Table 5.
Specific Scenario for a “Typical” Patient Treated in a High-Volume Hospital by a High-Volume Surgeon
| Specific Scenario | ||
|---|---|---|
| Quality indicator | OR (Black vs. White) | 95% CI |
| Use of RC | 0.97 | 0.53, 1.75 |
| Use of PLND | 0.59 | 0.38, 0.91 |
| Continent Diversion | 0.35 | 0.10, 1.19 |
| Transfusion | 0.94 | 0.56, 1.59 |
| Any complications | 1.40 | 0.90, 2.20 |
| In-hospital mortality | 3.16 | 1.35, 7.40 |
| R | 95% CI | |
| Length of stay* | 1.24 | 1.13, 1.36 |
RC = Radical cystectomy; PLND = Pelvic lymph node dissection
Independent variables are adjusted to median values for all patients (age = 70; sex = male; comorbidity = 1; state = NY; Year = 2003; Payer = Medicare), except for surgeon and hospital volume, which are set to the 90th percentile (5 cases per year for surgeon and 12 cases per year for hospital).
Estimate for the length of stay model represents the multiplicative effect of Black race compared to White; R = Ratio.