By a News Reporter-Staff News Editor at Insurance Weekly News Researchers detail new data in Surgery - Cholecystectomy. According to news originating from Albuquerque, New Mexico, by VerticalNews correspondents, research stated, "To compare the risk-adjusted outcomes of hospitals in inpatient Medicare laparoscopic cholecystectomy. Reduced length-of-stay for inpatient surgical care requires the inclusion of objective postdischarge outcomes to provide a comprehensive assessment of hospital and surgeon performance for quality improvement."
Our news journalists obtained a quote from the research from the University of New Mexico, "The 2010 to 2012 Medicare Limited Data Set was used to develop risk-adjusted prediction models of inpatient deaths, prolonged length-of-stay outliers, 90-day postdischarge deaths, and 90-day readmissions for inpatient laparoscopic cholecystectomy. To define the opportunity for improved performance, prediction models were used to compute z scores and risk-adjusted adverse outcome rates for all hospitals in the database that had 20 or more evaluable cases for the study period. A total of 83,274 patients from 1570 hospitals had an overall adverse outcome rate of 20.7%; 48 hospitals had outcomes that were 2 z scores better than predicted and 76 had 2 z scores poorer than predicted. Risk-adjusted adverse outcomes were 10.0 % in the best performing decile of hospitals and were 32.1% in the poorest performing decile. Gastrointestinal, infectious, and cardiopulmonary complications of care were the most common causes of readmissions with 46.3% occurring between days 30 and 90 after discharge."
According to the news editors, the research concluded: "Comparative analysis of overall risk-adjusted inpatient and 90-day postdischarge adverse outcomes identifies considerable opportunity for improved care in this high-risk population of patients."
For more information on this research see: Hospital Outcomes in Inpatient Laparoscopic Cholecystectomy in Medicare Patients. Annals of Surgery, 2017;265(1):178-184. Annals of Surgery can be contacted at: Lippincott Williams & Wilkins, Two Commerce Sq, 2001 Market St, Philadelphia, PA 19103, USA. (Lippincott Williams and Wilkins - www.lww.com; Annals of Surgery - journals.lww.com/annalsofsurgery/pages/default.aspx)
The news correspondents report that additional information may be obtained from D.E. Fry, University of New Mexico, Sch Med, Albuquerque, NM 87131, United States. Additional authors for this research include M. Pine, S. Nedza, D. Locke, A. Reband and G. Pine.
Keywords for this news article include: Albuquerque, New Mexico, United States, North and Central America, Biliary Tract Surgical Procedures, Laparoscopic Cholecystectomy, Gastroenterology, Health Policy, Medicare, Hospital, Surgery, University of New Mexico.
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