MP9-19 DO HOSPITAL RANKINGS CORRELATE WITH ACTUAL OUTCOMES?

Abstract

You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Evidence-based Medicine & Outcomes II1 Apr 2015MP9-19 DO HOSPITAL RANKINGS CORRELATE WITH ACTUAL OUTCOMES? Joel Durinka, Afshin Parsikia, Ryan Flynn, and Jorge Ortiz Joel DurinkaJoel Durinka More articles by this author , Afshin ParsikiaAfshin Parsikia More articles by this author , Ryan FlynnRyan Flynn More articles by this author , and Jorge OrtizJorge Ortiz More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.379AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Rankings of hospital performances are increasingly prevalent. However, rankings in the lay literature such as US News and World Report may not correlate with actual outcomes after renal transplant. METHODS The Scientific Registry of Transplant Recipients (SRTR) Database was queried to identify renal transplant outcomes for both patient and graft survival in 2011 at 231 hospitals with active renal transplant programs. In addition, the list of US News & World Report Hospital rankings was used to compare a hospital ranking to the hospitals renal transplant outcomes quantified by SRTR. Outcomes included: 1 Month, 1 Year and 3 year patient and graft survival, Overall Score, Patient Survival Score, Volume, in-house ICU intensivist, technology and “would a specialist recommend their institution”. US News and World Report Rankings were compared with the SRTR database to compare a hospitals transplant outcomes to the hospitals national rank. A statistical analysis using student T-Tests and Logistic regression was used to compare the SRTR with the US News and World Report data and examine whether or not a high national ranking hospital was associated with having a strong renal transplant program. RESULTS More than half of the hospitals not ranked in the US New and World Report Top 50 have a higher than expected patient and graft survival rate. Among hospitals ranked in US News and World Report Top 50 US News ranking, 20(40%) had transplant programs with lower than expected patient and graft survival rate. A logistic regression analysis indicates that the variable of “would a specialist recommend their institution” is statistical significant (p< 0.05) for a good 1 year graft survival (p< 0.05, and odds ratio is 2.075). Additionally, having an in-house ICU intensivist, and modern technology are statistically significant for a strong 3 year graft survival rate (p< 0.05, odds ratio are 0.241 and 1.756). CONCLUSIONS The plethora of publicly available hospital ratings systems does not correlate with actual outcomes. A hospital's national ranking is a flawed indicator of transplant outcomes. Further systematic investigation into which measures predict quality outcomes in renal transplant will benefit both patients and providers. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e109 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Joel Durinka More articles by this author Afshin Parsikia More articles by this author Ryan Flynn More articles by this author Jorge Ortiz More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...