Patients who underwent complex gastrointestinal surgery for cancer at institutions listed in the US News & World Report annual ranking of top hospitals were less likely to die from complications than patients treated at nonranked hospitals, according to a study published in March in the Journal of the American College of Surgeons, writes General Surgery News.
Overall, top-ranked hospitals had lower in-hospital mortality, at a rate of 1% versus 2.26% at nonranked hospitals. The study’s findings are in contrast to those from a similar study two years ago that looked at surgical outcomes after less complex laparoscopic abdominal operations, including bariatric, colorectal and hiatal hernia procedures, which found no difference in patient results between ranked and nonranked hospitals (AHT 9/19/2019).
Researchers used data from the Vizient clinical database to assessed 6,662 patients who underwent elective esophagectomy, gastrectomy and pancreatectomy for malignances at U.S. academic centers and their affiliated community hospitals in 2018. Forty-two of the top 50 hospitals on the newspaper’s list are in the database. Patient outcomes at the ranked hospitals and those at 198 nonranked hospitals were compared. Patients experienced serious complications at similar rates at ranked and nonranked hospitals. But when complications occurred, patients at ranked hospitals were far less likely to die: In-hospital mortality after a complication at ranked hospitals was 8.19%, compared with 16.79% at nonranked hospitals.
- Outcomes of Complex Gastrointestinal Cancer Resection at US News & World Report Top-Ranked vs Non-Ranked Hospitals. Journal of the American College of Surgeons. March 19, 2021
- General Surgery News: https://www.generalsurgerynews.com/In-the-News/Article/02-17/Deaths-From-Complications-After-Complex-GI-Cancer-Surgery-Lower-at-Top-Hospitals-/63037
- AHT 9/19/2019: USNWR Top Ranked Hospitals for Gastroenterology & Gastrointestinal Surgical Procedures Not Associated with Better Outcomes Than Non Ranked Hospitals Study Finds