We aimed to determine the effect of hospital volume on in-hospital mortality, and failure rescue following major pancreatic resections using discharge data every inpatient case in Germany.Several studies have found strong volume-outcome relationships surgery, with high mortality low-volume facilities. However, their datasets were only based portions national populations. In addition, these did not assess according other crucial variables such as medical indications, postoperative...

We aimed to determine the unbiased mortality rates for pancreatic surgery procedures at national level through a comprehensive analysis of every inpatient case in Germany.Several studies have proclaimed general improvement perioperative outcomes following surgery. These results are challenged by recent analyses large US databases that found strong volume-outcome relationships, with high low-volume facilities.All cases procedure code Germany from 2009 2013 were identified nationwide...

Objectives To explore the existence and strength of a relationship between hospital volume mortality, to estimate minimum thresholds assess potential benefit centralisation services. Design Observational population-based study using complete German discharge data (Diagnosis-Related Group Statistics (DRG Statistics)). Setting All acute care hospitals in Germany. Participants adult patients hospitalised for 1 out 25 common or medically important types inpatient treatment from 2009 2014. Main...

Background: The number of hip and knee replacement operations is rising in many industrialized countries.To evaluate the current situation Germany, we analyzed frequency procedures Germany compared to USA, with aid similar case definitions taking demographic differences into account.Methods: We used individual inpatient data from (DRG statistics) USA (Nationwide Inpatient Sample) study age-and sex-adjusted rates surgery determinants trends numbers over years 2005 2011.Results: In 2011, was...

In international comparisons, rates of amputations the lower limb are relatively high in Germany. This study aims to analyze trends over time, as well outcomes care concerning in-hospital mortality and reamputation during same hospital stay which might indicate quality surgical perioperative health processes. work is an observational population-based using complete national discharge data (Diagnosis-Related Group Statistics (DRG Statistics)) from 2005 2015. All inpatient cases with...

In Germany, complex esophageal surgery is often performed in hospitals with low case numbers. For these procedures, an association exists between hospital numbers and treatment outcomes, possibly because of differences complication management. This aspect the volume outcome has not yet been studied Germany.On basis nationwide discharge data (DRG statistics) from years 2010 to 2015, was analyzed relation in-hospital mortality, frequency complications, mortality patients who had...

In German hospitals, quality measurement, monitoring, and management have undergone considerable development. This includes an array of mandatory measures, including a nationwide benchmarking exercise based on 194 indicators. Because better deeper coding diagnoses, procedures, demographic information since the introduction diagnosis-related group (DRG) system, two further "generations" instruments been developed: measurement performed at provider (hospital) level using administrative data,...

In an expert analysis by the IGES Institute, it was examined which inpatient hospital treatments could also be carried out on outpatient basis. A method of determining feasibility performing any particular treatment in setting based routine documentation proposed report. new version German catalogue operations that can performed basis and other procedures (the AOP catalogue) issued accordingly. addition, sector-blind (hybrid DRG) reimbursement selected introduced, i.e., amount is now same...

Zusammenfassung Das Krankenhausversorgungsverbesserungsgesetz (KHVVG: Gesetz zur Verbesserung der Versorgungsqualität im Krankenhaus und Reform Vergütungsstrukturen) sieht die Einführung von Leistungsgruppen für Vorhalte-Finanzierung vor. Auch Krankenhausplanung Länder soll den Krankenhäusern künftig Versorgungsaufträge in Verbindung mit Strukturqualitätskriterien zuweisen. Diese Arbeit analysiert leistungsgruppenspezifische Unterschiede Merkmalen Behandlungsfälle sowie Kennzahlen Prozess-...

Administrative hospital data can be used to detect trends in the care of patients hospitalized with acute stroke.The nationwide German DRG statistics for years 2005 2010 were identify hospitalizations stroke. All a principal diagnosis stroke who over 19 old on admission included analysis; admissions transferred from other hospitals excluded. The analyzed determine annual hospitalization rates, characteristics and hospitals, patterns care, in-hospital mortality.The number Germany per year...

Zusammenfassung Hintergrund: Mit dem Ziel der Verbesserung Versorgung wurden für die Durchführung planbarer Eingriffe und Behandlungen in deutschen Krankenhäusern Mindestmengen festgelegt. Diese Arbeit untersucht retrospektiv ob Einhaltung Mindestmengenvorgabe mit den Behandlungsergebnissen Zusammenhang steht. Analysiert Unterschiede Krankenhaussterblichkeit komplexe Ösophagus- Pankreaseingriffe, Leber- Nierentransplantationen, Stammzellentransplantationen sowie Knie-Totalendoprothesen....

Objective To investigate changes in comorbidity coding after the introduction of diagnosis related groups ( DRG s) based prospective payment and whether trends differ regarding specific comorbidities. Data Sources Nationwide administrative data statistics) from German acute care hospitals 2005 to 2012. Study Design Observational study analyze patients hospitalized for common primary diseases effects on comorbidity‐related risk in‐hospital death. Extraction Methods Comorbidity was...

Background In Germany, the financing of stroke unit care was implemented into hospital reimbursement system in 2006. Since then, many acute hospitals newly units. Simultaneous, in-hospital mortality for declined. Aims The study aims to analyze association trends with increasing provision German hospitals. Methods Hospitalizations from 2005 2010 are identified nationwide Diagnosis Related Groups statistics. Trends risk-adjusted studied stratified by existence a admitting hospital, as well...

Background: In 2010, 158 000 cholecystectomies and 207 herniotomies (without bowel surgery) were performed in Germany as inpatient procedures, generally on a routine, elective basis.Deaths following such operations are rare events.We studied the potential association of death after cholecystectomy or herniotomy with risk factors that could have been detected beforehand, we examined types complications documented these cases.Methods: Using nationwide hospital discharge data (DRG statistics)...

Anorectal malformations (ARMs) are complex congenital anomalies. The corrective operation is demanding and schedulable. Based on complete national data, patterns of care have not been analyzed in Germany yet.

The 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 improving patient care. Such have been place for five types surgical procedure since 2004 were introduced total knee endoprosthesis surgery 2006 care low-birth-weight neonates (weighing less than 1250 g) 2010.We analyzed data from nationwide DRG statistics (DRG = diagnosis-related groups) years 2005-2011....

Appendectomy is the gold standard for treatment of acute appendicitis. However, recent studies favor primary antibiotic therapy. The aim this observational study was to explore changes in numbers operations appendicitis period 2010-2017, paying special attention disease severity.

Mortality rates during hospital stays for common diseases show considerable variation at the level, which suggests that there is potential outcome improvement. We studied changes in mortality after an intervention aimed to improve medical outcomes through quality measurement combined with peer review. examined eighteen acute care hospitals purchased by Helios Hospital Group Germany from one year before three years start of intervention. In-hospital myocardial infarction, heart failure,...

Abstract Background Recent observational studies on volume-outcome associations in hepatobiliary surgery were not designed to account for the varying extent of resections and consequential risk perioperative morbidity mortality. Therefore, this study aimed determine risk-adjusted in-hospital mortality minor major at national level Germany examine effect hospital volume mortality, failure rescue. Methods All inpatient cases ( n = 31,114) from 2009 2015 studied using discharge data. After...

In Germany, the Diagnosis-Related Group Statistics (DRG Statistics) supply full coverage of inpatient episodes in acute care hospitals. The Research Data Centres Federal Statistical Office and Offices States provide microdata DRG Statistics, namely hospital discharge files each case, for scientific research. Hospital data are generated administrative purposes. As well as other sources, they have specific features characteristics, which should be considered planning designing research...