TABLE 14.
Institution and anesthesiologist and specialist participation rates by organ for eight main operative procedures
| Procedure | Year | No. surgeries | Percentage by institution group | Anesthesiologist Participation (%) | Board‐certified Surgeon participation (%) | Medical practitioners (%) | |||
|---|---|---|---|---|---|---|---|---|---|
| Certified institution | Related institution | Other | Board‐certified Surgeons | Non‐board‐certified surgeons | |||||
| Esophagectomy | 2011 | 4916 | 94.2 | 5.3 | 0.5 | 97.6 | 88.4 | 63.5 | 36.5 |
| 2012 | 5946 | 78.3 | 4.9 | 16.8 | 98.1 | 89.0 | 64.8 | 35.2 | |
| 2013 | 5694 | 92.9 | 5.9 | 1.2 | 98.0 | 90.8 | 66.6 | 33.4 | |
| 2014 | 6091 | 93.6 | 4.7 | 1.7 | 98.6 | 92.6 | 70.2 | 29.8 | |
| 2015 | 6060 | 93.6 | 4.6 | 1.8 | 98.5 | 93.5 | 72.1 | 27.9 | |
| 2016 | 6041 | 94.5 | 3.8 | 1.7 | 98.8 | 93.7 | 73.2 | 26.8 | |
| 2017 | 6100 | 95.3 | 3.1 | 1.7 | 98.8 | 94.8 | 74.7 | 25.3 | |
| 2018 | 6207 | 95.9 | 2.7 | 1.4 | 99.1 | 96.6 | 78.8 | 21.2 | |
| Gastrectomy (distal) | 2011 | 34 160 | 81.1 | 16.6 | 2.3 | 93.2 | 71.3 | 37.0 | 63.0 |
| 2012 | 38 750 | 64.5 | 15.2 | 20.3 | 93.9 | 72.5 | 37.9 | 62.1 | |
| 2013 | 39 957 | 76.6 | 19.2 | 4.1 | 93.6 | 76.1 | 40.6 | 59.4 | |
| 2014 | 38 584 | 77.7 | 17.8 | 4.5 | 94.0 | 78.4 | 42.1 | 57.9 | |
| 2015 | 37 819 | 77.3 | 18.3 | 4.4 | 94.1 | 78.1 | 41.3 | 58.7 | |
| 2016 | 36 852 | 80.2 | 15.9 | 4.0 | 95.0 | 81.8 | 43.8 | 56.2 | |
| 2017 | 35 517 | 80.2 | 14.9 | 4.8 | 95.4 | 82.4 | 45.2 | 54.8 | |
| 2018 | 33 988 | 80.7 | 14.4 | 4.8 | 95.6 | 84.2 | 46.6 | 53.4 | |
| Total gastrectomy | 2011 | 18 652 | 80.9 | 16.8 | 2.3 | 93.9 | 71.6 | 37.4 | 62.6 |
| 2012 | 21 122 | 63.0 | 15.3 | 21.7 | 94.3 | 72.1 | 38.0 | 62.0 | |
| 2013 | 19 035 | 77.2 | 18.9 | 3.9 | 94.2 | 75.0 | 39.5 | 60.5 | |
| 2014 | 19 071 | 77.8 | 17.9 | 4.3 | 94.4 | 77.7 | 41.7 | 58.3 | |
| 2015 | 18 695 | 77.9 | 17.9 | 4.1 | 94.5 | 78.2 | 42.6 | 57.4 | |
| 2016 | 17 670 | 80.0 | 15.9 | 4.0 | 95.0 | 81.4 | 45.0 | 55.0 | |
| 2017 | 14 840 | 79.3 | 15.8 | 4.9 | 95.0 | 80.7 | 44.3 | 55.7 | |
| 2018 | 13 223 | 79.6 | 15.5 | 4.9 | 95.4 | 82.6 | 46.2 | 53.8 | |
| Right hemicolectomy | 2011 | 17 890 | 75.7 | 21.2 | 3.1 | 92.7 | 66.0 | 30.5 | 69.5 |
| 2012 | 21 034 | 60.0 | 18.3 | 21.7 | 93.0 | 67.1 | 30.8 | 69.2 | |
| 2013 | 21 814 | 72.1 | 22.3 | 5.6 | 92.9 | 69.7 | 32.6 | 67.4 | |
| 2014 | 22 446 | 71.2 | 23.1 | 5.7 | 93.4 | 71.9 | 33.6 | 66.4 | |
| 2015 | 22 850 | 72.1 | 22.0 | 5.9 | 94.1 | 72.4 | 33.5 | 66.5 | |
| 2016 | 22 829 | 73.8 | 20.1 | 6.1 | 94.5 | 74.2 | 34.3 | 65.7 | |
| 2017 | 22 543 | 75.0 | 18.4 | 6.6 | 94.7 | 76.4 | 37.1 | 62.9 | |
| 2018 | 22 610 | 74.8 | 19.0 | 6.2 | 94.7 | 77.8 | 38.2 | 61.8 | |
| Low anterior resection | 2011 | 16 984 | 79.4 | 17.7 | 2.9 | 93.4 | 72.7 | 41.6 | 58.4 |
| 2012 | 20 321 | 64.0 | 16.2 | 19.7 | 93.8 | 73.0 | 42.3 | 57.7 | |
| 2013 | 21 096 | 76.3 | 19.5 | 4.2 | 93.7 | 75.5 | 44.3 | 55.7 | |
| 2014 | 21 861 | 76.2 | 19.0 | 4.9 | 94.4 | 78.2 | 47.2 | 52.8 | |
| 2015 | 22 493 | 76.9 | 18.3 | 4.8 | 94.6 | 79.2 | 47.7 | 52.3 | |
| 2016 | 21 387 | 79.0 | 16.4 | 4.7 | 95.0 | 81.0 | 48.8 | 51.2 | |
| 2017 | 20 879 | 79.3 | 15.6 | 5.1 | 95.2 | 83.1 | 51.2 | 48.8 | |
| 2018 | 20 636 | 80.9 | 14.3 | 4.8 | 95.2 | 84.5 | 54.4 | 45.6 | |
| Hepatectomy (non‐lateral segments) | 2011 | 7434 | 91.1 | 8.0 | 0.8 | 96.4 | 88.9 | 61.5 | 38.5 |
| 2012 | 8239 | 75.9 | 7.9 | 16.3 | 96.8 | 89.3 | 64.0 | 36.0 | |
| 2013 | 7937 | 88.1 | 9.7 | 2.2 | 96.9 | 91.0 | 65.2 | 34.8 | |
| 2014 | 7666 | 88.2 | 8.7 | 3.1 | 96.7 | 92.3 | 66.6 | 33.4 | |
| 2015 | 7439 | 89.2 | 8.6 | 2.2 | 97.2 | 92.3 | 66.6 | 33.4 | |
| 2016 | 7610 | 90.7 | 7.1 | 2.1 | 97.1 | 93.3 | 67.7 | 32.3 | |
| 2017 | 7698 | 91.2 | 6.6 | 2.2 | 97.7 | 95.1 | 72.3 | 27.7 | |
| 2018 | 7192 | 92.8 | 5.2 | 2.0 | 97.7 | 95.8 | 72.8 | 27.2 | |
| Pancreaticoduodenectomy | 2011 | 8305 | 87.8 | 11.0 | 1.2 | 95.9 | 85.7 | 58.7 | 41.3 |
| 2012 | 9329 | 72.4 | 8.8 | 18.8 | 96.6 | 87.2 | 60.9 | 39.1 | |
| 2013 | 10 068 | 85.9 | 11.7 | 2.4 | 96.0 | 87.9 | 60.5 | 39.5 | |
| 2014 | 10 400 | 86.4 | 10.4 | 3.3 | 96.4 | 90.3 | 62.2 | 37.8 | |
| 2015 | 10 576 | 88.5 | 9.2 | 2.4 | 96.9 | 90.9 | 62.1 | 37.9 | |
| 2016 | 11 028 | 89.4 | 8.3 | 2.3 | 97.1 | 91.7 | 63.3 | 36.7 | |
| 2017 | 11 580 | 90.5 | 7.2 | 2.3 | 97.3 | 93.0 | 65.0 | 35.0 | |
| 2018 | 11 626 | 91.4 | 6.4 | 2.2 | 97.4 | 94.0 | 67.6 | 32.4 | |
| Acute diffuse peritonitis surgery | 2011 | 7753 | 80.6 | 16.9 | 2.4 | 90.0 | 58.5 | 23.5 | 76.5 |
| 2012 | 9177 | 65.2 | 16.4 | 18.4 | 90.4 | 59.4 | 22.7 | 77.3 | |
| 2013 | 10 447 | 77.7 | 18.1 | 4.2 | 91.2 | 62.4 | 23.9 | 76.1 | |
| 2014 | 12 085 | 77.7 | 17.2 | 5.1 | 91.9 | 63.3 | 25.1 | 74.9 | |
| 2015 | 13 030 | 79.8 | 15.9 | 4.3 | 92.2 | 64.5 | 24.9 | 75.1 | |
| 2016 | 13 981 | 82.2 | 13.8 | 4.0 | 93.0 | 66.8 | 26.1 | 73.9 | |
| 2017 | 14 423 | 83.1 | 13.0 | 3.8 | 93.3 | 69.0 | 27.2 | 72.8 | |
| 2018 | 14 835 | 83.4 | 12.4 | 4.2 | 93.6 | 70.4 | 28.7 | 71.3 | |