This population-based study evaluates insurance coverage and rehabilitation use among young adult trauma patients since implementation of the Patient Protection and Affordable Care Act, as well as the Dependent Coverage Provision and Medicaid expansion/open enrollment.
This retrospective cohort study evaluates differences across hospitals in the costs of care for patients surviving perioperative complications after major inpatient surgery.
This national cohort study uses data from the Veterans Affairs National Surgical Quality Improvement Program to report noncardiac postoperative outcomes in the Veterans Affairs health system for the past 15 years.
This study describes the association of patient- and hospital-level factors on in-hospital mortality after elective abdominal aortic aneurysm repair.
This nationwide retrospective cohort study describes patterns of episodes of diverticulitis before surgery and factors associated with earlier interventions using inpatient, outpatient, and antibiotic prescription claims.
This observational study uses National Inpatient Sample data to examine the rates of complications, mortality, and costs associated with emergency general surgery.
This case series discusses the inpatient resources, including imaging, nursing overtime, and blood bank needs, that were used to treat 63 individuals injured in the Asiana Airlines flight 214 crash.
This Viewpoint argues for the importance of interdisciplinary care in surgery and medicine, and proposes ways to incentivize physicians to move beyond assertion of individual control of patient care.
This study of patients undergoing hepatopancreaticobiliary surgery reports significant variability in hospital costs associated with patient and hospital characteristics.
This study compares the National Surgical Quality Improvement Program with the Nationwide Inpatient Sample database to determine which is superior at performing analyses of risk-adjusted outcomes for several operations.
This observational study uses the AHRQ Nationwide Inpatient Sample to compare complications, length of stay, actual cost, and mortality between nonrobotic and robotic-assisted cardiac surgical procedures.
This retrospective study reports that postdischarge venous thromboembolism (VTE) rates in the 30 days after surgery are not decreased by higher inpatient surveillance rates but are associated with higher inpatient VTE rates. Thus, patient risk factors and case mix likely contribute to hospital VTE rates, and surveillance bias may reflect the underlying at-risk population.
This retrospective multivariate regression analysis shows that laparoscopic colectomy results in a significant reduction in health care costs and utilization in the short- and long-term postoperative periods.
The authors of this retrospective cohort study and modified Delphi procedure developed a list of procedure codes to identify high-risk surgical procedures in claims data.
This matched analysis study quantified the effect of index complications on patient risk of specific secondary complications.
This study reports that rigorous risk-adjusted surgical quality assessment can be performed solely with objective variables. By leveraging data already routinely collected for patient care, this approach allows for wider adoption of quality assessment systems in health care.
This retrospective observational study reports that 30-day readmission rates for surgical procedures performed in the Veterans Health Administration declined between 2001 and 2010.
In a retrospective cohort study using national Veterans Affairs patient-level data for operations between 2005 and 2009, Richman et al determine whether adherence to the original or revised Surgical Care Improvement Project perioperative β-blocker continuation measure is associated with decreased adverse events. See the Invited Commentary by Britt.
Kazaure and colleagues present long-term results of a standardized postoperative ward-acquired pneumonia prevention program introduced in 2007 on the surgical ward of a university-affiliated Veterans Affairs hospital and compare their postintervention pneumonia rates with those captured in the American College of Surgeons National Surgical Quality Improvement Program.