Health Services
Conditions
Keywords
Similarity, Diversity
Brief summary
When considered from a provincial perspective, quantification of surgical procedures undertaken by different hospitals and healthcare networks is necessary for informing resource allocation and modelling of healthcare services. The investigators hypothesized that i) non-physiologically complex surgical procedures would account for most (\>1/2) of pediatric surgical procedures performed at both pediatric specialist hospitals and the other hospitals performing pediatric surgery, ii) surgical discharges for non-physiologically complex surgical procedures would account for most (\>1/2) in-hospital bed nights among pediatric surgical admissions at both pediatric specialist hospitals and the other hospitals performing pediatric surgery, and iii) the relative distributions of non-physiologically complex surgical procedures, but not physiologically complex procedures, would be at least moderately similar between pediatric specialist hospitals and the other hospitals performing pediatric surgery. To test these 3 hypotheses, the specific objectives of this study were to estimate i) the proportion (primary outcome) of non-physiologically complex pediatric surgical procedures, and ii) the similarity and diversity (secondary outcomes) of non-physiologically and physiologically complex surgical procedures between the pediatric specialist hospitals and the other hospitals performing pediatric surgery in Ontario, Canada.
Interventions
PROCEDUREPediatric surgical procedures
Eligible surgical procedures were identified using Canadian Classification of Health Interventions (CCI) therapeutic intervention codes.
Sponsors
The Hospital for Sick Children
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
28 Days to 17 Years
Healthy volunteers
No
Inclusion criteria
* surgical procedures for individuals aged greater than 27 days and less than 18 years
Exclusion criteria
* newborns (0 to 27 days of age) * records lacking a patient identifier or age * non-surgical healthcare interventions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of non-physiologically complex surgery | April 1, 2007 to March 31, 2015 | The proportion of non-physiologically complex pediatric surgical procedures |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Similarity | April 1, 2007 to March 31, 2015 | Similarity of different types of pediatric surgical procedures performed between hospitals was assessed using Yue and Clayton's index |
| Diversity | April 1, 2007 to March 31, 2015 | Effective number of common procedures |
Countries
Canada
Outcome results
None listed