Table 4.
Volume, Overall Quality Measures, and Outcomes of Major Cancer Surgery
| Value | Mortality, adjusted Odds Ratio (95% CI) | Readmission, adjusted Odds Ratio (95% CI) | LOS, adjusted % difference (95% CI) | Costs, adjusted % difference (95% CI) |
|---|---|---|---|---|
| Hospital annual volume | ||||
| 1st quartile | 1.39 (0.91, 2.13) | 1.19 (0.93, 1.52) | −3.40 (−9.89, 3.56) | −11 (−20, 0.3) |
| 2nd quartile | 1.15 (0.76, 1.74) | 1.01 (0.81, 1.26) | −1.11 (−8.15, 6.47) | −4 (−15, 9) |
| 3rd quartile | 1.09 (0.73, 1.62) | 1.16 (0.97, 1.39) | −0.31 (−7.80, 7.78) | −5 (−17, 8) |
| 4th quartile | Referent | Referent | Referent | Referent |
| Physician annual volume | ||||
| 1st quartile | 1.30 (0.92, 1.84) | 0.99 (0.81, 1.21) | 12.82 (8.03, 17.82) | −0.2 (−4, 4) |
| 2nd quartile | 1.23 (0.86, 1.77) | 0.97 (0.82, 1.15) | 10.53 (5.65, 15.59) | 3 (−1, 7) |
| 3rd quartile | 1.05 (0.76, 1.45) | 0.93 (0.77, 1.12) | 3.67 (−1.11, 8.74) | −1 (−5, 4) |
| 4th quartile | Referent | Referent | Referent | Referent |
| No. of missed quality measures | ||||
| No missed measures | Referent | Referent | Referent | Referent |
| 1 missed measure | 0.73 (0.44, 1.20) | 0.80 (0.66, 0.97) | 7.42 (4.35, 10.57) | 5 (2, 7) |
| 2−4 missed measures | 0.69 (0.41, 1.15) | 0.85 (0.70, 1.03) | 16.37 (12.91, 19.93) | 11 (9, 14) |