Gynecological Quality Measures
The Gynecology team at Cedars-Sinai strives to deliver the highest quality of care to all patients. As part of this commitment, we are dedicated to providing transparency for our patient outcome rates across a number of procedures.
The information below provides an in-depth look at the data for key procedures performed by Cedars-Sinai. These reports aim to reduce ambiguity in procedure outcome data, so that patients and their loved ones can make decisions with utmost confidence regarding their medical care.
The Society for Assisted Reproductive Technology and the Centers for Disease Control and Prevention report the outcomes of assisted reproductive technology procedures done throughout the United States.
These reports provide an in-depth picture of the type, number and outcome of assisted reproductive technology (ART) cycles done by the physicians who perform ART within the United States.
Assisted Reproductive Technologies
ART includes all fertility treatments in which both eggs and sperm are handled. In general, ART procedures involve surgically removing eggs from a woman's ovaries, combining them with sperm in the laboratory, and returning them to the woman's body or donating them to another woman.
The most common form of ART is in vitro fertilization. It is estimated that ART accounts for slightly more than 1% of total U.S. births.
Outcomes of ART Procedures Done by Cedars-Sinai-Affiliated Physicians
To view the reports for the following physicians who are members of the Cedars-Sinai Center for Fertility and Reproductive Medicine, please use the links below.
A comparison of clinic success rates may not be meaningful because patient medical characteristics, treatment approaches and entrance criteria for ART may vary from clinic to clinic.
Please note that our team members report their data in individual groups. For your convenience, we have grouped team members who report their data together.
Center for Fertility and Reproductive Medicine—reported by Dr. Pisarska
Southern California Reproductive Center—reported by Dr. Surrey
- Mark Surrey, MD
- Wendy Chang, MD
Southern California Reproductive Center—reported by Dr. Danzer
- Hal Danzer, MD
Center for Reproductive Health and Gynecology—reported by Dr. Najmabadi
Physicians in the Center for Minimally Invasive Gynecologic Surgery have combined surgical volume with state-of-the-art technology to safely perform complex procedures, including hysterectomies.
Comparing Hysterectomy Rates by Surgical Approach
In a study examining the three surgical approaches to performing a hysterectomy (abdominal, vaginal or laparoscopic), the benefits of the minimally invasive laparoscopic approach compared to the abdominal approach included speedier return to normal activities, less bleeding during surgery, shorter hospital stay and fewer infections.1, 2
This cross-sectional analysis of the 2014 Nationwide Inpatient Sample3 among 229,260 hysterectomies demonstrates that physicians at Cedars-Sinai have performed laparoscopic hysterectomies at a rate significantly higher than the national average.
1Nieboer TE, Johnson N, Lethaby A, et al. Surgical approach to hysterectomy for benign gynaecological disease. Obstetrics and Gynaecology, 2009 Jul 8;(3):CD003677.
2ACOG Committee Opinion No. 444: choosing the route of hysterectomy for benign disease. Obstet Gynecol, 2009 Nov;114(5):1156-8.
3HCUP Nationwide Inpatient Sample (NIS), 2013, Agency for Healthcare Research and Quality (AHRQ), based on data collected by individual states and provided to AHRQ by the states.
Volume of Procedures and Average Length of Stay
Studies suggest that for many surgical procedures, hospitals performing a higher volume of procedures:
- Have lower short-term and long-term mortality and morbidity
- Indicate greater experience, which influences outcomes in multiple ways
- May institute specific care processes that improve outcomes
- Have infrastructure dedicated to particular clinical specialties, including related technology and intensive care personnel
Commitment to quality standards throughout the institution is also an important factor for better outcomes.4,5 In addition, outcomes for high-risk procedures have been shown to be better when performed by highly trained surgeons than by general surgeons.6
Studies also show that patients who spend less time in the hospital after surgery will have fewer complications.7,8,9 The data below compares the average length of stay at Cedars-Sinai to national average data from the University HealthSystem Consortium (UHC), an alliance of more than 300 of the nation’s nonprofit academic medical centers and their affiliated hospitals. The majority of these facilities participate in UHC's Clinical DataBase/Resource Manager. (Cases with malignancy are excluded.)
4Bach PB, Ann Intern Med 2009; 150:729-30
5Greene FL, Ann Surg Oncol 2007; 15:14-15
6Kozower BD et al, Ann Thorac Surg 2008; 86:1405-08
7Rotter T, Kinsman L, James E, et al. Clinical pathways: effects on professional practice, patient outcomes, length of stay and hospital costs. Department of Public Health, Dresden Medical School, University of Dresden, Dresden, Germany, D-01307, 2010 Mar 17;3:CD006632.
8Becker ER. National trends and determinants of hospitalization costs and lengths-of-stay for uterine fibroids procedures. J Health Care Finance, 2007 Spring; 33(3):1-16.
9Pearson SD, Kleefield SF, Soukop JR, et al. Critical pathways intervention to reduce length of hospital stay. Am J Med, Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care; and the Division of General Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA, 2001 Feb 15;110(3):175-80.