{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T15:26:14Z","timestamp":1767972374921,"version":"3.49.0"},"reference-count":32,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,7,3]],"date-time":"2019-07-03T00:00:00Z","timestamp":1562112000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Complication rates in many complex surgical procedures are associated with the volume of procedures performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To investigate the relationship between hospital volume and complications, mortality, and failure to rescue (FTR) rates in patients undergoing vestibular schwannoma (VS) surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design, Setting, and Participants<\/jats:title><jats:p>The Nationwide Inpatient Sample was used to identify 44,336 patients who underwent VS surgery in 1995\u20132011. Annual case volumes were stratified by quintiles and defined as very low (\u22645 cases\/year), low (6\u201312 cases\/year) medium (13\u201322 cases\/year), high (23\u201337 cases\/year), and very high\u2010volume (\u226538 cases\/year).<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcomes and Measures<\/jats:title><jats:p>Relationships between hospital volume and in\u2010hospital mortality, postoperative complications, as well as FTR rates, defined as death after a major complication, were examined using multivariate regression analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Postoperative medical and surgical complications occurred in 5.4% and 14.6% of cases, respectively, and did not differ significantly across volume quintiles. In\u2010hospital mortality decreased with increasing hospital volume, with an incidence of 1.4% for hospitals in the lowest volume quintile compared to 0.1% for hospitals in the top volume quintile. After controlling for all other variables, the odds of in\u2010hospital mortality were lower for medium (OR = 0.19 [0.04\u20130.93]) and very high\u2010volume hospitals (OR = 0.07 [0.01\u20130.53]), but not high\u2010volume hospitals (OR = 0.43 [0.05\u20133.77]). There was no association between hospital volume and the odds of postoperative surgical complications. FTR was associated with hospital volume, with decreasing odds for medium\u2010volume (OR = 0.15 [0.02\u20130.93]), high\u2010volume (OR = 0.17 [0.04\u20130.74]), and very high\u2010volume (OR = 0.07 [0.04\u20130.74]) hospitals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Hospital volume does not appear to be associated with complication rates but is associated with decreased likelihood of FTR after VS surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>NA<\/jats:p><jats:p><jats:italic>Laryngoscope<\/jats:italic>, 130:1287\u20131293, 2020<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.28174","type":"journal-article","created":{"date-parts":[[2019,7,3]],"date-time":"2019-07-03T14:38:09Z","timestamp":1562164689000},"page":"1287-1293","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Hospital volume and failure to rescue after vestibular schwannoma resection"],"prefix":"10.1002","volume":"130","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9753-0512","authenticated-orcid":false,"given":"Nicholas S.","family":"Andresen","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Johns Hopkins Medical Institutions  Baltimore Maryland U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5134-9307","authenticated-orcid":false,"given":"Christine G.","family":"Gourin","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Johns Hopkins Medical Institutions  Baltimore Maryland U.S.A."},{"name":"Armstrong Institute for Patient Safety and Quality Johns Hopkins Medical Institutions  Baltimore Maryland U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. 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