Table 3 Hospital Characteristics of the Study Groups with Surgical Resections
Lung Lobectomy | LAR | Liver Wedge Resection | Total Hysterectomy | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
Overall N = 23 858 N (%) | Cancer N = 20 976 N (%) | No Cancer N = 2882 N (%) | Overall N = 13 522 N (%) | Cancer N = 8627 N (%) | No Cancer N = 4895 N (%) | Overall N = 2916 N (%) | Cancer N = 874 N (%) | No Cancer N = 2042 N (%) | Overall N = 225 075 N (%) | Cancer N = 25 511 N (%) | No Cancer N = 199 564 N (%) | |
US Geographic Region | ||||||||||||
Midwest | 5103 (21.4) | 4528 (21.6) | 575 (20.0) | 2353 (17.4) | 1588 (18.4) | 765 (15.6) | 346 (11.9) | 82 (9.4) | 264 (12.9) | 50 856 (22.6) | 5690 (22.3) | 45 166 (22.6) |
Northeast | 4274 (17.9) | 3723 (17.8) | 551 (19.1) | 2803 (20.7) | 1781 (20.6) | 1022 (20.9) | 1096 (37.6) | 429 (49.1) | 667 (32.7) | 31 834 (14.1) | 6392 (25.1) | 25 442 (12.8) |
South | 10 223 (42.9) | 8952 (42.7) | 1271 (44.1) | 5770 (42.7) | 3536 (41.0) | 2234 (45.6) | 988 (33.9) | 224 (25.6) | 764 (37.4) | 94 801 (42.1) | 8631 (33.8) | 86 170 (43.2) |
West | 4258 (17.9) | 3773 (18.0) | 485 (16.8) | 2596 (19.2) | 1722 (20.0) | 874 (17.9) | 486 (16.7) | 139 (15.9) | 347 (17.0) | 47 584 (21.1) | 4798 (18.8) | 42 786 (21.4) |
Teaching Status | ||||||||||||
No | 11 113 (46.6) | 9902 (47.2) | 1211 (42.0) | 7739 (57.2) | 4729 (54.8) | 3010 (61.5) | 540 (18.5) | 108 (12.4) | 432 (21.1) | 135 942 (60.4) | 9497 (37.2) | 126 445 (63.4) |
Yes | 12 745 (53.4) | 11 074 (52.8) | 1671 (58.0) | 5783 (42.8) | 3898 (45.2) | 1885 (38.5) | 2376 (81.5) | 766 (87.6) | 1610 (78.8) | 89 133 (39.6) | 16 014 (62.8) | 73 119 (36.6) |
Rural/Urban | ||||||||||||
Rural | 1632 (6.8) | 1477 (7.0) | 155 (5.4) | 1009 (7.5) | 766 (8.9) | 243 (5.0) | 53 (1.8) | 14 (1.6) | 39 (1.9) | 21 687 (9.6) | 785 (3.1) | 20 902 (10.5) |
Urban | 22 226 (93.2) | 19 499 (93.0) | 2727 (94.6) | 12 513 (92.5) | 7861 (91.1) | 4652 (95.0) | 2863 (98.2) | 860 (98.4) | 2003 (98.1) | 203 388 (90.4) | 24 726 (96.9) | 178 662 (89.5) |
Bed Size | ||||||||||||
Small | 757 (3.2) | 687 (3.3) | 70 (2.4) | 517 (3.8) | 345 (4.0) | 172 (3.5) | 40 (1.4) | 6 (0.7) | 34 (1.7) | 13 101 (5.8) | 546 (2.1) | 12 555 (6.3) |
Medium | 2394 (10.0) | 2122 (10.1) | 272 (9.4) | 1727 (12.8) | 1174 (13.6) | 553 (11.3) | 178 (6.1) | 55 (6.3) | 123 (6.0) | 37 473 (16.7) | 3776 (14.8) | 33 697 (16.9) |
Large | 20 707 (86.8 | 18 167 (86.6) | 2540 (88.1) | 11 278 (83.4) | 7108 (82.4) | 4170 (85.2) | 2698 (92.5) | 813 (93.0) | 1885 (92.3) | 174 501 (77.5) | 21 189 (83.1) | 153 312 (76.8) |
Surgical Volume | ||||||||||||
1–100 | 2656 (11.1) | 2377 (11.3) | 279 (9.7) | 239 (1.8) | 172 (2.0) | 67 (1.4) | 1257 (43.1) | 291 (33.3) | 966 (47.3) | 4273 (1.9) | 185 (0.7) | 4088 (2.1) |
101–300 | 8080 (33.9) | 7203 (34.3) | 877 (30.4) | 1407 (10.4) | 986 (11.4) | 421 (8.6) | 672 (23.1) | 193 (22.1) | 479 (23.5) | 17 775 (7.9) | 1102 (4.3) | 16 673 (8.4) |
300–500 | 5654 (23.7) | 4998 (23.8) | 656 (22.8) | 1392 (10.3) | 971 (11.3) | 421 (8.6) | 460 (15.8) | 120 (13.7) | 340 (16.7) | 22 789 (10.1) | 1240 (4.9) | 21 549 (10.8) |
≥500 | 7468 (31.3) | 6398 (30.5) | 1070 (37.1) | 10 484 (77.5) | 6498 (75.3) | 3986 (81.4) | 527 (18.1) | 270 (30.9) | 257 (12.6) | 180 238 (80.1) | 22 984 (90.1) | 157 254 (78.8) |
Type of Cost Source | ||||||||||||
Procedural Records | 18 101 (75.9) | 15 903 (75.8) | 2198 (76.3) | 9722 (71.9) | 6087 (70.6) | 3635 (74.3) | 2343 (80.4) | 705 (80.7) | 1638 (80.2) | 162 325 (72.1) | 19 374 (75.9) | 142 951 (71.6) |
Cost to Charge Ratio | 5757 (24.1) | 5073 (24.2) | 684 (23.7) | 3800 (28.1) | 2540 (29.4) | 1260 (25.7) | 573 (19.7) | 169 (19.3) | 404 (19.8) | 62 750 (27.9) | 6137 (24.1) | 56 613 (28.4) |
Surgical Approach | ||||||||||||
Open | 14 161 (59.4) | 12 593 (60.0) | 1568 (54.4) | - | - | - | - | - | - | 118 255 (52.5) | 17 305 (67.8) | 100 950 (50.6) |
Minimally Invasivea | 9697 (40.6) | 8383 (40.0) | 1314 (45.6) | - | - | - | - | - | - | 106 820 (47.5) | 8206 (32.2) | 98 614 (49.4) |