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Eun-Cheol Park 1 Article
Analysis of Hospital Volume and Factors Influencing Economic Outcomes in Cancer Surgery: Results from a Population-based Study in Korea
Jung-A Lee, So-Young Kim, Keeho Park, Eun-Cheol Park, Jong-Hyock Park
Osong Public Health Res Perspect. 2017;8(1):34-46.   Published online February 28, 2017
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  • 7 Crossref
AbstractAbstract PDF

To evaluate associations between hospital volume, costs, and length of stay (LOS), and clinical and demographic outcome factors for five types of cancer resection. The main dependent variables were cost and LOS; the primary independent variable was volume.


Data were obtained from claims submitted to the Korean National Health Insurance scheme. We identified patients who underwent the following surgical procedures: pneumonectomy, colectomy, mastectomy, cystectomy, and esophagectomy. Hospital volumes were divided into quartiles.


Independent predictors of high costs and long LOS included old age, low health insurance contribution, non-metropolitan residents, emergency admission, Charlson score > 2, public hospital ownership, and teaching hospitals. After adjusting for relevant factors, there was an inverse relationship between volume and costs/LOS. The highest volume hospitals had the lowest procedure costs and LOS. However, this was not observed for cystectomy.


Our findings suggest an association between patient and clinical factors and greater costs and LOS per surgical oncologic procedure, with the exception of cystectomy. Yet, there were no clear associations between hospitals’ cost of care and risk-adjusted mortality.


Citations to this article as recorded by  
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    Marie T Grönroos-Korhonen, Laura E Koskenvuo, Panu J Mentula, Taina P Nykänen, Selja K Koskensalo, Ari K Leppäniemi, Ville J Sallinen
    BJS Open.2024;[Epub]     CrossRef
  • Volume-outcome relationships in laryngeal trauma processes of care: a retrospective cohort study
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  • Association between Stroke Quality Assessments and Mortality within 30 Days among Patients Who Underwent Hemorrhagic Stroke Surgeries in South Korea
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    Cerebrovascular Diseases.2022; 51(1): 82.     CrossRef
  • Impact of surgeon and hospital factors on length of stay after colorectal surgery systematic review
    Zubair Bayat, Keegan Guidolin, Basheer Elsolh, Charmaine De Castro, Erin Kennedy, Anand Govindarajan
    BJS Open.2022;[Epub]     CrossRef
  • Crucial areas of the economic analysis of public cancer care
    D. A. Andreev, K. I. Polyakova, A. A. Zavyalov, T. N. Ermolaeva, A. G. Fisun, A. D. Ermolaeva, V. A. Dubovtseva, T. E. Maksimova
    FARMAKOEKONOMIKA. Modern Pharmacoeconomic and Phar.2020; 12(4): 310.     CrossRef
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    Konstantinos A Paschos, A Chatzigeorgiadis
    Hellenic Journal of Surgery.2020; 92(2): 51.     CrossRef
  • What Matters in the Performance of a Medial Institution?
    Hae-Wol Cho, Chaeshin Chu
    Osong Public Health and Research Perspectives.2017; 8(1): 1.     CrossRef

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