PMID- 16626858
OWN - NLM
STAT- MEDLINE
DCOM- 20061121
LR  - 20181201
IS  - 0302-2838 (Print)
IS  - 0302-2838 (Linking)
VI  - 50
IP  - 1
DP  - 2006 Jul
TI  - High radical prostatectomy surgical volume is related to lower radical 
      prostatectomy total hospital charges.
PG  - 58-62; discussion 62-3
AB  - OBJECTIVE: To test the hypothesis that individual surgical volume (SV) is an 
      independent predictor of radical prostatectomy (RP) total charges. METHODS: We 
      used the Florida State Inpatient Data File. ICD-9 codes 60.5 (RP) and 185 
      (prostate cancer) identified all men treated with RP for prostate cancer between 
      January 1 and December 31, 1998. Among 1,923,085 records, 3167 RPs were selected. 
      SV represented the predictor. Total RP charges represented the outcome. Age, 
      race, and comorbidity represented covariates. Univariate and multivariate linear 
      regression models were used. RESULTS: All 3167 RPs were performed by 81 surgeons. 
      SV ranged from 2 to 162 (mean, 68). Charges were 4755 dollars to 140,201 dollars 
      (mean, 18,200 dollars). In the multivariate model, each SV increment 
      corresponding to one RP reduced hospital charges by 25 dollars (p < or = 0.001). 
      CONCLUSIONS: Redistribution of RPs from low to high SV users could result in 
      significant savings. For example, 4 million dollars could be saved if 1000 RPs 
      were redistributed from surgeons with an SV of 18 to surgeons with an SV of 200.
FAU - Ramirez, Alvaro
AU  - Ramirez A
AD  - Cancer Prognostics and Health Outcomes Unit, University of Montreal, Montreal, 
      Quebec, Canada.
FAU - Benayoun, Serge
AU  - Benayoun S
FAU - Briganti, Alberto
AU  - Briganti A
FAU - Chun, Jongi
AU  - Chun J
FAU - Perrotte, Paul
AU  - Perrotte P
FAU - Kattan, Michael W
AU  - Kattan MW
FAU - Graefen, Markus
AU  - Graefen M
FAU - McCormack, Michael
AU  - McCormack M
FAU - Neugut, Alfred I
AU  - Neugut AI
FAU - Saad, Fred
AU  - Saad F
FAU - Karakiewicz, Pierre I
AU  - Karakiewicz PI
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20060327
PL  - Switzerland
TA  - Eur Urol
JT  - European urology
JID - 7512719
SB  - IM
CIN - Eur Urol. 2006 Jul;50(1):17-9. PMID: 16632180
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Hospital Charges
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prostatectomy/*methods/statistics & numerical data
EDAT- 2006/04/22 09:00
MHDA- 2006/12/09 09:00
CRDT- 2006/04/22 09:00
PHST- 2005/11/16 00:00 [received]
PHST- 2006/02/06 00:00 [accepted]
PHST- 2006/04/22 09:00 [pubmed]
PHST- 2006/12/09 09:00 [medline]
PHST- 2006/04/22 09:00 [entrez]
AID - S0302-2838(06)00208-9 [pii]
AID - 10.1016/j.eururo.2006.02.066 [doi]
PST - ppublish
SO  - Eur Urol. 2006 Jul;50(1):58-62; discussion 62-3. doi: 
      10.1016/j.eururo.2006.02.066. Epub 2006 Mar 27.