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Volume and outcomes relationship in laparoscopic diaphragmatic hernia repair. Surgical endoscopy Whealon, M. D., Blondet, J. J., Gahagan, J. V., Phelan, M. J., Nguyen, N. T. 2017; 31 (10): 4224-4230

Abstract

There is no published data regarding the relationship between hospital volume and outcomes in patients undergoing laparoscopic diaphragmatic hernia repair. We hypothesize that hospitals performing high case volume have improved outcomes compared to low-volume hospitals.We reviewed the National Inpatient Sample (NIS) database between 2008 and 2012 for adults with the diagnosis of diaphragmatic hernia who underwent elective laparoscopic repair of diaphragmatic Hernia and/or Nissen fundoplication. Pediatric, emergent, and open cases were excluded. Main outcome measures included logistic regression analysis of factors predictive of in-hospital mortality and outcomes according to annual hospital case volume.A total of 31,228 laparoscopic diaphragmatic hernia operations were analyzed. The overall in-hospital mortality was 0.14%. Risk factors for higher in-hospital mortality included renal failure (AOR: 6.26; 95% CI: 2.48-15.78; p?60 years (AOR: 5.06; 95% CI: 2.38-10.76; p?

View details for DOI 10.1007/s00464-017-5482-4

View details for PubMedID 28342131