Nader N. Massarweh, MD, MPH, David R. Flum, MD, MPH, FACS, Rebecca G

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Presentation transcript:

A Critical Evaluation of the Impact of Leapfrog's Evidence-Based Hospital Referral Nader N. Massarweh, MD, MPH, David R. Flum, MD, MPH, FACS, Rebecca G. Symons, MPH, Thomas K. Varghese, MD, MS, FACS, Carlos A. Pellegrini, MD, FACS Journal of the American College of Surgeons Volume 212, Issue 2, Pages 150-159.e1 (February 2011) DOI: 10.1016/j.jamcollsurg.2010.09.027 Copyright © 2011 American College of Surgeons Terms and Conditions

Figure 1 Regionalization rate. The proportion of patients undergoing each procedure at evidence-based hospital referral (EBHR) hospitals by study year. The p value was obtained from a nonparametric test for trend. *2001 was the first year of the post-Leapfrog (LF) era for esophageal resection and abdominal aortic aneurysm (AAA) repair. †2004 was the first year of the post-LF era for pancreatic resection. Journal of the American College of Surgeons 2011 212, 150-159.e1DOI: (10.1016/j.jamcollsurg.2010.09.027) Copyright © 2011 American College of Surgeons Terms and Conditions

Figure 2 Adjusted outcomes comparison for the pre- and post- Leapfrog (LF) eras. (A) Statewide and (B) non- evidence-based hospital referral (EBHR) hospital rates after pancreatic resection; (C) statewide and (D) non-EBHR hospital rates after esophageal resection; (E) statewide and (F) non-EBHR hospital rates after abdominal aortic aneurysm (AAA) repair. *p < 0.05 and ‡p < 0.001. Journal of the American College of Surgeons 2011 212, 150-159.e1DOI: (10.1016/j.jamcollsurg.2010.09.027) Copyright © 2011 American College of Surgeons Terms and Conditions