Influence of Hospital Volume on Mortality and Short-term Postoperative Outcomes in Uncomplex General Surgery in Switzerland

Cantonal Hospital of St. Gallen

Status: Completed

Conditions: Cholecystitis; Appendicitis; Femoral Hernia; Umbilical Hernia; Cholecystolithiasis; Inguinal Hernia

Treatments: Procedure: Appendicectomy; Procedure: Inguinal and/or femoral hernia repair; Procedure: Umbilical hernia repair; Procedure: Cholecystectomy

Study type: Observational

Funder types: Other

Identifiers

NCT07022665

hospital volume surgery

Details and patient eligibility

About

The effect of centralisation measures on the operative outcomes after any type of surgery in Switzerland has not been highlighted yet. This study aims to investigate the influence of the annual case-specific hospital volume on uncomplex general surgery. The four operations investigated are appendectomy, cholecystectomy, umbilical hernia repair, and inguinal/femoral hernia repair.

Enrollment: 399,701 patients

Sex: All

Ages: 20+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• All patients with appendicectomy for appendicitis, cholecystectomy for cholecystolithiasis and/or cholecystitis , umbilical hernia repair, or inguinal and/or femoral hernia repair

Exclusion criteria

• incomplete case documentation
• age under 20 years
• other hospitals than general or surgical hospitals
• no index operation

Trial design

399,701 participants in 4 patient groups

Appendicectomy

Treatment:

Procedure: Appendicectomy

Cholecystectomy

Treatment:

Procedure: Cholecystectomy

Umbilical hernia repair

Treatment:

Procedure: Umbilical hernia repair

Inguinal and/or femoral hernia repair

Treatment:

Procedure: Inguinal and/or femoral hernia repair