Trends in Volume-Outcome Relationship in Surgery
- Conditions
- Surgical Procedures
- Registration Number
- NCT02788331
- Lead Sponsor
- Hospices Civils de Lyon
- Brief Summary
The explanatory mechanism of the relationship between the volume of surgical procedures performed by individual hospitals and the occurrence of serious adverse events is not clear. Based on the " practice makes perfect " dogma, we will explore whether a learning effect can explain the volume-outcome relationship for complex surgical procedures using a nationwide dataset. Especially, we assume that increasing volume of procedures over time may be associated with improved outcomes.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 759518
All adults hospitalized to have one of the following major surgery: resection of oeso-gastric, intestinal and pancreatic cancer, treatment of intra-abdominal aortic aneurysm, coronary artery bypass graft, endarterectomy, hip fracture prosthesis
- Hospitalization <24 hours
- Absence of surgical procedure
- Ambulatory care
- Palliative care
- Organ transplantation
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Inpatient mortality Within 30 days of surgical procedure
- Secondary Outcome Measures
Name Time Method Reoperation occurence Within 30 days of surgical procedure Occurence of postoperative complication Within 30 days of surgical procedure Postoperative complication includes sepsis, pulmonary embolism or deep vein thrombosis and cardiac arrest
Occurence of intensive or critical care unit stay Within 30 days of surgical procedure Occurence of unplanned hospital readmission Within 30 days of hospital discharge related to index stay
Trial Locations
- Locations (1)
Pôle Information Médicale Evaluation Recherche des Hospices Civils de Lyon
🇫🇷Lyon, France
Pôle Information Médicale Evaluation Recherche des Hospices Civils de Lyon🇫🇷Lyon, France