performed > 10 hysterec-tomies per year) had fewer intraoperative complications, fewer postoperative complications and shorter procedure times than surgeons with low annual volume for abdom-inal hysterectomy. CONCLUSION: Among women undergoing abdominal hysterectomy, physicians who operate on more patients annually have fewer complications and faster procedure times, compared with lower volume surgeons. Both groups have low complication rates, however, confirming the safety of the procedure even in the hands of low-volume surgeons. (J Reprod Med 2009;54:193-202).
KW - Complications
KW - Gynecology
KW - Hysterectomy
KW - obstetrics
KW - Surgery case
UR - http://www.scopus.com/inward/record.url?scp=66949145833&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=66949145833&partnerID=8YFLogxK
M3 - Article
C2 - 19438159
AN - SCOPUS:66949145833
VL - 54
SP - 193
EP - 202
JO - The Journal of reproductive medicine
JF - The Journal of reproductive medicine
SN - 0024-7758
IS - 4
ER -