Assessing the Costs Associated with Volume-Based Referral for Hepatic Surgery

J Gastrointest Surg. 2016 May;20(5):945-52. doi: 10.1007/s11605-015-3071-1. Epub 2016 Jan 14.

Abstract

Background: Although proposed as a means for quality improvement, little is known regarding the economic consequences of volume-based referral. The objective of the current study was to investigate the relationship between inpatient costs and hospital volume.

Methods: Patients undergoing elective liver surgery were identified using the Nationwide Inpatient Sample from 2001 to 2012. Multivariable hierarchical regression analyses were performed to calculate and compare risk-adjusted costs and postoperative outcomes across hospital volume terciles.

Results: A total of 27,813 patients underwent surgery at 2207 hospitals. Although costs were comparable across the three volume groups (all p > 0.05), patients who developed a postoperative complication incurred a higher overall cost (complication vs. no complication; median costs $17,974 [IQR 13,865-25,623] vs. $41,731 [IQR 27,008-64,266], p < 0.001). In contrast, while the incidence of postoperative complications (low vs. intermediate vs. high; 22.0 vs. 19.2 vs. 13.0 %, p < 0.001) and subsequent failure-to-rescue (low vs. intermediate vs. high; 16.6 vs. 24.7 vs. 15.1 %, p < 0.001) was lower at high-volume hospitals, costs associated with "rescue" were substantially higher at high-volume hospitals (low vs. intermediate vs. high; $39,289 vs. $36,157 vs. $48,559, both p < 0.001).

Conclusions: Compared with lower volume hospitals, improved outcomes among patients who developed a complication at high-volume hospitals were associated with an increased cost.

Keywords: Complication; Costs; Hospital variation; Liver surgery.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Cross-Sectional Studies
  • Female
  • Health Care Costs / statistics & numerical data
  • Hepatectomy / economics*
  • Hepatectomy / statistics & numerical data
  • Hospitalization / economics*
  • Hospitalization / statistics & numerical data
  • Hospitals, High-Volume / statistics & numerical data*
  • Hospitals, Low-Volume / economics*
  • Hospitals, Low-Volume / statistics & numerical data
  • Humans
  • Liver / surgery*
  • Male
  • Middle Aged
  • Postoperative Complications / economics*
  • Postoperative Complications / epidemiology
  • Risk Assessment
  • United States / epidemiology
  • Young Adult