ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2017
Paraesophageal Hernia Repair in the USA: Trends of Utilization Stratified by Surgical Volume and Consequent Impact on Perioperative Outcomes.
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Tailored staged approach for acute paraesophageal hernia: safe and effective in high-risk patients.Surgical endoscopy · 2026Observational
- Validation of the ACS-NSQIP surgical risk calculator for patients with paraoesophageal hernias undergoing robotic repair.Surgical endoscopy · 2025Article
- PROsthetic MEsh Reinforcement in elective minimally invasive paraesophageal hernia repair (PROMER): an international survey.Updates in surgery · 2024Article
- Comparison of Medical Research Abstracts Written by Surgical Trainees and Senior Surgeons or Generated by Large Language Models.JAMA network open · 2024Article
- Morbidity and mortality following hiatal hernia repair in geriatric patients: a multicenter research network study.Surgical endoscopy · 2024Article
- Validity and reliability evidence support task-specific metrics for laparoscopic fundoplication.Surgical endoscopy · 2024Article
- Malpractice claims after antireflux surgery and paraesophageal hernia repair: a population-based analysis.Surgical endoscopy · 2024Article
- Defining surgical risk in octogenarians undergoing paraesophageal hernia repair.Surgical endoscopy · 2023Article
- Article
- Robotic Hiatal Hernia Repair Associated with Higher Morbidity and Readmission Rates Compared to Laparoscopic Repair: 10-Year Analysis from the National Readmissions Database (NRD).Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023Article
- Elective paraesophageal hernia repair in elderly patients: an analysis of ACS-NSQIP database for contemporary morbidity and mortality.Surgical endoscopy · 2022Article
- Complications Following Robotic Hiatal Hernia Repair Are Higher Compared to Laparoscopy.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Article
- Giant paraesophageal hernia: What do we really know?JTCVS techniques · 2020Article
- Management of paraesophageal hernia review of clinical studies: timing to surgery, mesh use, fundoplication, gastropexy and other controversies.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2020Article
- Modern era surgical outcomes of elective and emergency giant paraesophageal hernia repair at a high-volume referral center.Surgical endoscopy · 2020Article
- Surgery for benign esophageal disorders in the US: risk factors for complications and trends of morbidity.Surgical endoscopy · 2018Article
- Outcomes after Laparoscopic Gastropexy as an Alternative for Paraesophageal Hernia Repair.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
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Authors and funding
4 authors.
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Abstract
backgroundThe impact of surgical volume on perioperative results after a paraesophageal hernia (PEH) repair has not yet been analyzed. We sought to characterize the trend of utilization of this procedure stratified by surgical volume in the USA, and analyze its impact on perioperative outcomes.
methodsA retrospective population-based analysis was performed using the National Inpatient Sample for the period 2000-2013. Adult patients (≥18 years old) who underwent PEH repair were included. Surgical volume was categorized as small (<6 operations/year), intermediate (6-20 operations/year), or high (>20 operations/year). Multivariable linear and logistic regression models were used to assess the effect of surgical volume on patient outcomes.
resultsA total of 63,812 patients were included. Over time, the rate of procedures across high-volume centers increased from 65.8 to 94.4%. The use of the laparoscopic approach was significantly different among the groups (small volume 38.4%; intermediate volume 41.8%; high volume 67.4%; p < 0.0001). Patients undergoing PEH repair at high-volume hospitals were less likely to experience postoperative bleeding, cardiac failure, respiratory failure, and shock. On average, patients at low- and intermediate-volume hospitals stayed 0.8 and 0.6 days longer, respectively.
conclusionsA spontaneous centralization towards high-volume centers for PEH repair has occurred in the last decade. This trend is beneficial for patients as it is associated with higher rates of laparoscopic operations, decreased surgical morbidity, and a shorter length of hospital stay.
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