HPB : the official journal of the International Hepato Pancreato Biliary Association · 2026
Association of anesthesiologists' hepato-pancreato-biliary volume and outcomes for other surgeries.
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Hallet Julie, Jivraj Naheed, McIsaac Daniel I, Carrier François M, Turgeon Alexis F, Flexman Alana, Lorello Gianni R, Chan Wing C, Ding Anna, Armah Jessica, Eskander Antoine, Sutradhar Rinku
Аннотация
BACKGROUND: We examined the association between care by high-volume (HV) HPB anesthesiologists and post-operative outcomes for other non-HPB surgeries.
METHOD: We conducted a population-based retrospective cohort study of adults undergoing non-cardiac, non-orthopedic surgeries. The exposure was care by HV HPB anesthesiologists (≥6 HPB cases/year). The outcome was 90-day major morbidity (MM - Clavien-Dindo grade 3-5).
RESULTS: Among 385,944 non-HPB surgeries, 23.1% were performed with HV HPB anesthesiologists and 18.4% had 90-day MM. After adjustment, care by HV HPB anesthesiologist was not associated with 90-day MM (adjusted odds ratio [aOR] 0.99, 95%CI 0.98-1.01). At the hospital level, there was no association between the hospital rate of care by HV HPB anesthesiologists and the hospital rate of 90-day MM (adjusted rate ratio 0.98, 95%CI 0.96-1.01).
CONCLUSION AND RELEVANCE: HV HPB anesthesiology care was not associated with worse outcomes for most non-HPB surgeries, at the individual surgery or the hospital level. There was procedure-specific heterogeneity.
METHOD: We conducted a population-based retrospective cohort study of adults undergoing non-cardiac, non-orthopedic surgeries. The exposure was care by HV HPB anesthesiologists (≥6 HPB cases/year). The outcome was 90-day major morbidity (MM - Clavien-Dindo grade 3-5).
RESULTS: Among 385,944 non-HPB surgeries, 23.1% were performed with HV HPB anesthesiologists and 18.4% had 90-day MM. After adjustment, care by HV HPB anesthesiologist was not associated with 90-day MM (adjusted odds ratio [aOR] 0.99, 95%CI 0.98-1.01). At the hospital level, there was no association between the hospital rate of care by HV HPB anesthesiologists and the hospital rate of 90-day MM (adjusted rate ratio 0.98, 95%CI 0.96-1.01).
CONCLUSION AND RELEVANCE: HV HPB anesthesiology care was not associated with worse outcomes for most non-HPB surgeries, at the individual surgery or the hospital level. There was procedure-specific heterogeneity.