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Het volume van chirurgische ingrepen en de impact ervan op ... - KCE

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<strong>KCE</strong> Reports 113 Volume Outcome 123<br />

Table 5.70: Lung cancer surgery: Differ<strong>en</strong>ces in case-mix and outcomes by<br />

hospital <strong>volume</strong><br />

Surgeon Volume<br />

11-<br />

1-2/yr 3-5/yr 6-10/yr 20/yr > 20/yr All<br />

Number surgeons<br />

48 35 28 20 19 152<br />

Number stays<br />

84 172 171 279 455 1161<br />

Age<br />

Mean<br />

64.0 64.2 64.4 64.7 64.6 64.5<br />

Std<br />

9.7 10.5 10.3 10.5 9.7 10.1<br />

Male g<strong>en</strong><strong>de</strong>r % 75.0 78.5 76.0 73.8 78.5 76.7<br />

Charlson ≥ 3 % 11.9 8.7 10.5 10.4 11.6 10.8<br />

Charlson<br />

Mean<br />

1.0 1.0 1.0 0.9 1.0 1.0<br />

Std<br />

1.1 1.0 1.1 1.3 1.3 1.2<br />

Severity in<strong>de</strong>x (APR-DRG)<br />

1 % 14.3 13.4 12.9 16.8 11.0 13.3<br />

2 %<br />

45.2 47.1 43.9 44.8 45.5 45.3<br />

3 %<br />

27.4 29.1 29.2 21.9 31.9 28.3<br />

4 %<br />

13.1 10.5 14.0 16.5 11.6 13.1<br />

LOS<br />

Mean 14.7 16.8 15.5 16.3 14.5 15.4<br />

Median<br />

12.0 12.0 12.0 13.0 12.0 12.0<br />

Std 9.2 15.1 10.4 11.1 8.4 10.6<br />

In hospital + 30 day %<br />

mortality<br />

2.4 3.5 4.1 5.4 3.1 3.8<br />

2 year mortality<br />

Missing data in BCR<br />

%<br />

21.4 30.2 29.2 29.4 23.1 26.4<br />

stage %<br />

44.0 22.1 22.2 25.1 21.3 24.1<br />

histology<br />

Stage<br />

% 29.8 6.4 13.5 9.7 9.2 11.0<br />

I % 66.0 59.0 56.4 62.2 49.2 55.7<br />

Histology<br />

II %<br />

III %<br />

IV %<br />

21.3 24.6 15.0 19.1 22.6 20.9<br />

12.8 14.2 24.1 15.8 24.9 20.3<br />

. 2.2 4.5 2.9 3.4 3.1<br />

non small cell lung % 89.8 85.1 89.9 88.5 88.9 88.4<br />

other %<br />

8.5 11.2 10.1 10.7 7.7 9.4<br />

small cell lung % 1.7 3.7 . 0.8 3.4 2.2

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