Table 3.
General surgery | Gynecologic and urologic | Cardiovascular | Orthopedic | ||
---|---|---|---|---|---|
Age | |||||
<60 | Referent | Referent | Referent | Referent | |
≥60 | 1.01 (0.99–1.03) | 0.91 (0.89–0.93)* | 1.01 (1.00–1.02) | 1.01 (1.00–1.02)* | |
Gender | |||||
Male | Referent | Referent | Referent | Referent | |
Female | 0.94 (0.93–0.96)* | 0.97 (0.95–1.00)* | 0.99 (0.98–1.00) | 1.00 (0.99–1.00) | |
Race | |||||
White | Referent | Referent | Referent | Referent | |
Black | 1.03 (1.01–1.06)* | 1.04 (1.02–1.06)* | 1.01 (1.00–1.03) | 1.00 (0.99–1.01) | |
Other | 1.01 (0.99–1.04) | 1.01 (0.9901.03) | 0.97 (0.96–0.99)* | 1.01 (1.01–1.02)* | |
Year of diagnosis | |||||
2000 | Referent | Referent | Referent | Referent | |
2001 | 1.08 (1.01–1.16)* | 1.03 (0.98–1.09) | 0.96 (0.94–0.99)* | 1.03 (1.01–1.05)* | |
2002 | 1.17 (1.09–1.25)* | 1.13 (1.07–1.19)* | 0.98 (0.95–1.01) | 1.05 (1.03–1.08)* | |
2003 | 1.21 (1.13–1.30)* | 1.29 (1.22–1.36)* | 1.02 (0.99–1.05) | 1.07 (1.05–1.09)* | |
2004 | 1.28 (1.20–1.37)* | 1.43 (1.35–1.50)* | 1.14 (1.10–1.17)* | 1.11 (1.08–1.13)* | |
2005 | 1.37 (1.28–1.47)* | 1.57 (1.49–1.65)* | 1.17 (1.13–1.20)* | 1.14 (1.11–1.16)* | |
2006 | 1.46 (1.37–1.56)* | 1.79 (1.70–1.89)* | 1.26 (1.22–1.30)* | 1.18 (1.11–1.16)* | |
2007 | 1.60 (1.50–1.72)* | 2.04 (1.94–2.15)* | 1.34 (1.30–1.38)* | 1.22 (1.20–1.24)* | |
2008 | 1.73 (1.62–1.85)* | 2.29 (2.17–2.41)* | 1.39 (1.35–1.43)* | 1.28 (1.25–1.30)* | |
2009 | 1.82 (1.70–1.94)* | 2.53 (2.40–2.66)* | 1.38 (1.34–1.42)* | 1.30 (1.27–1.33)* | |
2010 | 1.82 (1.68–1.96)* | 2.73 (2.57–2.89)* | 1.37 (1.32–1.42)* | 1.34 (1.31–1.37)* | |
Insurance | |||||
Commercial | Referent | Referent | Referent | Referent | |
Medicare | 1.03 (1.01–1.05)* | 0.81 (0.79–0.82)* | 1.03 (1.03–1.04)* | 1.00 (0.99–1.00) | |
Medicaid | 1.08 (1.04–1.12)* | 0.95 (0.93–0.98)* | 1.02 (1.00–1.05)* | 0.99 (0.98–1.00) | |
Uninsured | 1.02 (0.98–1.07) | 0.91 (0.88–0.95)* | 1.00 (0.98–1.03) | 0.98 (0.96–1.00) | |
Unknown | 1.04 (0.99–1.09) | 0.97 (0.94–1.01) | 1.03 (1.00–1.05)* | 1.01 (1.00–1.02)* | |
Marital status | |||||
Married | Referent | Referent | Referent | Referent | |
Single | 1.00 (0.97–1.02) | 0.93 (0.92–0.95)* | 1.01 (0.99–1.02) | 1.00 (0.99–1.00) | |
Unknown | 1.01 (0.99–1.03) | 0.98 (0.97–1.00)* | 1.00 (0.99–1.01) | 1.00 (0.99–1.01) | |
Area of residence | |||||
Metropolitan | Referent | Referent | Referent | Referent | |
Non-metropolitan | 0.85 (0.69–1.03) | 0.89 (0.71–1.10) | 0.84 (0.63–1.12) | 0.63 (0.50–0.80)* | |
Region | |||||
Eastern | Referent | Referent | Referent | Referent | |
Midwest | 1.79 (1.39–2.31)* | 1.35 (1.02–1.78)* | 1.36 (0.99–1.87) | 1.61 (1.20–2.16)* | |
South | 2.09 (1.65–2.66)* | 1.51 (1.16–1.97)* | 1.59 (1.18–2.14)* | 2.28 (1.73–3.00)* | |
West | 1.18 (0.88–1.58) | 0.88 (0.64–1.21) | 1.21 (0.84–1.73) | 1.60 (1.15–2.23)* | |
Cancer | |||||
No | Referent | Referent | Referent | Referent | |
Yes | 0.87 (0.85–0.88)* | 1.42 (1.40–1.45)* | 1.11 (1.07–1.16)* | 1.02 (1.00–1.05)* | |
Comorbidity | |||||
0 | Referent | Referent | Referent | Referent | |
1 | 1.17 (1.14–1.20)* | 1.30 (1.28–1.32)* | 1.04 (1.03–1.05)* | 1.00 (1.00–1.01) | |
≥2 | 1.43 (1.40–1.46)* | 1.24 (1.21–1.26)* | 1.08 (1.07–1.10)* | 1.01 (1.00–1.01)* | |
Hospital type | |||||
Non-teaching | Referent | Referent | Referent | Referent | |
Teaching | 0.98 (0.81–1.19) | 1.15 (0.93–1.43) | 1.00 (0.80–1.26) | 0.93 (0.75–1.16) | |
Hospital size | |||||
<400 beds | Referent | Referent | Referent | Referent | |
400–600 beds | 1.21 (0.99–1.49) | 1.10 (0.88–1.39) | 1.11 (0.87–1.41) | 1.33 (1.04–1.68)* | |
>600 beds | 1.16 (0.87–1.54) | 1.03 (0.74–1.42) | 1.17 (0.84–1.63) | 1.12 (0.80–1.57) | |
Hospital volume | |||||
Low | Referent | Referent | Referent | Referent | |
Intermediate | 1.14 (1.11–1.18)* | 0.98 (0.95–1.01) | 1.03 (1.01–1.05)* | 1.12 (1.10–1.14)* | |
High | 1.29 (1.24–1.34)* | 1.30 (1.26–1.35)* | 0.99 (0.97–1.02) | 1.05 (1.02–1.07)* | |
Surgeon volume | |||||
Low | Referent | Referent | Referent | Referent | |
Intermediate | 0.86 (0.85–0.88)* | 1.09 (1.07–1.11)* | 0.95 (0.94–0.96)* | 1.03 (1.02–1.04)* | |
High | 0.83 (0.82–0.85)* | 1.23 (1.21–1.26)* | 0.93 (0.92–0.94)* | 1.01 (1.00–1.01) | |
Unknown | 0.92 (0.86–0.99)* | 1.08 (1.03–1.15)* | 0.91 (0.88–0.94)* | 1.05 (1.03–1.08)* | |
Procedure | |||||
Colectomy | Referent | Referent | Referent | - | |
Thyroidectomy | 3.21(3.14–3.27)* | - | - | - | |
Pancreatectomy | 3.84 (3.72–3.97)* | - | - | - | |
Liver resection | 5.72 (5.53–5.92)* | - | - | - | |
Gastrectomy | 2.11 (2.05–2.16)* | - | - | - | |
Prostatectomy | - | Referent | - | - | |
Hysterectomy | - | 2.67 (2.58–2.75)* | - | - | |
Nephrectomy | - | 4.83 (4.72–4.94)* | - | - | |
Coronary artery bypass graft | - | - | Referent | - | |
Valvuloplasty | - | - | 1.13 (1.12–1.14)* | - | |
Lung resection | - | - | 0.50 (0.48–0.52)* | - | |
Hip arthroplasty | - | - | - | Referent | |
Knee arthroplasty | - | - | - | 1.08 (1.06–1.10)* | |
Spine surgery | - | - | - | 11.71 (11.55–11.87)* |
P<0.05