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Hospital caseload

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https://www.readbyqxmd.com/read/27905020/laparoscopic-versus-open-cholecystectomy-a-cost-effectiveness-analysis-at-rwanda-military-hospital
#1
Allison Silverstein, Ainhoa Costas-Chavarri, Mussa R Gakwaya, Joseph Lule, Swagoto Mukhopadhyay, John G Meara, Mark G Shrime
BACKGROUND: Laparoscopic cholecystectomy is first-line treatment for uncomplicated gallstone disease in high-income countries due to benefits such as shorter hospital stays, reduced morbidity, more rapid return to work, and lower mortality as well-being considered cost-effective. However, there persists a lack of uptake in low- and middle-income countries. Thus, there is a need to evaluate laparoscopic cholecystectomy in comparison with an open approach in these settings. METHODS: A cost-effectiveness analysis was performed to evaluate laparoscopic and open cholecystectomies at Rwanda Military Hospital (RMH), a tertiary care referral hospital in Rwanda...
November 30, 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27903204/service-delivery-model-of-extracorporeal-membrane-oxygenation-in-an-australian-regional-hospital
#2
Joe McCaffrey, Neil R Orford, Nicholas Simpson, Jill Lamb Jenkins, Christopher Morley, Vin Pellegrino
BACKGROUND: The role of extracorporeal membrane oxygenation (ECMO) for adults in regional centres with low numbers of patients receiving ECMO is unclear. A robust service delivery model may assist in the quality provision of ECMO. OBJECTIVE: To describe a novel ECMO service delivery model in a regional Australian hospital, reporting on patient characteristics and outcomes before and after its implementation. METHODS: An observational cohort study of all patients receiving ECMO at the University Hospital Geelong intensive care unit before and after implementation of a new ECMO clinical service model...
December 2016: Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine
https://www.readbyqxmd.com/read/27882394/-economic-aspects-of-oncological-esophageal-surgery-centralization-is-essential
#3
N von Dercks, I Gockel, M Mehdorn, D Lorenz
The incidence of esophageal carcinoma has increased in recent years in Germany. The aim of this article is a discussion of the economic aspects of oncological esophageal surgery within the German diagnosis-related groups (DRG) system focusing on the association between minimum caseload requirements and outcome quality as well as costs. The margins for the DRG classification G03A are low and quickly exhausted if complications determine the postoperative course. A current study using nationwide German hospital discharge data proved a significant difference in hospital mortality between clinics with and without achieving the minimum caseload requirements for esophagectomy...
November 23, 2016: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/27843841/temporal-variations-in-suicide-attempt-rates-a-hospital-based-study-from-india
#4
Shivanand Kattimani, Venkatalakshmi Penchilaiya, Siddharth Sarkar, V Muthukrishnan
BACKGROUND: Temporal variations of suicide attempts can help to better understand correlates of suicidal behavior. This study attempted to find the diurnal, weekly, and seasonal variations in suicide attempts at a tertiary care hospital in India. MATERIALS AND METHODS: This record-based study was conducted among patients evaluated at a crisis intervention clinic over a 4-year period at a tertiary care teaching hospital in Southern India. Patients who attempted suicide in recent past and had been medically stabilized were evaluated in this clinic...
April 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/27780643/robotic-intracorporeal-padua-ileal-bladder-surgical-technique-perioperative-oncologic-and-functional-outcomes
#5
Giuseppe Simone, Rocco Papalia, Leonardo Misuraca, Gabriele Tuderti, Francesco Minisola, Mariaconsiglia Ferriero, Giulio Vallati, Salvatore Guaglianone, Michele Gallucci
BACKGROUND: Robot-assisted radical cystectomy (RARC) with intracorporeal neobladder reconstruction is a challenging procedure. The need for surgical skills and the long operative times have led to concern about its reproducibility. OBJECTIVE: To illustrate our technique for RARC and totally intracorporeal orthotopic Padua ileal bladder. DESIGN, SETTING, AND PARTICIPANTS: From August 2012 to February 2014, 45 patients underwent this technique at a single tertiary referral centre...
October 22, 2016: European Urology
https://www.readbyqxmd.com/read/27773614/geographical-variations-in-incidence-management-and-survival-of-hepatocellular-carcinoma-in-a-western-country
#6
Nathalie Goutté, Philippe Sogni, Noelle Bendersky, Jean Claude Barbare, Bruno Falissard, Olivier Farges
BACKGROUND: Information on the incidence, management, and prognosis of hepatocellular carcinoma (HCC) is derived from population samples, regional data, or registries. Comprehensive national evaluations within a given country are lacking. METHODS: This observational study analysed data from French administrative databases for more than 30,000 patients with HCC diagnosed between 2009 and 2012, followed up to 2013. The incidence of HCC, access to surgery, and survival, at both the national level and two geographical levels (the 21 French regions and 95 French departments into which France is divided administratively), were determined...
October 20, 2016: Journal of Hepatology
https://www.readbyqxmd.com/read/27762159/experience-of-plastic-surgery-registrars-in-a-european-working-time-directive-compliant-rota
#7
Catherine de Blacam, Sean Tierney, Odhran Shelley
BACKGROUND: Surgical training requires exposure to clinical decision-making and operative experience in a supervised environment. It is recognised that learning ability is compromised when fatigued. The European Working Time Directive requires a decrease in working hours, but compliance reduces trainees' clinical exposure, which has profound implications for plastic surgery training. The aim of this study was to evaluate plastic surgery registrars' experience of an EWTD-compliant rota, and to examine its impact on patient care, education, and logbook activity...
October 20, 2016: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/27748165/implementation-of-a-general-practitioner-cooperative-adjacent-to-the-emergency-department-of-a-hospital-increases-the-caseload-for-the-gpc-but-not-for-the-emergency-department
#8
Annelies Colliers, Roy Remmen, Marie-Luise Streffer, Barbara Michiels, Stefaan Bartholomeeusen, Koenraad G Monsieurs, Jef Goris, Samuel Coenen, Veronique Verhoeven, Hilde Philips
BACKGROUND: The implementation of general practitioner cooperatives (GPC) for out-of-hours (OOH) primary care, raises the question if the location of a GPC adjacent to a hospital reduces the OOH caseload of the emergency department (ED). METHODS: Two natural experiments were used in this before-after study, the effect of the implementation of two GPCs in two different regions on the out-of-hours caseload of the local EDs was compared. One GPC was located adjacent to the ED of a general hospital, the other was not...
October 17, 2016: Acta Clinica Belgica
https://www.readbyqxmd.com/read/27697279/specialist-nurse-key-worker-in-children-s-cancer-care-professionals-perspectives-on-the-core-characteristics-of-the-role
#9
Ana Martins, Susie Aldiss, Faith Gibson
PURPOSE: To describe the development and implementation of the specialist nurse key worker role across 18 children's cancer centres in the United Kingdom, and draw out significant factors for success to inform future development of the role across a range of specialities. METHOD: Data were obtained through 42 semi-structured interviews and a focus group with 12 key workers. Framework analysis revealed two main themes: models of care and key workers' perspectives of the role...
October 2016: European Journal of Oncology Nursing: the Official Journal of European Oncology Nursing Society
https://www.readbyqxmd.com/read/27694349/using-mobile-technology-to-optimize-disease-surveillance-and-healthcare-delivery-at-mass-gatherings-a-case-study-from-india-s-kumbh-mela
#10
Dhruv S Kazi, P Gregg Greenough, Rishi Madhok, Aaron Heerboth, Ahmed Shaikh, Jennifer Leaning, Satchit Balsari
BACKGROUND: Planning for mass gatherings often includes temporary healthcare systems to address the needs of attendees. However, paper-based record keeping has traditionally precluded the timely application of collected clinical data for epidemic surveillance or optimization of healthcare delivery. We evaluated the feasibility of harnessing ubiquitous mobile technologies for conducting disease surveillance and monitoring resource utilization at the Allahabad Kumbh Mela in India, a 55-day festival attended by over 70 million people...
September 21, 2016: Journal of Public Health
https://www.readbyqxmd.com/read/27665216/a-qualitative-study-of-how-caseload-midwifery-is-experienced-by-couples-in-denmark
#11
Ingrid Jepsen, Edith Mark, Maralyn Foureur, Ellen A Nøhr, Erik E Sørensen
BACKGROUND: Caseload midwifery is expanding in Denmark. There is a need for elaborating in-depth, how caseload midwifery influences the partner and the woman during childbirth and how this model of care influences the early phases of labour. AIM: To follow, explore and elaborate women's and their partner's experiences of caseload midwifery. METHODS: Phenomenology of practice was the analytical approach. The methodology was inspired by ethnography, and applied methods were field observations followed by interviews...
September 21, 2016: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/27658711/epidemiology-prehospital-care-and-outcomes-of-patients-arriving-by-ambulance-with-dyspnoea-an-observational-study
#12
Anne Maree Kelly, Anna Holdgate, Gerben Keijzers, Sharon Klim, Colin A Graham, Simon Craig, Win Sen Kuan, Peter Jones, Charles Lawoko, Said Laribi
BACKGROUND: This study aimed to determine epidemiology and outcome for patients presenting to emergency departments (ED) with shortness of breath who were transported by ambulance. METHODS: This was a planned sub-study of a prospective, interrupted time series cohort study conducted at three time points in 2014 and which included consecutive adult patients presenting to the ED with dyspnoea as a main symptom. For this sub-study, additional inclusion criteria were presentation to an ED in Australia or New Zealand and transport by ambulance...
September 22, 2016: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/27624916/improving-survival-and-local-control-in-rectal-cancer-in-catalonia-spain-in-the-context-of-centralisation-a-full-cycle-audit-assessment
#13
P Manchon-Walsh, L Aliste, J A Espinàs, J Prades, A Guarga, J Balart, S Biondo, A Castells, X Sanjuan, J Tabernero, J M Borras
BACKGROUND: Rectal cancer surgery in Catalonia has been involved in a process of centralisation. We assessed the impact of this health policy strategy on quality of care and clinical results. METHODS: We compared patterns of care and clinical outcomes of all rectal cancer patients receiving radical surgery for the first time in public hospitals in two time periods, before (2005 and 2007) and after (2011-2012) centralisation, analysing indicators of care quality according to the regional clinical practice guidelines...
August 25, 2016: European Journal of Surgical Oncology
https://www.readbyqxmd.com/read/27565836/profiling-patient-characteristics-associated-with-the-intensity-of-nurse-care-coordination
#14
Tae Youn Kim, Karen D Marek
The purpose of this study was to identify characteristics of chronically ill community-dwelling older adults that differentiate the intensity of care provided by nurse care coordinators. We performed data mining on electronic health records, nurses' activity logs, and health status measures from 784 care episodes provided to 196 older adults. An inductively created decision tree identified nine groups from a combination of the six participant characteristics including medication regimen complexity, cognition, physical and mental health, hospital admission, and physical functioning...
August 26, 2016: Western Journal of Nursing Research
https://www.readbyqxmd.com/read/27553498/report-of-the-2015-society-of-thoracic-surgeons-congenital-heart-surgery-practice-survey
#15
David L S Morales, Muhammad S Khan, Joseph W Turek, Reshma Biniwale, Christo I Tchervenkov, Michele Rush, Jeffrey P Jacobs, James S Tweddell, Marshall L Jacobs
BACKGROUND: The Society of Thoracic Surgeons Workforce on Congenital Heart Surgery (CHS) undertook a third subspecialty Practice Survey (2005, 2010, 2015) to obtain contemporary data. METHODS: A search for potential participants was conducted using multiple directories and websites. The survey instrument was widely distributed electronically. All surgeons listing congenital or pediatric cardiac surgery among interests were targeted. RESULTS: There were a total of 213 respondents: 177 (83%) were practicing congenital heart surgeons (median age 50 years; range, 34 to 80 years; 93% men), 9 (4%) were CHS trainees, 17 (8%) were retired congenital heart surgeons, and 10 (5%) were others...
August 20, 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27549566/robots-drive-the-german-radical-prostatectomy-market-a-total-population-analysis-from-2006-to-2013
#16
C Groeben, R Koch, M Baunacke, M P Wirth, J Huber
BACKGROUND: To assess trends in the distribution of patients for radical prostatectomy in Germany from 2006 to 2013 and the impact of robotic surgery on annual caseloads. We hypothesized that the advent of robotics and the establishment of certified prostate cancer centers caused centralization in the German radical prostatectomy market. METHODS: Using remote data processing we analyzed the nationwide German billing data from 2006 to 2013. We supplemented this database with additional hospital characteristics like the prostate cancer center certification status...
August 23, 2016: Prostate Cancer and Prostatic Diseases
https://www.readbyqxmd.com/read/27509388/hospital-volume-and-outcomes-of-noninvasive-ventilation-in-patients-hospitalized-with-an-acute-exacerbation-of-chronic-obstructive-pulmonary-disease
#17
Mihaela S Stefan, Penelope S Pekow, Meng-Shiou Shieh, Nicholas S Hill, Michael B Rothberg, Kimberly A Fisher, Peter K Lindenauer
OBJECTIVE: To determine the relationship between hospital noninvasive ventilation caseload and outcomes among patients with an acute chronic obstructive pulmonary disease exacerbation. DESIGN: Cross-sectional study of 13,893 patients with chronic obstructive pulmonary disease treated with noninvasive ventilation. SETTING: A total of 243 U.S. hospitals participating in the Premier Inpatient Database. PATIENTS: A total of 13,893 patients admitted between July 2009 and June 2011...
August 9, 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27498186/how-optimal-caseload-midwifery-can-modify-predictors-for-preterm-birth-in-young-women-integrated-findings-from-a-mixed-methods-study
#18
J Allen, S Kildea, H Stapleton
OBJECTIVE: to identify possible mechanisms by which caseload midwifery reduces preterm birth for young childbearing women. DESIGN: a mixed methods triangulation, convergence design was used to answer the research question 'How does the way maternity care is provided affect the health and well-being of young women and their babies?' The project generated quantitative and qualitative findings which were collected and analysed concurrently then separately analysed and published...
October 2016: Midwifery
https://www.readbyqxmd.com/read/27491271/effect-of-hospital-caseload-on-long-term-outcome-after-standardization-of-rectal-cancer-surgery-in-the-spanish-rectal-cancer-project
#19
Héctor Ortiz, Antonio Codina, Miguel Á Ciga, Sebastiano Biondo, José M Enríquez-Navascués, Eloy Espín, Eduardo García-Granero, José V Roig
UNLABELLED: INTRODUCCIóN: The purpose of this prospective multicentre multilevel study was to investigate the influence of hospital caseload on long-term outcomes following standardization of rectal cancer surgery in the Rectal Cancer Project of the Spanish Society of Surgeons. METHODS: Data relating to 2910 consecutive patients with rectal cancer treated for cure between March 2006 and March 2010 were recorded in a prospective database. Hospitals were classified according to number of patients treated per year as low-volume, intermediate-volume, or high volume hospitals (12-23, 24-35, or ≥36 procedures per year)...
October 2016: Cirugía Española
https://www.readbyqxmd.com/read/27471041/solid-pseudopapillary-tumors-of-the-pancreas-specific-pathological-features-predict-the-likelihood-of-postoperative-recurrence
#20
Giovanni Marchegiani, Stefano Andrianello, Marta Massignani, Giuseppe Malleo, Laura Maggino, Salvatore Paiella, Cristina R Ferrone, Claudio Luchini, Aldo Scarpa, Paola Capelli, Mari Mino-Kenudson, Keith D Lillemoe, Claudio Bassi, Carlos Fernàndez-Del Castillo, Roberto Salvia
BACKGROUND: Since their introduction in the WHO classification, the incidence of solid pseudopapillary tumors (SPTs) of the pancreas has progressively increased, mainly because of the widespread use of cross-sectional imaging. Few recent studies have analyzed the biological behavior of SPTs, but reliable data on long-term follow-up are needed. METHODS: Retrospective analysis of two Institutions with high caseload, The Department of General Surgery-Pancreas Institute, University of Verona Hospital Trust and the Department of General Surgery, Massachusetts General Hospital, Harvard Medical School, was carried out...
October 2016: Journal of Surgical Oncology
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