ArticleDeutsches Arzteblatt international2014
Achieving minimum caseload requirements--an analysis of hospital discharge data from 2005-2011.
Article in Deutsches Arzteblatt international, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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16 citing papers in PubMed, 34 citations in OpenAlex.
- Internal validation of self-reported case numbers in hospital quality reports: preparing secondary data for health services research.BMC medical research methodology · 2024Article
- Defining a threshold for safe surgical management of vena cava thrombus in renal cell carcinoma patients: evidence from German total population data with 3,700 cases from 2006 to 2020.World journal of urology · 2024Article
- Defining minimum volume thresholds to increase quality of care: a new patient-oriented approach using mixed integer programming.The European journal of health economics : HEPAC : health economics in prevention and care · 2022Article
- Development of Incidence and Surgical Treatment of Penile Cancer in Germany from 2006 to 2016: Potential Implications for Future Management.Annals of surgical oncology · 2021Article
- In-hospital mortality and failure to rescue following hepatobiliary surgery in Germany - a nationwide analysis.BMC surgery · 2020Article
- Centralization tendencies of retroperitoneal lymph node dissection for testicular cancer in Germany? A total population-based analysis from 2006 to 2015.World journal of urology · 2020Article
- Article
- Volume-outcome relationship and minimum volume regulations in the German hospital sector - evidence from nationwide administrative hospital data for the years 2005-2007.Health economics review · 2018Article
- Observational
- Is There a Rationale for Structural Quality Assurance in Esophageal Surgery?Visceral medicine · 2017Review
- Influence of Hospital Volume Effects and Minimum Caseload Requirements on Quality of Care in Pancreatic Surgery in Germany.Visceral medicine · 2017Review
- Minimum Volume Standards in Surgery - Are We There Yet?Visceral medicine · 2017Review
- [Economic aspects of oncological esophageal surgery : Centralization is essential].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2017Article
- Robots drive the German radical prostatectomy market: a total population analysis from 2006 to 2013.Prostate cancer and prostatic diseases · 2016Article
- [Minimum caseload requirements in urologic oncology: not without evidence from health services research].Der Urologe. Ausg. A · 2014Article
- Has the minimum caseload requirement failed? Strategic planning in the hospital sector requires input from elected political representatives.Deutsches Arzteblatt international · 2014Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe German Federal Joint Committee (the highest decision-making body of physicians and health insurance funds in Germany) has established minimum caseload requirements with the goal of improving patient care. Such requirements have been in place for five types of surgical procedure since 2004 and were introduced for total knee endoprosthesis surgery in 2006 and for the care of low-birth-weight neonates (weighing less than 1250 g) in 2010.
methodWe analyzed data from German nationwide DRG statistics (DRG = diagnosis-related groups) for the years 2005-2011. The procedures that were performed were identified on the basis of their operation and procedure codes, and the low-birth-weight neonates on the basis of their birth weight and age. The treating facilities were distinguished from one another by their institutional identifying numbers, which were contained in the DRG database.
resultsIn 2011, there were 172 838 hospitalizations to which minimum caseload requirements were applicable. 4.5% of these took place in institutions that did not meet the minimum requirement for the procedure in question. The percentage of institutions that did not meet the minimum caseload requirement for complex pancreatic surgery fell significantly from 64.6% in 2006 to 48.7% in 2011, and the percentage of pancreatic surgery cases treated in such institutions fell over the same period from 19.0% to 11.4%. A significant reduction in the number of institutions treating low-birth-weight neonates was already evident before minimum caseload requirements were introduced. For all other types of procedure subject to minimum caseload requirements, there has been no significant change either in the percentage of institutions meeting the requirements or in the percentage of cases treated in such institutions.
conclusionAfter taking account of the potential bias due to the identification of institutions by their institutional identifying numbers, we found no discernible effect of minimum caseload requirements on care structures over the seven-year period of observation, with the possible exception of a mild effect on pancreatic procedures.
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