Comparison of ulcer surgery at a Veterans Administration and University Hospital

B. T. Nguyen, Jon S Thompson, J. A. Edney, L. F. Rikkers

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

We compared the patient populations and outcome of surgery for peptic ulcer disease in 81 patients at a Veterans Administration Hospital (OVAH) and 97 patients at an affiliated University Hospital (UNH). The surgeons and choice of operation were comparable at both facilities. Patients were similar with respect to severity of ulcer disease, percentage of elderly patients and distribution of comorbid conditions. There were significantly more female patients (45% vs 2%, P < 0.05), patients less than 40 years old (22% vs 6%, P < 0.05), and patients with gastric ulcers (27% vs 12%, P < 0.05) at UNH. Alcoholism was more prevalent at OVAH (57% vs 22%, P < 0.05). Postoperative morbidity and mortality rates were 27 per cent and 14 per cent at OVAH and 25 per cent and 16 per cent at UNH. These data suggest that quality of care for surgical therapy of ulcer disease at a VA Hospital is comparable to its tertiary care affiliate with a similar patient population.

Original languageEnglish (US)
Pages (from-to)606-609
Number of pages4
JournalAmerican Surgeon
Volume56
Issue number10
StatePublished - Jan 1 1990

Fingerprint

Veterans Hospitals
United States Department of Veterans Affairs
Ulcer
Quality of Health Care
Tertiary Healthcare
Stomach Ulcer
Peptic Ulcer
Population
Alcoholism
Morbidity

ASJC Scopus subject areas

  • Surgery

Cite this

Comparison of ulcer surgery at a Veterans Administration and University Hospital. / Nguyen, B. T.; Thompson, Jon S; Edney, J. A.; Rikkers, L. F.

In: American Surgeon, Vol. 56, No. 10, 01.01.1990, p. 606-609.

Research output: Contribution to journalArticle

Nguyen, BT, Thompson, JS, Edney, JA & Rikkers, LF 1990, 'Comparison of ulcer surgery at a Veterans Administration and University Hospital', American Surgeon, vol. 56, no. 10, pp. 606-609.
Nguyen, B. T. ; Thompson, Jon S ; Edney, J. A. ; Rikkers, L. F. / Comparison of ulcer surgery at a Veterans Administration and University Hospital. In: American Surgeon. 1990 ; Vol. 56, No. 10. pp. 606-609.
@article{9b29fbafedb84b1fbd7818329c08baac,
title = "Comparison of ulcer surgery at a Veterans Administration and University Hospital",
abstract = "We compared the patient populations and outcome of surgery for peptic ulcer disease in 81 patients at a Veterans Administration Hospital (OVAH) and 97 patients at an affiliated University Hospital (UNH). The surgeons and choice of operation were comparable at both facilities. Patients were similar with respect to severity of ulcer disease, percentage of elderly patients and distribution of comorbid conditions. There were significantly more female patients (45{\%} vs 2{\%}, P < 0.05), patients less than 40 years old (22{\%} vs 6{\%}, P < 0.05), and patients with gastric ulcers (27{\%} vs 12{\%}, P < 0.05) at UNH. Alcoholism was more prevalent at OVAH (57{\%} vs 22{\%}, P < 0.05). Postoperative morbidity and mortality rates were 27 per cent and 14 per cent at OVAH and 25 per cent and 16 per cent at UNH. These data suggest that quality of care for surgical therapy of ulcer disease at a VA Hospital is comparable to its tertiary care affiliate with a similar patient population.",
author = "Nguyen, {B. T.} and Thompson, {Jon S} and Edney, {J. A.} and Rikkers, {L. F.}",
year = "1990",
month = "1",
day = "1",
language = "English (US)",
volume = "56",
pages = "606--609",
journal = "The American surgeon",
issn = "0003-1348",
publisher = "Southeastern Surgical Congress",
number = "10",

}

TY - JOUR

T1 - Comparison of ulcer surgery at a Veterans Administration and University Hospital

AU - Nguyen, B. T.

AU - Thompson, Jon S

AU - Edney, J. A.

AU - Rikkers, L. F.

PY - 1990/1/1

Y1 - 1990/1/1

N2 - We compared the patient populations and outcome of surgery for peptic ulcer disease in 81 patients at a Veterans Administration Hospital (OVAH) and 97 patients at an affiliated University Hospital (UNH). The surgeons and choice of operation were comparable at both facilities. Patients were similar with respect to severity of ulcer disease, percentage of elderly patients and distribution of comorbid conditions. There were significantly more female patients (45% vs 2%, P < 0.05), patients less than 40 years old (22% vs 6%, P < 0.05), and patients with gastric ulcers (27% vs 12%, P < 0.05) at UNH. Alcoholism was more prevalent at OVAH (57% vs 22%, P < 0.05). Postoperative morbidity and mortality rates were 27 per cent and 14 per cent at OVAH and 25 per cent and 16 per cent at UNH. These data suggest that quality of care for surgical therapy of ulcer disease at a VA Hospital is comparable to its tertiary care affiliate with a similar patient population.

AB - We compared the patient populations and outcome of surgery for peptic ulcer disease in 81 patients at a Veterans Administration Hospital (OVAH) and 97 patients at an affiliated University Hospital (UNH). The surgeons and choice of operation were comparable at both facilities. Patients were similar with respect to severity of ulcer disease, percentage of elderly patients and distribution of comorbid conditions. There were significantly more female patients (45% vs 2%, P < 0.05), patients less than 40 years old (22% vs 6%, P < 0.05), and patients with gastric ulcers (27% vs 12%, P < 0.05) at UNH. Alcoholism was more prevalent at OVAH (57% vs 22%, P < 0.05). Postoperative morbidity and mortality rates were 27 per cent and 14 per cent at OVAH and 25 per cent and 16 per cent at UNH. These data suggest that quality of care for surgical therapy of ulcer disease at a VA Hospital is comparable to its tertiary care affiliate with a similar patient population.

UR - http://www.scopus.com/inward/record.url?scp=0025009796&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0025009796&partnerID=8YFLogxK

M3 - Article

VL - 56

SP - 606

EP - 609

JO - The American surgeon

JF - The American surgeon

SN - 0003-1348

IS - 10

ER -