Table 5.
Relative risks of adverse outcomes and change in total payment by procedure type, at hospitals participating in Keystone Surgery, vs non-participating controls (CI: confidence interval)
| Procedure: | Relative Risk of Adverse Outcome (95% CI) | Change in Total payment (95% CI) | ||||
|---|---|---|---|---|---|---|
| Mortality | Complications | Serious complications | Reoperations | Readmissions | ||
| Esophagectomy | 1.02 (0.65, 1.4) | 1.15 (0.98, 1.31) | 1.07 (0.45, 1.69) | 0.7 (0.2, 2.48) | 0.81 (0.41, 1.21) | $203 ($-5,933, $6,338) |
| Pancreatic resection | 1.24 (0.84, 1.65) | 0.83 (0.54, 1.13) | 0.78 (0.29, 1.28) | 0.61 (0.12, 3.04) | 1.09 (0.88, 1.3) | $-1447 ($-4,237, $1,344) |
| Colon resection | 1 (0.9, 1.1) | 1.04 (0.99, 1.09) | 1.05 (0.97, 1.12) | 1.1 (0.81, 1.49) | 0.96 (0.89, 1.02) | 557 ($-68, $1,182) |
| Gastrectomy | 1.13 (0.9, 1.1) | 1.09 (0.98, 1.2) | 1.11 (0.83, 1.38) | 0.58 (0.22, 1.51) | 0.88 (0.64, 1.11) | $212 ($-1,926, $2,350) |
| Liver resection | 0.81 (0.07, 1.56) | 1.03 (0.6, 1.46) | 1.15 (0.77, 1.53) | 0.73 (0.04, 12.47) | 1.11 (0.87, 1.35) | $1333 ($-1,797, $4,463) |
| Incisional hernia repair | 1.08 (0.92, 1.24) | 1.07 (1.00, 1.15) | 1.12 (1.02, 1.21) | 1 (0.59, 1.7) | 1.03 (0.94, 1.12) | $599 ($23, $1,175) |
| Cholecystectomy | 0.91 (0.74, 1.07) | 0.98 (0.93, 1.02) | 1 (0.93, 1.08) | 0.57 (0.33, 0.98) | 1.03 (0.98, 1.09) | $346 ($-29, $720) |
| Appendectomy | 1.31 (1.09, 1.53) | 0.98 (0.89, 1.08) | 1.02 (0.89, 1.14) | 0.89 (0.4, 1.98) | 0.97 (0.8, 1.14) | $916 ($162, $1,669) |
| Abdominal aortic aneurysm repair | 1.26 (1.00, 1.52) | 1.02 (0.89, 1.15) | 0.97 (0.77, 1.16) | 1.19 (0.48, 2.97) | 0.99 (0.84, 1.13) | $347 ($-437, $1,130) |
| Lower extremity bypass | 1.03 (0.80, 1.26) | 1.06 (0.96, 1.16) | 1.16 (1.02, 1.31) | 0.91 (0.31, 2.67) | 1.02 (0.93, 1.11) | $689 ($153, $1,225) |
| Carotid endarterectomy | 1.03 (0.74, 1.32) | 1.07 (0.92, 1.21) | 1.1 (0.96, 1.25) | * | 1.09 (0.98, 1.20) | $177 ($-59, $412) |
Insufficient sample size to run regression model for this outcome measure