Longitudinal trends in discharge patterns of orthognathic surgeries: is there a regionalization of procedures in teaching hospitals?

Oral Surg Oral Med Oral Pathol Oral Radiol. 2013 May;115(5):583-8. doi: 10.1016/j.oooo.2012.09.003. Epub 2012 Dec 17.

Abstract

Objective: The aim of this study was to determine if there is regionalization of orthognathic surgeries to teaching hospitals during the study period.

Study design: The Nationwide Inpatient Sample for years 2000-2008 was used. Every hospitalization that had an orthognathic surgery was selected. Patient and hospital level variables were examined. The odds of an orthognathic surgery procedure being performed in a teaching hospital over the study period was computed with the use of a multivariable logistic regression model.

Results: During the study period, a total of 108,264 hospitalizations underwent orthognathic surgeries in the United States. The average age ranged from 27 years during the years 2006-2008 to 28.2 years during the years 2000-2002. After adjusting for multiple patient and hospital level factors, the year of procedure was not a significant predictor of increasing odds of an orthognathic surgery being performed in a teaching hospital.

Conclusions: There is no evidence of concentration of orthognathic surgical procedures in teaching hospitals.

MeSH terms

  • Adult
  • Chronic Disease
  • Elective Surgical Procedures / statistics & numerical data
  • Facial Bones / surgery
  • Female
  • Genioplasty / statistics & numerical data
  • Hospital Bed Capacity / statistics & numerical data
  • Hospital Charges / statistics & numerical data
  • Hospitalization / statistics & numerical data*
  • Hospitals, Rural / statistics & numerical data
  • Hospitals, Teaching / statistics & numerical data*
  • Hospitals, Urban / statistics & numerical data
  • Humans
  • Insurance, Health / statistics & numerical data
  • Length of Stay / statistics & numerical data
  • Longitudinal Studies
  • Male
  • Mandibular Osteotomy / statistics & numerical data
  • Maxillary Osteotomy / statistics & numerical data
  • Medicaid / statistics & numerical data
  • Orthognathic Surgical Procedures / statistics & numerical data*
  • Patient Admission / statistics & numerical data
  • Patient Discharge / statistics & numerical data*
  • Retrospective Studies
  • Sex Factors
  • United States
  • White People / statistics & numerical data