Effect of surgical volume on route of hysterectomy and short-term morbidity
To estimate whether a surgeon's case volume is related to route of hysterectomy and short-term morbidity. This is a cross-sectional study collecting data on inpatient hysterectomies using the New York State Department of Health database from 2001 through 2006. An acute morbidity and mortality i...
Uložené v:
| Vydané v: | Obstetrics and gynecology (New York. 1953) Ročník 116; číslo 4; s. 909 |
|---|---|
| Hlavní autori: | , , |
| Médium: | Journal Article |
| Jazyk: | English |
| Vydavateľské údaje: |
United States
01.10.2010
|
| Predmet: | |
| ISSN: | 1873-233X, 1873-233X |
| On-line prístup: | Zistit podrobnosti o prístupe |
| Tagy: |
Pridať tag
Žiadne tagy, Buďte prvý, kto otaguje tento záznam!
|
| Abstract | To estimate whether a surgeon's case volume is related to route of hysterectomy and short-term morbidity.
This is a cross-sectional study collecting data on inpatient hysterectomies using the New York State Department of Health database from 2001 through 2006. An acute morbidity and mortality index was created. Surgeons' license numbers were used to generate an annual average number of hysterectomies performed. A multivariable logistic regression model assessing surgical volume on acute morbidity after controlling for known confounders was created.
A total of 146,494 hysterectomies were performed in the state of New York. Of these, 103,181 (70.4%) were abdominal, 26,660 (18.2%) were vaginal, and 16,653 (11.4%) were laparoscopic-assisted. Twenty- six percent of hysterectomies are performed by physicians who perform, on average, fewer than 10 hysterectomies per year. The percentage of abdominal hysterectomies is 81% for surgeons performing fewer than 10 hysterectomies per year compared with 67% for surgeons performing at least 10 hysterectomies per year (P<.001). Postoperative morbidity and mortality were reported as 16.5% and 0.21%, respectively, for surgeons performing fewer than 10 hysterectomies per year as compared with 11.7% and 0.06%, respectively, for those performing at least 10 hysterectomies (P<.001).
Surgeons who perform an average of 10 hysterectomies per year are more likely to perform minimally invasive hysterectomies. These surgeons also have a decrease in morbidity and mortality rates when compared with surgeons who perform fewer than 10 hysterectomies per year.
II. |
|---|---|
| AbstractList | To estimate whether a surgeon's case volume is related to route of hysterectomy and short-term morbidity.OBJECTIVETo estimate whether a surgeon's case volume is related to route of hysterectomy and short-term morbidity.This is a cross-sectional study collecting data on inpatient hysterectomies using the New York State Department of Health database from 2001 through 2006. An acute morbidity and mortality index was created. Surgeons' license numbers were used to generate an annual average number of hysterectomies performed. A multivariable logistic regression model assessing surgical volume on acute morbidity after controlling for known confounders was created.METHODSThis is a cross-sectional study collecting data on inpatient hysterectomies using the New York State Department of Health database from 2001 through 2006. An acute morbidity and mortality index was created. Surgeons' license numbers were used to generate an annual average number of hysterectomies performed. A multivariable logistic regression model assessing surgical volume on acute morbidity after controlling for known confounders was created.A total of 146,494 hysterectomies were performed in the state of New York. Of these, 103,181 (70.4%) were abdominal, 26,660 (18.2%) were vaginal, and 16,653 (11.4%) were laparoscopic-assisted. Twenty- six percent of hysterectomies are performed by physicians who perform, on average, fewer than 10 hysterectomies per year. The percentage of abdominal hysterectomies is 81% for surgeons performing fewer than 10 hysterectomies per year compared with 67% for surgeons performing at least 10 hysterectomies per year (P<.001). Postoperative morbidity and mortality were reported as 16.5% and 0.21%, respectively, for surgeons performing fewer than 10 hysterectomies per year as compared with 11.7% and 0.06%, respectively, for those performing at least 10 hysterectomies (P<.001).RESULTSA total of 146,494 hysterectomies were performed in the state of New York. Of these, 103,181 (70.4%) were abdominal, 26,660 (18.2%) were vaginal, and 16,653 (11.4%) were laparoscopic-assisted. Twenty- six percent of hysterectomies are performed by physicians who perform, on average, fewer than 10 hysterectomies per year. The percentage of abdominal hysterectomies is 81% for surgeons performing fewer than 10 hysterectomies per year compared with 67% for surgeons performing at least 10 hysterectomies per year (P<.001). Postoperative morbidity and mortality were reported as 16.5% and 0.21%, respectively, for surgeons performing fewer than 10 hysterectomies per year as compared with 11.7% and 0.06%, respectively, for those performing at least 10 hysterectomies (P<.001).Surgeons who perform an average of 10 hysterectomies per year are more likely to perform minimally invasive hysterectomies. These surgeons also have a decrease in morbidity and mortality rates when compared with surgeons who perform fewer than 10 hysterectomies per year.CONCLUSIONSurgeons who perform an average of 10 hysterectomies per year are more likely to perform minimally invasive hysterectomies. These surgeons also have a decrease in morbidity and mortality rates when compared with surgeons who perform fewer than 10 hysterectomies per year.II.LEVEL OF EVIDENCEII. To estimate whether a surgeon's case volume is related to route of hysterectomy and short-term morbidity. This is a cross-sectional study collecting data on inpatient hysterectomies using the New York State Department of Health database from 2001 through 2006. An acute morbidity and mortality index was created. Surgeons' license numbers were used to generate an annual average number of hysterectomies performed. A multivariable logistic regression model assessing surgical volume on acute morbidity after controlling for known confounders was created. A total of 146,494 hysterectomies were performed in the state of New York. Of these, 103,181 (70.4%) were abdominal, 26,660 (18.2%) were vaginal, and 16,653 (11.4%) were laparoscopic-assisted. Twenty- six percent of hysterectomies are performed by physicians who perform, on average, fewer than 10 hysterectomies per year. The percentage of abdominal hysterectomies is 81% for surgeons performing fewer than 10 hysterectomies per year compared with 67% for surgeons performing at least 10 hysterectomies per year (P<.001). Postoperative morbidity and mortality were reported as 16.5% and 0.21%, respectively, for surgeons performing fewer than 10 hysterectomies per year as compared with 11.7% and 0.06%, respectively, for those performing at least 10 hysterectomies (P<.001). Surgeons who perform an average of 10 hysterectomies per year are more likely to perform minimally invasive hysterectomies. These surgeons also have a decrease in morbidity and mortality rates when compared with surgeons who perform fewer than 10 hysterectomies per year. II. |
| Author | Curtin, John P Novetsky, Akiva P Boyd, Leslie R |
| Author_xml | – sequence: 1 givenname: Leslie R surname: Boyd fullname: Boyd, Leslie R organization: From the New York University School of Medicine Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, New York, New York – sequence: 2 givenname: Akiva P surname: Novetsky fullname: Novetsky, Akiva P – sequence: 3 givenname: John P surname: Curtin fullname: Curtin, John P |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/20859155$$D View this record in MEDLINE/PubMed |
| BookMark | eNpNj89LwzAcxYNM3A_9D0Ry81RN8l3S5DjGnOJgFwVvJU1SV2mambRC_3srTvD0Hu99ePDmaNKG1iF0TckdJSq_X-23d6QkFBxQSStQ3KozNKMyh4wBvE3--Smap_RBCKFCwQWaMiK5opzP0POmqpzpcKhw6uN7bXSDv0LTe4dDi2PoO_fTHYbUuTiCwQ9YtxanQ4hdNmYe-xDL2tbdcInOK90kd3XSBXp92LysH7Pdfvu0Xu0ys1zmeaa5EsaVRoF1VliqgVmrpTJCclgyKYELKg2USktBS5CUaRBGCyWl4oKxBbr93T3G8Nm71BW-TsY1jW5d6FORc05HlsBI3pzIvvTOFsdYex2H4u8_-wZMKWAQ |
| CitedBy_id | crossref_primary_10_1016_j_ajog_2022_09_042 crossref_primary_10_1097_og9_0000000000000045 crossref_primary_10_1097_GCO_0000000000000296 crossref_primary_10_1186_s10397_019_1057_9 crossref_primary_10_1016_j_jmig_2024_07_003 crossref_primary_10_1097_AOG_0000000000000473 crossref_primary_10_1097_AOG_0000000000000398 crossref_primary_10_1097_AOG_0000000000005643 crossref_primary_10_1016_j_jmig_2018_01_004 crossref_primary_10_1097_AOG_0000000000005208 crossref_primary_10_1007_s10397_015_0907_3 crossref_primary_10_1016_j_jmig_2013_03_005 crossref_primary_10_1002_j_1875_9114_2011_01085_x crossref_primary_10_1080_01443615_2023_2286743 crossref_primary_10_1016_j_ygyno_2011_12_452 crossref_primary_10_1016_j_jmig_2017_05_012 crossref_primary_10_1111_1471_0528_15539 crossref_primary_10_1016_j_ogc_2016_04_004 crossref_primary_10_1089_gyn_2021_0179 crossref_primary_10_31083_j_ceog4806221 crossref_primary_10_1007_s00464_017_5780_x crossref_primary_10_1007_s10397_016_0990_0 crossref_primary_10_1007_s00192_016_3242_y crossref_primary_10_1093_jnci_djv251 crossref_primary_10_1097_AOG_0000000000001756 crossref_primary_10_1111_jog_13853 crossref_primary_10_1097_OGX_0000000000000264 crossref_primary_10_1007_s11701_013_0412_5 crossref_primary_10_1007_s10397_011_0722_4 crossref_primary_10_1016_j_jogc_2016_09_063 crossref_primary_10_1111_ijcp_13507 crossref_primary_10_1097_AOG_0000000000003897 crossref_primary_10_1007_s00192_014_2459_x crossref_primary_10_1186_s12909_020_02090_9 crossref_primary_10_1080_01443615_2023_2227031 crossref_primary_10_1097_GRF_0b013e31822b47e2 crossref_primary_10_1016_j_jmig_2018_11_013 crossref_primary_10_1016_S1701_2163_15_30338_8 crossref_primary_10_1016_j_jmig_2025_06_019 crossref_primary_10_1016_j_ygyno_2017_10_033 crossref_primary_10_1016_j_ygyno_2024_05_032 crossref_primary_10_1097_AOG_0000000000000733 crossref_primary_10_1097_AOG_0000000000002912 crossref_primary_10_1097_AOG_0b013e31821647a0 crossref_primary_10_1097_GCO_0000000000001042 crossref_primary_10_1016_j_jmig_2023_12_011 crossref_primary_10_1016_j_jmig_2014_01_022 crossref_primary_10_1089_gyn_2013_0037 crossref_primary_10_1097_AOG_0000000000002034 crossref_primary_10_1016_j_jsurg_2017_12_007 crossref_primary_10_1097_AOG_0000000000002597 crossref_primary_10_1016_j_ejogrb_2015_02_035 crossref_primary_10_1097_AAP_0b013e318219e23e crossref_primary_10_1016_j_jmig_2018_09_775 crossref_primary_10_1016_j_jogc_2019_02_003 crossref_primary_10_1111_aogs_14242 crossref_primary_10_1016_j_ajog_2019_09_006 crossref_primary_10_1016_j_jmig_2014_01_024 crossref_primary_10_1097_AOG_0000000000005745 crossref_primary_10_1245_s10434_011_2090_8 crossref_primary_10_1089_gyn_2022_0120 crossref_primary_10_1007_s00404_022_06893_7 crossref_primary_10_1097_GCO_0b013e328364ed41 crossref_primary_10_1016_j_ridd_2012_01_002 crossref_primary_10_2147_RMHP_S442502 crossref_primary_10_1016_j_gofs_2018_09_003 crossref_primary_10_1186_s40748_017_0047_z crossref_primary_10_1016_j_ygyno_2023_02_008 crossref_primary_10_1016_j_ajog_2016_10_027 crossref_primary_10_1097_AOG_0b013e3182a5fde5 crossref_primary_10_1097_GRF_0000000000000518 crossref_primary_10_1097_GCO_0000000000000640 crossref_primary_10_1097_AOG_0b013e318248f7a8 crossref_primary_10_3390_cancers11081131 crossref_primary_10_1016_j_jmig_2022_06_016 crossref_primary_10_1007_s11701_019_00948_9 crossref_primary_10_1016_j_jmig_2018_03_009 crossref_primary_10_1007_s00192_017_3353_0 crossref_primary_10_1089_gyn_2017_0113 crossref_primary_10_1016_j_ajog_2019_11_1258 crossref_primary_10_1016_j_ajog_2021_06_062 crossref_primary_10_1016_j_ajog_2011_04_014 crossref_primary_10_1016_j_ajog_2016_02_048 |
| ContentType | Journal Article |
| DBID | CGR CUY CVF ECM EIF NPM 7X8 |
| DOI | 10.1097/AOG.0b013e3181f395d9 |
| DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic |
| DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE - Academic MEDLINE |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: 7X8 name: MEDLINE - Academic url: https://search.proquest.com/medline sourceTypes: Aggregation Database |
| DeliveryMethod | no_fulltext_linktorsrc |
| Discipline | Medicine |
| EISSN | 1873-233X |
| ExternalDocumentID | 20859155 |
| Genre | Research Support, Non-U.S. Gov't Journal Article |
| GeographicLocations | New York |
| GeographicLocations_xml | – name: New York |
| GroupedDBID | --- --K .3C .55 .GJ .XZ .Z2 01R 0R~ 123 1B1 1CY 1J1 1~5 29N 2CO 354 3O- 4.4 40H 4G. 4Q1 4Q2 4Q3 53G 5RE 5VS 7-5 77Y 7O~ 85S AAAAV AAAXR AAEDT AAGIX AAHPQ AAIQE AAJCS AALRI AAMOA AAMTA AAQFI AAQKA AAQQT AAQXK AARTV AASCR AASOK AASXQ AAUEB AAWTL AAXQO AAXUO AAYWO ABASU ABBUW ABDIG ABDPE ABJNI ABMAC ABPXF ABVCZ ABWVN ABXVJ ABXYN ABZAD ABZZY ACBKD ACCJW ACDDN ACDOF ACEWG ACGFO ACGFS ACILI ACIUM ACLDA ACOAL ACRPL ACVFH ACWDW ACWRI ACXJB ACXNZ ACZKN ADBBV ADCNI ADFPA ADGGA ADHPY ADKSD ADMUD ADNKB ADNMO ADSXY AE3 AEBDS AEETU AENEX AEUPX AFBFQ AFDTB AFEXH AFFNX AFMBP AFNMH AFPUW AFSOK AFTJW AFUWQ AGINI AGNAY AGQPQ AHOMT AHQNM AHQVU AHRYX AHVBC AIJEX AINUH AJCLO AJIOK AJNWD AJNYG AJZMW AKCTQ AKRWK AKULP ALKUP ALMA_UNASSIGNED_HOLDINGS ALMTX AMJPA AMKUR AMNEI AOHHW AOQMC BAWUL BOYCO BQLVK BS7 BYPQX C45 CGR CS3 CUY CVF DIWNM DU5 DUNZO E.X EBS ECM EEVPB EIF EJD ERAAH EX3 F2K F2L F2M F2N F5P FCALG FD6 FDB FEDTE FGOYB FL- FW0 GNXGY GQDEL H0~ HLJTE HVGLF HZ~ IHE IKREB IKYAY IN~ IPNFZ JF9 JG8 JK3 JK8 K-A K-F K8S KD2 KMI L-C L7B M18 M41 MZP N4W N9A NEJ NPM NQ- N~7 N~B N~M O9- OAG OAH OBH OCUKA ODA ODMTH OHH OHT OHYEH OL1 OLB OLG OLH OLU OLV OLY OLZ OPUJH ORVUJ OUVQU OVD OVDNE OVIDH OVLEI OVOZU OWBYB OWU OWV OWX OWY OWZ OXXIT P-K P2P R2- R58 RIG RLZ ROL RPZ S4R S4S SSZ TEORI TSPGW TWZ UHB V2I VVN W3M WH7 WOQ WOW X3V X3W X7M XPP XXN XYM YQJ ZB8 ZGI ZXP ZZMQN ~S- 7X8 |
| ID | FETCH-LOGICAL-c4477-a596cebc93ded6d1a32dda89c6853428835618c3b9a861b3812a36ca698895622 |
| IEDL.DBID | 7X8 |
| ISICitedReferencesCount | 94 |
| ISICitedReferencesURI | http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=00006250-201010000-00017&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| ISSN | 1873-233X |
| IngestDate | Thu Oct 02 04:23:57 EDT 2025 Tue Nov 11 10:47:29 EST 2025 |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 4 |
| Language | English |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c4477-a596cebc93ded6d1a32dda89c6853428835618c3b9a861b3812a36ca698895622 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
| PMID | 20859155 |
| PQID | 755198803 |
| PQPubID | 23479 |
| ParticipantIDs | proquest_miscellaneous_755198803 pubmed_primary_20859155 |
| PublicationCentury | 2000 |
| PublicationDate | 2010-October-01 |
| PublicationDateYYYYMMDD | 2010-10-01 |
| PublicationDate_xml | – month: 10 year: 2010 text: 2010-October-01 day: 01 |
| PublicationDecade | 2010 |
| PublicationPlace | United States |
| PublicationPlace_xml | – name: United States |
| PublicationTitle | Obstetrics and gynecology (New York. 1953) |
| PublicationTitleAlternate | Obstet Gynecol |
| PublicationYear | 2010 |
| SSID | ssj0001693 |
| Score | 2.3250837 |
| Snippet | To estimate whether a surgeon's case volume is related to route of hysterectomy and short-term morbidity.
This is a cross-sectional study collecting data on... To estimate whether a surgeon's case volume is related to route of hysterectomy and short-term morbidity.OBJECTIVETo estimate whether a surgeon's case volume... |
| SourceID | proquest pubmed |
| SourceType | Aggregation Database Index Database |
| StartPage | 909 |
| SubjectTerms | Adult Clinical Competence Female Humans Hysterectomy - methods Hysterectomy - mortality Hysterectomy - statistics & numerical data Hysterectomy, Vaginal - statistics & numerical data Laparoscopy - statistics & numerical data Length of Stay Logistic Models New York Treatment Outcome |
| Title | Effect of surgical volume on route of hysterectomy and short-term morbidity |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/20859155 https://www.proquest.com/docview/755198803 |
| Volume | 116 |
| WOSCitedRecordID | wos00006250-201010000-00017&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| hasFullText | |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV07T8MwELaAIsTC-1Fe8sBqNcklcTyhClGQoKUDoGyRXxEdGpekReLfYycp3WBgiRRFkZLT-bvvfOfvELoGBlqGwuYmPBAkFNwnIooSdwtU2ZCt63Pcb090NErSlI3b3pyqbatcYmIN1MpIt0feoza0M-tscDP7IG5olCuuthM01lEHLJNxTk3TlVi40xlx-VZCgQQA6fLkHKO9_vP9agvQz4FF6heOWceawe4_v3IP7bQkE_cbr9hHa7o4QFvDtox-iB4bzWJsclwtyhr7cANT2BS4NIu5ds_encqzQ0Qz_cK8ULh6t2SdODDHU1OKibIU_gi9Du5ebh9IO1WByDCklPCIxVILyUBpFSufQ6AUT5iMbeQO3fBhS6kSCYLxJPaFjegBh1jy2P6XTaaC4BhtFKbQpwiDAMd3fBF5KswlcOkx4Wk_z72I64h1EV5aKbNe60oRvNBmUWU_duqik8bS2axR18jc0FAnWn_298vnaLsu5te9dReok9sVqy_RpvycT6ryqvYGex2Nh99Ha75f |
| linkProvider | ProQuest |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Effect+of+surgical+volume+on+route+of+hysterectomy+and+short-term+morbidity&rft.jtitle=Obstetrics+and+gynecology+%28New+York.+1953%29&rft.au=Boyd%2C+Leslie+R&rft.au=Novetsky%2C+Akiva+P&rft.au=Curtin%2C+John+P&rft.date=2010-10-01&rft.eissn=1873-233X&rft.volume=116&rft.issue=4&rft.spage=909&rft_id=info:doi/10.1097%2FAOG.0b013e3181f395d9&rft_id=info%3Apmid%2F20859155&rft_id=info%3Apmid%2F20859155&rft.externalDocID=20859155 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1873-233X&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1873-233X&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1873-233X&client=summon |