Table 3.
Volume, Individual Quality Measures, and Outcomes of Major Cancer Surgery
| Value | Mortality, adjusted Odds Ratio (95% CI) | Readmission, adjusted Odds Ratio (95% CI) | Length of stay, adjusted % difference (95% CI) | Costs, adjusted % difference (95% CI) |
|---|---|---|---|---|
| Hospital annual volume | ||||
| 1st quartile | 1.43 (0.91, 2.32) | 1.18 (0.92, 1.52) | −3.40 (−9.83, 3.48) | −11 (−20, 0.1) |
| 2nd quartile | 1.18 (0.76, 1.82) | 1.01 (0.81, 1.27) | −0.69 (−7.70, 6.85) | −3 (−14, 9) |
| 3rd quartile | 1.09 (0.72, 1.66) | 1.15 (0.96, 1.39) | −0.86 (−8.24, 7.11) | −6 (−17, 7) |
| 4th quartile | Referent | Referent | Referent | Referent |
| Physician annual volume | ||||
| 1st quartile | 1.32 (0.92, 1.89) | 0.99 (0.81, 1.22) | 12.19 (7.46, 17.13) | −1 (−5, 3) |
| 2nd quartile | 1.25 (0.87, 1.81) | 0.97 (0.82, 1.15) | 9.92 (5.13, 14.92) | 3 (−1, 7) |
| 3rd quartile | 1.06 (0.76, 1.48) | 0.93 (0.77, 1.12) | 3.52 (−1.25, 8.53) | −1 (−5, 3) |
| 4th quartile | Referent | Referent | Referent | Referent |
| Missed quality measures | ||||
| No beta blockers first 2 days | 0.56 (0.39, 0.79) | 1.04 (0.87, 1.24) | −10.53 (−13.03, −7.96) | −11 (−13, −9) |
| No prophylactic antibiotics on day of surgery | 1.18 (0.78, 1.78) | 1.05 (0.84, 1.32) | 0.12 (−3.19, 3.55) | −1 (−3, 2) |
| Antibiotics received after first postoperative day | 1.05 (0.79, 1.39) | 1.08 (0.96, 1.21) | 21.54 (19.49, 23.61) | 17 (16, 19) |
| No VTEP first 2 days | 0.81 (0.62, 1.06) | 0.88 (0.77, 1.00) | −1.20 (−3.20, 0.84) | −3 (−4, −1) |