Treatment Facility Case Volume and Disparities in Outcomes of Congenital Diaphragmatic Hernia Cases
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- High-volume CDH centers had significantly lower mortality despite treating sicker patients compared to low/mid-volume centers (n=1,314 Texas cases).
- Patients with congenital diaphragmatic hernia at high-volume centers also experienced significantly shorter hospital length of stay.
- Centralization of CDH surgical care to high-volume centers may improve survival and reduce resource utilization.
- Volume-outcome relationship persists even after adjusting for patient severity, suggesting center expertise drives better CDH outcomes.
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Do you operate congenital diaphragmatic hernia in low or high volume centers? Does it matter? Hi, I'm Cecilia Jigena from Cincinnati Children's Hospital, and I think this is an article that you should know about. This is a retrospective study done in Texas using. The state hospital database and their aim was to see if there were a difference in the outcomes of patients with CDH that were operated in high, low, or mid volume centers. They identified 1,314 patients. 728 were from high volume centers, 9 were from mid volume centers, and 79 were from low volume centers. And what they found is that high volume centers had significantly less mortality rates, even though they have significantly sicker patients, and also they had significantly less length of stay. So it seems that high volume centers have better outcomes for patients with CDH. Let us know what you think and stay tuned for more articles that you should know about.