John Birkmeyer

Summary

Affiliation: University of Michigan
Country: USA

Publications

  1. doi request reprint Prioritizing quality improvement in general surgery
    Peter L Schilling
    Robert Wood Johnson Clinical Scholars Program, University of Michigan, Ann Arbor, MI 48109, USA
    J Am Coll Surg 207:698-704. 2008
  2. doi request reprint Understanding of regional variation in the use of surgery
    John D Birkmeyer
    Center for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor, MI 48109, USA
    Lancet 382:1121-9. 2013
  3. doi request reprint Surgical skill and complication rates after bariatric surgery
    John D Birkmeyer
    Center for Healthcare Outcomes and Policy and Department of Surgery, University of Michigan, Ann Arbor, Michigan 48109, USA
    N Engl J Med 369:1434-42. 2013
  4. pmc Hospital volume and late survival after cancer surgery
    John D Birkmeyer
    Michigan Surgical Collaborative for Outcomes Research and Evaluation, Department of Surgery, University of Michigan, 1500 East Medical Center Drive, Ann Arbor, MI, USA
    Ann Surg 245:777-83. 2007
  5. pmc Hospital quality and the cost of inpatient surgery in the United States
    John D Birkmeyer
    Center for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor, MI, USA
    Ann Surg 255:1-5. 2012
  6. ncbi request reprint Volume and process of care in high-risk cancer surgery
    John D Birkmeyer
    Michigan Surgical Collaborative for Outcomes Research and Evaluation M SCORE, Department of Surgery, University of Michigan, Ann Arbor, Michigan 48109, USA
    Cancer 106:2476-81. 2006
  7. doi request reprint Understanding and reducing variation in surgical mortality
    John D Birkmeyer
    Michigan Surgical Collaborative for Outcomes Research and Evaluation, Department of Surgery, University of Michigan, Ann Arbor, Michigan, USA
    Annu Rev Med 60:405-15. 2009
  8. pmc Medicare payments for common inpatient procedures: implications for episode-based payment bundling
    John D Birkmeyer
    Department of Surgery, University of Michigan, 211 N Fourth Ave, Ste 2a, Ann Arbor, MI 48104, USA
    Health Serv Res 45:1783-95. 2010
  9. ncbi request reprint Outcomes in octogenarians undergoing high-risk cancer operation: a national study
    Emily Finlayson
    Michigan Surgical Collaborative for Outcomes Research and Evaluation, Department of Surgery, University of Michigan, Ann Arbor, MI 48104, USA
    J Am Coll Surg 205:729-34. 2007
  10. ncbi request reprint Racial disparities in late survival after rectal cancer surgery
    Arden M Morris
    Department of Surgery, School of Medicine, University of Michigan, Ann Arbor, MI, USA
    J Am Coll Surg 203:787-94. 2006

Research Grants

Detail Information

Publications89

  1. doi request reprint Prioritizing quality improvement in general surgery
    Peter L Schilling
    Robert Wood Johnson Clinical Scholars Program, University of Michigan, Ann Arbor, MI 48109, USA
    J Am Coll Surg 207:698-704. 2008
    ..In this context, we sought to describe the relative contribution of different procedures to overall morbidity, mortality, and excess length of stay in general surgery...
  2. doi request reprint Understanding of regional variation in the use of surgery
    John D Birkmeyer
    Center for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor, MI 48109, USA
    Lancet 382:1121-9. 2013
    ....
  3. doi request reprint Surgical skill and complication rates after bariatric surgery
    John D Birkmeyer
    Center for Healthcare Outcomes and Policy and Department of Surgery, University of Michigan, Ann Arbor, Michigan 48109, USA
    N Engl J Med 369:1434-42. 2013
    ..Although it has been assumed that the proficiency of the operating surgeon is an important factor underlying such variation, empirical data are lacking on the relationships between technical skill and postoperative outcomes...
  4. pmc Hospital volume and late survival after cancer surgery
    John D Birkmeyer
    Michigan Surgical Collaborative for Outcomes Research and Evaluation, Department of Surgery, University of Michigan, 1500 East Medical Center Drive, Ann Arbor, MI, USA
    Ann Surg 245:777-83. 2007
    ..Although hospital procedure volume is clearly related to operative mortality with many cancer procedures, its effect on late survival is not well characterized...
  5. pmc Hospital quality and the cost of inpatient surgery in the United States
    John D Birkmeyer
    Center for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor, MI, USA
    Ann Surg 255:1-5. 2012
    ..Despite their obvious benefits for patients, the likely impact of these efforts on health care costs is uncertain. In this context, we examined relationships between hospital outcomes and expenditures in the US Medicare population...
  6. ncbi request reprint Volume and process of care in high-risk cancer surgery
    John D Birkmeyer
    Michigan Surgical Collaborative for Outcomes Research and Evaluation M SCORE, Department of Surgery, University of Michigan, Ann Arbor, Michigan 48109, USA
    Cancer 106:2476-81. 2006
    ..The current study was conducted to examine relations between hospital volume, process of care, and operative mortality in cancer surgery...
  7. doi request reprint Understanding and reducing variation in surgical mortality
    John D Birkmeyer
    Michigan Surgical Collaborative for Outcomes Research and Evaluation, Department of Surgery, University of Michigan, Ann Arbor, Michigan, USA
    Annu Rev Med 60:405-15. 2009
    ..The optimal strategy may depend on both the clinical context (e.g., which procedure) and political realities...
  8. pmc Medicare payments for common inpatient procedures: implications for episode-based payment bundling
    John D Birkmeyer
    Department of Surgery, University of Michigan, 211 N Fourth Ave, Ste 2a, Ann Arbor, MI 48104, USA
    Health Serv Res 45:1783-95. 2010
    ..Decisions about bundled payments would benefit from better information about how payments are currently distributed among providers of different perioperative services and how payments vary across hospitals...
  9. ncbi request reprint Outcomes in octogenarians undergoing high-risk cancer operation: a national study
    Emily Finlayson
    Michigan Surgical Collaborative for Outcomes Research and Evaluation, Department of Surgery, University of Michigan, Ann Arbor, MI 48104, USA
    J Am Coll Surg 205:729-34. 2007
    ..Population-based data can provide more realistic estimates of the risks and benefits of operations in this group...
  10. ncbi request reprint Racial disparities in late survival after rectal cancer surgery
    Arden M Morris
    Department of Surgery, School of Medicine, University of Michigan, Ann Arbor, MI, USA
    J Am Coll Surg 203:787-94. 2006
    ..African-American patients experience higher mortality than Caucasian patients after surgery for most common cancer types. Whether longterm survival after rectal cancer surgery varies by race is less clear...
  11. ncbi request reprint Determining an appropriate threshold for referral to surgery for gastroesophageal reflux disease
    Jean Y Liu
    Department of Surgery, VA Medical Center, White River Junction, VT, USA
    Surgery 133:5-12. 2003
    ....
  12. doi request reprint Ranking hospitals on surgical quality: does risk-adjustment always matter?
    Justin B Dimick
    Department of Surgery, Michigan Surgical Collaborative for Outcomes Research and Evaluation, University of Michigan, Ann Arbor, MI 48104, USA
    J Am Coll Surg 207:347-51. 2008
    ..We sought to evaluate the importance of risk-adjustment for two cardiac surgery report cards in New York and Pennsylvania...
  13. ncbi request reprint Potential benefits of the new Leapfrog standards: effect of process and outcomes measures
    John D Birkmeyer
    Michigan Surgical Collaborative for Outcomes Research and Evaluation, Department of Surgery, University of Michigan, Ann Arbor, 48104, USA
    Surgery 135:569-75. 2004
    ..The objective of this study was to estimate the potential benefits of these newly expanded standards...
  14. ncbi request reprint Surgeon volume and operative mortality in the United States
    John D Birkmeyer
    Department of Surgery, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756, USA
    N Engl J Med 349:2117-27. 2003
    ..Although the relation between hospital volume and surgical mortality is well established, for most procedures, the relative importance of the experience of the operating surgeon is uncertain...
  15. ncbi request reprint Strategies for improving surgical quality--should payers reward excellence or effort?
    Nancy J O Birkmeyer
    Michigan Surgical Collaborative for Outcomes Research and Evaluation, Department of Surgery, University of Michigan, Ann Arbor, USA
    N Engl J Med 354:864-70. 2006
  16. doi request reprint Surgical treatment of breast cancer among the elderly in the United States
    Amy K Alderman
    Department of Surgery, University of Michigan Medical Center, Ann Arbor, Michigan, USA
    Cancer 117:698-704. 2011
    ..The authors' purpose was to examine patterns and correlates of BCT for breast cancer in the elderly US population...
  17. doi request reprint Surgical complications are associated with omission of chemotherapy for stage III colorectal cancer
    Samantha Hendren
    Department of Surgery, University of Michigan, Ann Arbor, Michigan 48109, USA
    Dis Colon Rectum 53:1587-93. 2010
    ..The objective of this study was to test the hypothesis that surgical complications are associated with omission of chemotherapy for colorectal cancer...
  18. ncbi request reprint Classifying cause of death after cancer surgery
    Jennifer F Waljee
    Department of Surgery, University of Michigan, Ann Arbor, Michigan, USA
    Surg Innov 13:274-9. 2006
    ..75, P < .005). Cause-specific mortality can be reliably and systematically measured after cancer surgery. Understanding variation in cause-specific mortality can inform future quality improvement efforts...
  19. doi request reprint Socioeconomic status and surgical mortality in the elderly
    Nancy J O Birkmeyer
    Department of Surgery, Michigan Surgical Collaborative for Outcomes Research and Evaluation, University of Michigan, Ann Arbor, Michigan, USA
    Med Care 46:893-9. 2008
    ..Although racial disparities in the quality of surgical care are well described, the impact of socioeconomic status on operative mortality is relatively unexplored...
  20. ncbi request reprint Opening of specialty cardiac hospitals and use of coronary revascularization in medicare beneficiaries
    Brahmajee K Nallamothu
    VA Health Services Research and Development Center of Excellence, Ann Arbor, Mich, USA
    JAMA 297:962-8. 2007
    ..Although proponents argue that specialty cardiac hospitals provide high-quality cost-efficient care, strong financial incentives for physicians at these facilities could result in greater procedure utilization...
  21. pmc Residual treatment disparities after oncology referral for rectal cancer
    Arden M Morris
    Department of Surgery, University of Michigan, 1500 East Medical Center Dr, TC 5343, Ann Arbor, MI 48109 0331, USA
    J Natl Cancer Inst 100:738-44. 2008
    ..We examined the hypothesis that the lower treatment rate for blacks is due to underreferral to medical and radiation oncologists...
  22. ncbi request reprint Hospital lymph node counts and survival after radical cystectomy
    Brent K Hollenbeck
    Michigan Surgical Collaborative for Outcomes Research and Evaluation, University of Michigan, Ann Arbor, Michigan 48109, USA
    Cancer 112:806-12. 2008
    ..Despite growing calls for using lymph node counts as a hospital quality indicator, it has not been established that hospitals that obtain more lymph node have better outcomes...
  23. pmc Hospital process compliance and surgical outcomes in medicare beneficiaries
    Lauren H Nicholas
    Institute for Social Research, Ann Arbor, MI 48104, USA
    Arch Surg 145:999-1004. 2010
    ..To determine whether high rates of compliance with perioperative processes of care used for public reporting and pay-for-performance are associated with lower rates of risk-adjusted mortality and high-risk surgical complications...
  24. pmc Volume, process of care, and operative mortality for cystectomy for bladder cancer
    Brent K Hollenbeck
    Department of Urology, University of Michigan, Ann Arbor, Michigan, USA
    Urology 69:871-5. 2007
    ..However, the processes of care that mediate this effect are unknown. We sought to identify the processes that underlie the volume-outcome relationship for cystectomy...
  25. doi request reprint Composite measures for predicting surgical mortality in the hospital
    Justin B Dimick
    University of Michigan, Ann Arbor, MI, USA
    Health Aff (Millwood) 28:1189-98. 2009
    ..In this regard, it was more effective than the individual measures. Such measures would be useful for helping patients and payers identify low-mortality hospitals for major surgery...
  26. ncbi request reprint Acute myocardial infarction and congestive heart failure outcomes at specialty cardiac hospitals
    Brahmajee K Nallamothu
    Health Services Research and Development Center of Excellence, Ann Arbor VA Medical Center, and Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Mich, USA
    Circulation 116:2280-7. 2007
    ..Outcomes of patients with acute myocardial infarction (AMI) and congestive heart failure (CHF) at specialty cardiac hospitals are uncertain...
  27. ncbi request reprint Hospital lymph node examination rates and survival after resection for colon cancer
    Sandra L Wong
    MS, 1500 E Medical Center Dr, 3310 CCC, Ann Arbor, MI 48109
    JAMA 298:2149-54. 2007
    ..The National Quality Forum and other organizations recently endorsed a 12-node minimum as a measure of hospital quality...
  28. pmc Provider treatment intensity and outcomes for patients with early-stage bladder cancer
    Brent K Hollenbeck
    Division of Oncology, Department of Urology, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA
    J Natl Cancer Inst 101:571-80. 2009
    ..We examined associations between initial treatment intensity and subsequent outcomes...
  29. doi request reprint Ambulatory surgery center market share and rates of outpatient surgery in the elderly
    Brent K Hollenbeck
    Department of Urology, University of Michigan, Ann Arbor, MI 48105 2967, USA
    Surg Innov 17:340-5. 2010
    ..9 per 1000 population; P < .01). The presence of an ASC is associated with higher utilization of common outpatient procedures in the elderly. Whether ASCs are meeting unmet clinical demand or spurring overutilization is not clear...
  30. doi request reprint Hospital complication rates with bariatric surgery in Michigan
    Nancy J O Birkmeyer
    Department of Surgery, and Center for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor, MI 48104, USA
    JAMA 304:435-42. 2010
    ..Despite the growing popularity of bariatric surgery, there remain concerns about perioperative safety and variation in outcomes across hospitals...
  31. doi request reprint Preoperative placement of inferior vena cava filters and outcomes after gastric bypass surgery
    Nancy J O Birkmeyer
    Department of Surgery, Michigan Surgical Collaboration for Outcomes Research and Evaluation, University of Michigan, Ann Arbor, MI, USA
    Ann Surg 252:313-8. 2010
    ..To assess relationships between inferior vena cava (IVC) filter placement and complications within 30 days of gastric bypass surgery...
  32. doi request reprint Prioritizing quality improvement in vascular surgery
    Peter L Schilling
    University of Michigan, Ann Arbor, MI 48109 0604, USA
    Surg Innov 17:127-31. 2010
    ..To inform ongoing quality improvement initiatives, this study assessed the relative contribution of different procedures to overall morbidity, mortality, and excess length of stay in vascular surgery...
  33. pmc Risk adjustment for comparing hospital quality with surgery: how many variables are needed?
    Justin B Dimick
    Michigan Surgical Collaborative for Outcomes Research and Evaluation, Department of Surgery, University of Michigan, Ann Arbor, MI 48104, USA
    J Am Coll Surg 210:503-8. 2010
    ..We sought to determine whether these changes threaten the robustness of the risk adjustment of hospital quality comparisons...
  34. doi request reprint Identifying high-quality bariatric surgery centers: hospital volume or risk-adjusted outcomes?
    Justin B Dimick
    Michigan Surgical Collaborative for Outcomes Research and Evaluation, Department of Surgery, University of Michigan, 211 N Fourth Ave, Suite 301, Ann Arbor, MI 48104, USA
    J Am Coll Surg 209:702-6. 2009
    ..Rather than directly measuring outcomes, most programs rely on procedure volume. We sought to determine whether risk-adjusted outcomes or hospital volume were better at predicting future hospital morbidity with bariatric surgery...
  35. ncbi request reprint Complications, failure to rescue, and mortality with major inpatient surgery in medicare patients
    Amir A Ghaferi
    Department of Surgery, Michigan Surgical Collaborative for Outcomes Research and Evaluation M SCORE, University of Michigan, Ann Arbor, MI 48104, USA
    Ann Surg 250:1029-34. 2009
    ..We sought to determine whether hospital variations in surgical mortality were due to differences in complication rates or failure to rescue rates (ie, case-fatality rates in patients with a complication)...
  36. pmc Ranking hospitals on surgical mortality: the importance of reliability adjustment
    Justin B Dimick
    Department of Surgery, University of Michigan, M SCORE offices, 211 N Fourth Avenue, Suite 301, Ann Arbor, MI 48104, USA
    Health Serv Res 45:1614-29. 2010
    ..We examined the implications of reliability adjustment on hospital mortality with surgery...
  37. pmc Racial differences in treatment and outcomes among patients with early stage bladder cancer
    Brent K Hollenbeck
    Division of Oncology, Department of Urology, University of Michigan, Ann Arbor, MI48109 0330, USA
    Cancer 116:50-6. 2010
    ..Alternatively, black patients may receive a lower quality of care, which may explain this difference...
  38. doi request reprint Variation in hospital mortality associated with inpatient surgery
    Amir A Ghaferi
    Michigan Surgical Collaborative for Outcomes Research and Evaluation, The Department of Surgery, University of Michigan, Ann Arbor 48104, USA
    N Engl J Med 361:1368-75. 2009
    ..Reducing rates of postoperative complications, the current focus of payers and regulators, may be one approach to reducing mortality. However, effective management of complications once they have occurred may be equally important...
  39. pmc Trends in the United States in the treatment of distal radial fractures in the elderly
    Kevin C Chung
    Section of Plastic Surgery, Department of Surgery, The University of Michigan Health System, 2130 Taubman Center, SPC 5340, 1500 East Medical Center Drive, Ann Arbor, MI 48109 0340, USA
    J Bone Joint Surg Am 91:1868-73. 2009
    ..The purpose of the present study was to assess changing trends in the treatment of distal radial fractures in elderly patients in the United States...
  40. doi request reprint Hospital characteristics associated with failure to rescue from complications after pancreatectomy
    Amir A Ghaferi
    Michigan Surgical Collaborative for Outcomes Research and Evaluation M SCORE, Department of Surgery, University of Michigan, Ann Arbor, MI, USA
    J Am Coll Surg 211:325-30. 2010
    ..In this study, we sought to better understand the hospital characteristics that may explain failure to rescue...
  41. pmc Outlier payments for cardiac surgery and hospital quality
    Onur Baser
    Department of Surgery, University of Michigan Medical School, Ann Arbor, MI, USA
    Health Aff (Millwood) 28:1154-60. 2009
    ..Still, there is variation across U.S. hospitals, with some hospitals experiencing much higher rates. These findings imply that there is potential for quality improvement to reduce costs while improving morbidity and mortality...
  42. doi request reprint Mortality in medicare patients undergoing surgery in July in teaching hospitals
    Michael J Englesbe
    Department of Surgery, Michigan Surgical Collaborative for Outcomes Research and Evaluation, University of Michigan, Ann Arbor, Michigan 48109 0331, USA
    Ann Surg 249:871-6. 2009
    ..To determine whether operative mortality rates at teaching hospitals in the United States are higher in July, the start of the academic year...
  43. pmc Hospital factors and racial disparities in mortality after surgery for breast and colon cancer
    Tara M Breslin
    Michigan Surgical Collaborative for Outcomes Research and Evaluation, Department of Surgery, University of Michigan, Ann Arbor, MI, USA
    J Clin Oncol 27:3945-50. 2009
    ..Mechanisms underlying such disparities have not been fully explored. We examined the role of hospital factors in racial differences in late mortality after surgery for breast or colon cancer...
  44. ncbi request reprint Misclassification of hospital volume with Surveillance, Epidemiology, and End Results Medicare data
    Brent K Hollenbeck
    Department of Urology, The University of Michigan, Ann Arbor, Michigan, USA
    Surg Innov 14:192-8. 2007
    ..Investigators should be cognizant of this bias and exercise caution when interpreting these relationships when using SEER-Medicare data alone...
  45. ncbi request reprint Use of adjuvant radiotherapy at hospitals with and without on-site radiation services
    Sandra L Wong
    Michigan Surgical Collaborative for Outcomes Research and Evaluation, Department of Surgery, University of Michigan, Ann Arbor, Michigan 48109, USA wongsl umich edu
    Cancer 109:796-801. 2007
    ..However, relations between resource availability and utilization are relatively unexplored in cancer care, including perioperative adjuvant therapy...
  46. ncbi request reprint The volume-performance relationship in esophagectomy
    Andrew C Chang
    Section of Thoracic Surgery, University of Michigan Medical Center, Ann Arbor 48109, USA
    Thorac Surg Clin 16:87-94. 2006
    ....
  47. doi request reprint Prioritizing perioperative quality improvement in orthopaedic surgery
    Peter L Schilling
    Department of Orthopaedic Surgery, University of Michigan, 1500 East Medical Center Drive, 2912 Taubman Center, Ann Arbor, MI 48109, USA
    J Bone Joint Surg Am 92:1884-9. 2010
    ..We sought to guide these efforts by prioritizing orthopaedic procedures according to those that generate the greatest number of adverse events...
  48. ncbi request reprint Do cancer centers designated by the National Cancer Institute have better surgical outcomes?
    Nancy J O Birkmeyer
    Department of Surgery, University of Michigan Medical Center, Ann Arbor, Michigan, USA
    Cancer 103:435-41. 2005
    ..In the current study, the authors assessed whether patients at NCI cancer centers compared with patients at control hospitals had lower mortality rates after major cancer surgery...
  49. doi request reprint Outcomes after transhiatal and transthoracic esophagectomy for cancer
    Andrew C Chang
    Department of Surgery, University of Michigan Medical Center, Ann Arbor, Michigan, USA
    Ann Thorac Surg 85:424-9. 2008
    ..This study was performed to determine outcomes after transhiatal and transthoracic esophagectomy for patients undergoing resection nationwide...
  50. ncbi request reprint Regionalization of high-risk surgery and implications for patient travel times
    John D Birkmeyer
    Department of Surgery, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756, USA
    JAMA 290:2703-8. 2003
    ..However, such regionalization policies might cause unreasonable travel burdens for surgical patients...
  51. pmc Operative mortality and procedure volume as predictors of subsequent hospital performance
    John D Birkmeyer
    Michigan Surgical Collaborative for Outcomes Research and Evaluation, M SCORE, Department of Surgery, University of Michigan, Ann Arbor, USA
    Ann Surg 243:411-7. 2006
    ..Despite growing interest in evidence-based hospital referral for selected surgical procedures, there remains considerable debate about which measures should be used to identify high-quality providers...
  52. pmc Surgeon age and operative mortality in the United States
    Jennifer F Waljee
    University of Michigan, MI, USA
    Ann Surg 244:353-62. 2006
    ..Although recent studies suggest that physician age is inversely related to clinical performance in primary care, relationships between surgeon age and patient outcomes have not been examined systematically...
  53. ncbi request reprint The rise and fall of antireflux surgery in the United States
    Jonathan F Finks
    Department of Surgery, University of Michigan, Ann Arbor, MI, USA
    Surg Endosc 20:1698-701. 2006
    ..Whether these recent developments have had an impact on the use of antireflux surgery remains unknown...
  54. doi request reprint Effect of surgical techniques on clinical outcomes after laparoscopic gastric bypass--results from the Michigan Bariatric Surgery Collaborative
    Jonathan F Finks
    Department of Surgery, University of Michigan, Ann Arbor, Michigan 48109, USA
    Surg Obes Relat Dis 7:284-9. 2011
    ..The techniques used with laparoscopic gastric bypass (LGB) and their association with patient outcomes remain largely unexplored...
  55. pmc Are mortality rates for different operations related?: implications for measuring the quality of noncardiac surgery
    Justin B Dimick
    Michigan Surgical Collaborative for Outcomes Research and Evaluation M SCORE, Department of Surgery, University of Michigan, Ann Arbor, Michigan, USA
    Med Care 44:774-8. 2006
    ..Statistical power can be improved by combining mortality data from multiple operations. We sought to determine whether this approach would still be useful in understanding performance with individual procedures...
  56. doi request reprint Blueprint for a new American College of Surgeons: National Surgical Quality Improvement Program
    John D Birkmeyer
    Department of Surgery, University of Michigan, Ann Arbor, MI, USA
    J Am Coll Surg 207:777-82. 2008
  57. ncbi request reprint Measuring the quality of surgical care: structure, process, or outcomes?
    John D Birkmeyer
    Section of General Surgery, University of Michigan, 2920 Taubman Center, 1500 East Medical Center Drive, Ann Arbor, MI 48109 0331, USA
    J Am Coll Surg 198:626-32. 2004
  58. ncbi request reprint Partnering with payers to improve surgical quality: the Michigan plan
    Nancy J O Birkmeyer
    Michigan Surgical Collaborative for Outcomes Research and Evaluation, Department of Surgery, University of Michigan, Ann Arbor, MI, USA
    Surgery 138:815-20. 2005
  59. pmc Laparoscopic skills are improved with LapMentor training: results of a randomized, double-blinded study
    Pamela B Andreatta
    Department of Medical Education, University of Michigan, Ann Arbor, MI 48109, USA
    Ann Surg 243:854-60; discussion 860-3. 2006
    ..To determine if prior training on the LapMentor laparoscopic simulator leads to improved performance of basic laparoscopic skills in the animate operating room environment...
  60. doi request reprint Opening ambulatory surgery centers and stone surgery rates in health care markets
    John M Hollingsworth
    Robert Wood Johnson Foundation Clinical Scholars Program, University of Michigan, Ann Arbor, Michigan, USA
    J Urol 184:967-71. 2010
    ..Motivated by these concerns we evaluated how opening of an ambulatory surgery center impacts stone surgery use in a health care market and assessed the effect of its opening on the patient mix at nearby hospitals...
  61. ncbi request reprint Evidence-based practice in laparoscopic surgery: perioperative care
    Aaron Goldfaden
    Michigan Surgical Collaborative for Outcomes Research and Evaluation, Department of Surgery, University of Michigan and Department of Surgery, St Joseph Medical Center, Ann Arbor, MI 48109, USA
    Surg Innov 12:51-61. 2005
    ..Of a wide variety of methods for reducing postoperative nausea and vomiting, serotonin receptor antagonists appear the most effective and should be considered for routine prophylaxis...
  62. ncbi request reprint Life expectancy benefits of gastric bypass surgery
    G Darby Pope
    Department of Surgery, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire 03756, USA
    Surg Innov 13:265-73. 2006
    ..Relative to other major surgical procedures, gastric bypass for morbid obesity is associated with substantial gains in life expectancy. Long- term data from prospective studies are needed to confirm this finding...
  63. ncbi request reprint Effects of hospital volume on life expectancy after selected cancer operations in older adults: a decision analysis
    Emily V A Finlayson
    VA Outcomes Group, Department of Veterans Affairs Medical Center, White River Junction, VT, USA
    J Am Coll Surg 196:410-7. 2003
    ..We sought to determine the overall effect of hospital volume on life expectancy after cancer surgery...
  64. ncbi request reprint Hospital volume and surgical mortality in the United States
    John D Birkmeyer
    Veterans Affairs Outcomes Group, Department of Veterans Affairs Medical Center, White River Junction, VT 05009, USA
    N Engl J Med 346:1128-37. 2002
    ..Although numerous studies suggest that there is an inverse relation between hospital volume of surgical procedures and surgical mortality, the relative importance of hospital volume in various surgical procedures is disputed...
  65. ncbi request reprint Should volume standards for cardiovascular surgery focus only on high-risk patients?
    Philip P Goodney
    VA Outcomes Group, Department of Veterans Affairs Medical Center, White River Junction, VT 05009, USA
    Circulation 107:384-7. 2003
    ..A recent analysis of coronary artery bypass grafting (CABG), however, suggests that volume-based referral initiatives should focus only on high-risk patients...
  66. ncbi request reprint National trends in utilization and in-hospital outcomes of bariatric surgery
    George Darby Pope
    Department of Surgery and Veterans Affairs Outcomes Group, VA Medical Center, White River Junction, VT, USA
    J Gastrointest Surg 6:855-60; discussion 861. 2002
    ..This trend was largely associated with an increase in the use of gastric bypass procedures...
  67. ncbi request reprint Adjusting surgical mortality rates for patient comorbidities: more harm than good?
    Emily V A Finlayson
    VA Outcomes Group, Department of Veterans Affairs Medical Center, White River Junction, VT 05009, USA
    Surgery 132:787-94. 2002
    ..When available, comorbidity information from prior hospitalizations may be more useful for risk adjustment...
  68. ncbi request reprint Short-term outcomes of laparoscopic and open ventral hernia repair: a meta-analysis
    Philip P Goodney
    VA Outcomes Group, Department of Veteran Affairs Medical Center, White River Junction, VT 05009, USA
    Arch Surg 137:1161-5. 2002
    ..For this reason, we performed a meta-analysis of studies comparing open and laparoscopic ventral (including incisional) hernia repair...
  69. ncbi request reprint Will volume-based referral strategies reduce costs or just save lives?
    John D Birkmeyer
    Health Aff (Millwood) 21:234-41. 2002
    ..For these reasons, the primary argument for volume-based referral strategies should be improving quality, not reducing costs...
  70. ncbi request reprint Is surgery getting safer? National trends in operative mortality
    Philip P Goodney
    VA Outcomes Group, Department of Veterans Affairs Medical Center, White River Junction, VT 05009, USA
    J Am Coll Surg 195:219-27. 2002
    ..Although mortality rates for some cardiovascular procedures seem to have declined, it is unclear whether other high-risk procedures are becoming safer over time...
  71. ncbi request reprint Should consumers trust hospital quality report cards?
    Emily V A Finlayson
    JAMA 287:3206; author reply 3207-8. 2002
  72. ncbi request reprint Hospital volume and operative mortality in cancer surgery: a national study
    Emily V A Finlayson
    Veterans Affairs Outcomes Group, Department of Veterans Affairs Medical Center, White River Junction, VT, USA
    Arch Surg 138:721-5; discussion 726. 2003
    ..Although initiatives to regionalize cancer surgery are already under way, the relative importance of volume in cancer surgery is disputed...
  73. pmc Hospital volume, length of stay, and readmission rates in high-risk surgery
    Philip P Goodney
    Department of Veterans Affairs Medical Center, White River Junction, VT 05009, USA
    Ann Surg 238:161-7. 2003
    ..Although payers are leading the most visible of these efforts, it is unknown whether volume standards will also reduce resource use...
  74. pmc Race and surgical mortality in the United States
    F L Lucas
    Center for Outcomes Research and Evaluation, Maine Medical Center, Portland, ME 04101, USA
    Ann Surg 243:281-6. 2006
    ..This study describes racial differences in postoperative mortality following 8 cardiovascular and cancer procedures and assesses possible explanations for these differences...
  75. pmc Surgeon specialty and operative mortality with lung resection
    Philip P Goodney
    VA Outcomes Group, Department of Veterans Affairs Medical Center, White River Junction, Vermont, USA
    Ann Surg 241:179-84. 2005
    ..We sought to examine the effect of subspecialty training on operative mortality following lung resection...
  76. ncbi request reprint Regional availability of high-volume hospitals for major surgery
    Justin B Dimick
    Veterans Affairs VA Outcomes Group, VA Medical Center, Vermont, USA
    Health Aff (Millwood) . 2004
    ..Other regions had enough cases but too many hospitals performing them. Although consolidation of surgical services may be feasible in some settings, volume-based referral strategies are impractical for many U.S. regions...
  77. ncbi request reprint Surgical mortality as an indicator of hospital quality: the problem with small sample size
    Justin B Dimick
    VA Outcomes Group, Department of Veterans Affairs Medical Center, White River Junction, VT 05009, USA
    JAMA 292:847-51. 2004
    ..Surgical mortality rates are increasingly used to measure hospital quality. It is not clear, however, how many hospitals have sufficient caseloads to reliably identify quality problems...
  78. ncbi request reprint Understanding surgeon performance and improving patient outcomes
    John D Birkmeyer
    J Clin Oncol 22:2765-6. 2004
  79. ncbi request reprint Do hospitals with low mortality rates in coronary artery bypass also perform well in valve replacement?
    Philip P Goodney
    VA Outcomes Group, Department of Veterans Affairs Medical Center, White River Junction, and Department of Surgery, Dartmouth Hitchcock Medical Center, Lebananon, New Hampshire, USA
    Ann Thorac Surg 76:1131-6; discussion 1136-7. 2003
    ..We sought to determine if a hospital's performance in CABG is correlated to its performance in heart valve replacement...
  80. ncbi request reprint Measuring surgical quality: what's the role of provider volume?
    Justin B Dimick
    Center for the Evaluative Clinical Sciences, Dartmouth Medical School, Hanover, NH, USA
    World J Surg 29:1217-21. 2005
    ..With increasing momentum from outside the profession of surgery, it is particularly important for surgeons to participate in making decisions regarding situations where volume may be an appropriate measure of quality...
  81. ncbi request reprint Use of breast reconstruction after mastectomy following the Women's Health and Cancer Rights Act
    Amy K Alderman
    JAMA 295:387-8. 2006
  82. ncbi request reprint Characteristics of hospitals performing bariatric surgery
    Nancy J O Birkmeyer
    JAMA 295:282-4. 2006
  83. pmc How do elderly patients decide where to go for major surgery? Telephone interview survey
    Lisa M Schwartz
    VA Outcomes Group 111B, VA Medical Center, 215 N Main Street, White River Junction, VT 05009, USA
    BMJ 331:821. 2005
    ..To learn how patients in Medicare, the US medical insurance programme that covers elderly patients, made decisions about where to undergo major surgery and how they would make future decisions...
  84. ncbi request reprint Raising the bar for pancreaticoduodenectomy
    John D Birkmeyer
    Ann Surg Oncol 9:826-7. 2002
  85. ncbi request reprint Specialty training and mortality after esophageal cancer resection
    Justin B Dimick
    VA Outcomes Group, Department of Veterans Affairs Medical Center, White River Junction, Vermont 05009, USA
    Ann Thorac Surg 80:282-6. 2005
    ..Surgeons with advanced training have lower mortality rates with some surgical procedures. The objective of the current study was to investigate the impact of thoracic surgery training on mortality rates of esophageal cancer resection...
  86. ncbi request reprint Improving the quality of minimally invasive surgery
    John D Birkmeyer
    Surg Innov 11:269-70. 2004
  87. ncbi request reprint Neoadjuvant chemoradiotherapy for esophageal carcinoma: a meta-analysis
    Sarah E Greer
    Dartmouth Hitchcock Medical Center, Lebanon, NH 03756, USA
    Surgery 137:172-7. 2005
    ..The effectiveness in improving survival of neoadjuvant chemoradiotherapy (NCRT) in patients undergoing surgery for esophageal carcinoma remains unclear...
  88. ncbi request reprint Invited commentary: is it a mistake to focus on errors?
    John D Birkmeyer
    Section of General Surgery, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756, USA
    Surgery 133:622-3. 2003
  89. ncbi request reprint Trends in surgery for gastroesophageal reflux disease: the effect of laparoscopic surgery on utilization
    Samuel R G Finlayson
    VA Outcomes Group 111B, VA Medical Center, White River Junction, VT 05009, USA
    Surgery 133:147-53. 2003
    ..The degree to which laparoscopy may have lowered the threshold for elective anti-reflux surgery is unknown...

Research Grants15

  1. Structure, Process, and Outcomes in Cancer Surgery
    John Birkmeyer; Fiscal Year: 2007
    ..We will develop and test a chart-based instrument for assessing cause of death in a pilot study at two hospitals in northern New England. ..
  2. Better Surgical Quality Indicators for the Elderly
    John Birkmeyer; Fiscal Year: 2007
    ..g., historical mortality or volume alone). ..
  3. Understanding Racial Disparities in Cancer Surgery
    John Birkmeyer; Fiscal Year: 2007
    ..They will also acquire insights necessary to develop and evaluate interventions aimed at reducing racial disparities. ..
  4. Structure, Process, and Outcomes in Cancer Surgery
    John Birkmeyer; Fiscal Year: 2005
    ..We will develop and test a chart-based instrument for assessing cause of death in a pilot study at two hospitals in northern New England. ..
  5. BENEFITS OF REGIONALIZING SURGERY FOR MEDICARE PATIENTS
    John Birkmeyer; Fiscal Year: 2002
    ..The investigators will then estimate the change in mortality, by assuming that the patient will acquire the average predicted mortality for a similar patient at the larger volume hospital. ..
  6. Structure, Process and Outcomes in Cancer Surgery
    John D Birkmeyer; Fiscal Year: 2010
    ..We will then identify the resources and processes of care that account for differences in hospital outcomes, with the ultimate goal of identifying best practices and improving care in all settings. ..