Findings from a recently published cross-sectional study of 45,156 patients with larynx cancer at 5516 hospitals across the U.S. show reduced odds of postoperative complications in patients who underwent laryngectomies in hospitals that, at a minimum, performed more than six laryngectomies per year. Hospitals that performed more had even better outcomes.
Hospitals considered very high volume (>28 cases per year) were linked to a higher reduction in the odds of in-hospital mortality, postoperative surgical complications, and acute medical complications. In addition, very high-volume hospitals saw reductions in length of hospitalization (mean of -3.7 days) and hospital-related costs (-$4,777.00) compared to low volume hospitals.
“The biggest implication of these data are for large health systems,” said lead author of the study, Christine G. Gourin, MD, MPH, professor of otolaryngology–head and neck surgery at Johns Hopkins School of Medicine in Baltimore. “Within a large healthcare system, particularly in metropolitan or urban areas, regionalization of high-risk, low-volume procedures makes sense.”