Table 1. Types of procedure, minimum caseload requirements, and developments 2005–2011.
Type of procedure | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | |
---|---|---|---|---|---|---|---|---|
Hepatic transplantation (incl. living-donor partial donation)*1 | Minimum caseload | 10 | 20 | 20 | 20 | 20 | 20 | 20 |
Number of cases | 5799*2 | 1020 | 1131 | 1091 | 1079 | 1231 | 1172 | |
Treating institutions | 519 *2 | 35 | 31 | 37 | 28 | 33 | 31*3 | |
Mean caseload | 11.2 | 29.1 | 36.5 | 29.5 | 38.5 | 37.3 | 37.8 | |
Percentage of institutions meeting caseload requirement | 22% | 46% | 55% | 43% | 61% | 58% | 55% | |
Renal transplantation | Minimum caseload | 20 | 25 | 25 | 25 | 25 | 25 | 25 |
Number of cases | 2639 | 2747 | 2909 | 2740 | 2769 | 2892 | 2877 | |
Treating institutions | 50 | 51 | 47 | 47 | 47 | 42 | 49 | |
Mean caseload | 52.78 | 53.86 | 61.89 | 58.30 | 58.91 | 68.86 | 58.71 | |
Percentage of institutions meeting caseload requirement | 78% | 75% | 81% | 74% | 74% | 88% | 73% | |
Complex esophageal surgery | Minimum caseload | 5 | 10 | 10 | 10 | 10 | 10 | 10 |
Number of cases | 3186 | 3248 | 3358 | 3524 | 3588 | 3618 | 3673 | |
Treating institutions | 445 | 399 | 426 | 426 | 411 | 427 | 411 | |
Mean caseload | 7.2 | 8.1 | 7.9 | 8.3 | 8.7 | 8.5 | 8.9 | |
Percentage of institutions meeting caseload requirement | 42% | 30% | 27% | 28% | 32% | 30% | 32% | |
Complex pancreatic surgery*1 | Minimum caseload | 5 | 10 | 10 | 10 | 10 | 10 | 10 |
Number of cases | 8904 | 8327 | 9149 | 9299 | 9714 | 10005 | 10577 | |
Treating institutions | 760 | 697 | 673 | 667 | 699 | 680 | 678 | |
Mean caseload | 11.7 | 11.9 | 13.6 | 13.9 | 13.9 | 14.7 | 15.6 | |
Percentage of institutions meeting caseload requirement | 55% | 35% | 44% | 45% | 46% | 47% | 51% | |
Stem cell transplantation | Minimum caseload | 12±2 | 25 | 25 | 25 | 25 | 25 | 25 |
Number of cases | 5537 | 6178 | 5733 | 5954 | 6064 | 6367 | 6725 | |
Treating institutions | 97 | 96 | 97 | 96 | 97 | 96 | 91 | |
Mean caseload | 57.1 | 64.4 | 59.1 | 62.0 | 62.5 | 66.3 | 73.9 | |
Percentage of institutions meeting caseload requirement | 69% | 65% | 65% | 64% | 58% | 65% | 65% | |
Total knee replacement | Minimum caseload | none*4 | 50 | 50 | 50 | 50 | 50 | 50*5 |
Number of cases | 118243 | 124682 | 134767 | 141876 | 145116 | 143495 | 141928 | |
Treating institutions | 1041 | 999 | 985 | 996 | 1004 | 1015 | 1024 | |
Mean caseload | 113.6 | 124.8 | 136.8 | 142.5 | 144.5 | 141.4 | 138.6 | |
Percentage of institutions meeting caseload requirement | 68% | 79% | 85% | 86% | 87% | 87% | 84% | |
Care of low-birth-weight neonates | Minimum caseload | none*6 | none*6 | none*6 | none*6 | none*6 | 14 | 14 |
Number of cases | 6035 | 5801 | 5981 | 5646 | 5732 | 6378 | 5886 | |
Treating institutions | 465 | 433 | 403 | 370 | 369 | 371 | 347 | |
Mean caseload | 13.0 | 13.4 | 14.8 | 15.3 | 15.5 | 17.2 | 17.0 | |
Percentage of institutions meeting caseload requirement | 32% | 33% | 36% | 38% | 40% | 41% | 44% |
*1Not including institutions that only performed post-mortem organ removal. Post-mortem organ removals performed in the institutions included here were counted in the tallies.
*2There was a change in included codes (OPS definition) for this procedures between 2005 and 2006 that affected the case numbers.
*3Of the 31 treating institutions, 24 carried out transplants; the remainder only performed living-donor partial resections or resections of liver transplants as independent procedures. These procedures are counted in the minimum caseload requirement.
*4Minimum caseload requirement introduced in 2006; 50 cases used as basis for comparative calculations for the year 2005.
*5Minimum caseload requirement suspended in 2011.
*6Minimum caseload requirement introduced in 2010; 14 cases per year used as basis for comparative calculations for the years 2005–2009