TY - JOUR
T1 - Hospital case volume and clinical outcomes for peptic ulcer treatment
AU - Lou, Horng Yuan
AU - Lin, Herng Ching
AU - Chen, Kuan Yang
PY - 2008/10
Y1 - 2008/10
N2 - BACKGROUND: No study has explored the volume-outcome relationship for peptic ulcer treatment. OBJECTIVE: To investigate the association between peptic ulcer case volume per hospital, on the one hand, and in-hospital mortality and 14-day readmission rates, on the other, using a nationwide population-based dataset. DESIGN: A retrospective cross-sectional study, set in Taiwan. PARTICIPANTS: There were 48,250 peptic ulcer patients included. Each patient was assigned to one of three hospital volume groups: low-volume (≤189 case), medium volume (190-410 cases), and high volume (≥411 cases). MEASUREMENTS: Logistic regression analysis employing generalized estimating equations was used to examine the adjusted relationship of hospital volume with in-hospital mortality and 14-day readmission. MAIN RESULTS: After adjusting for other factors, results showed that the likelihood of in-hospital mortality for peptic ulcer patients treated by low-volume hospitals (mortality rate = 0.68%) was 1.6 times (p
AB - BACKGROUND: No study has explored the volume-outcome relationship for peptic ulcer treatment. OBJECTIVE: To investigate the association between peptic ulcer case volume per hospital, on the one hand, and in-hospital mortality and 14-day readmission rates, on the other, using a nationwide population-based dataset. DESIGN: A retrospective cross-sectional study, set in Taiwan. PARTICIPANTS: There were 48,250 peptic ulcer patients included. Each patient was assigned to one of three hospital volume groups: low-volume (≤189 case), medium volume (190-410 cases), and high volume (≥411 cases). MEASUREMENTS: Logistic regression analysis employing generalized estimating equations was used to examine the adjusted relationship of hospital volume with in-hospital mortality and 14-day readmission. MAIN RESULTS: After adjusting for other factors, results showed that the likelihood of in-hospital mortality for peptic ulcer patients treated by low-volume hospitals (mortality rate = 0.68%) was 1.6 times (p
KW - Mortality
KW - Ulcer
KW - Volume-outcome
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U2 - 10.1007/s11606-008-0721-y
DO - 10.1007/s11606-008-0721-y
M3 - Article
C2 - 18648892
AN - SCOPUS:51649113094
VL - 23
SP - 1693
EP - 1697
JO - Journal of General Internal Medicine
JF - Journal of General Internal Medicine
SN - 0884-8734
IS - 10
ER -