Adult lung transplantation case-volume and in-hospital and long-term mortality in Korea View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2019-01-23

AUTHORS

Susie Yoon, Eun Jin Jang, Ga Hee Kim, Dal Ho Kim, Tae-Yoon Lim, Hannah Lee, Ho Geol Ryu

ABSTRACT

BackgroundThe inverse relationship between case-volume and surgical mortality has been reported in complex surgical procedures. The aim of this study was to evaluate the effect of case-volume on mortality after lung transplantation in Korea.MethodsThe National Health Insurance Service data was used to analyse all adult lung transplantations in Korea between 2007 and 2016. Institutions were categorized into low-volume (< 5 lung transplantations/year) centers or high-volume (≥ 5 lung transplantations/year) centers. Risk-adjusted in-hospital mortality and long-term survival according to case-volume was evaluated.ResultsA total of 315 adult recipients underwent lung transplantation at 7 centers. The odds ratio for in-hospital mortality in low-volume centers was similar to high-volume centers (OR, 1.496; 95% CI, 0.81–2.76; p = 0.197). Log-rank analysis of Kaplan-Meier curves according to case-volume also did not show a difference in long-term survival between high- and low-volume centers (p = 0.052).ConclusionsThere was no association between case-volume and in-hospital mortality after lung transplantation in Korea, although there was a tendency towards better long-term survival associated with high-volume centers. More... »

PAGES

19

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s13019-019-0849-3

DOI

http://dx.doi.org/10.1186/s13019-019-0849-3

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1111593826

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30674327


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