Outcomes in oncologic surgery: Does volume make a difference? Journal Article
| Authors: | Bentrem, D. J.; Brennan, M. F. |
| Article Title: | Outcomes in oncologic surgery: Does volume make a difference? |
| Abstract: | Commonly performed elective surgical procedures on the alimentary tract are carried out with low morbidity and low mortality in most hospitals in the United States. There are some procedures on the alimentary tract that are performed with a relatively low frequency and are associated with higher mortality. Volume is a surrogate marker associated with improved outcome, with relative differences being dependent on the complexity of the procedure and the frequency with which it is done. Both surgeon and institutional volume matters, but it seems that improved operative mortality can be reached with lower surgeon volume in high-volume institutions. It appears that volume can be substituted in part for by specialization and training, with improved outcomes based on specialist credentials and fellowship training. © 2005 by the Société Internationale de Chirurgie. |
| Keywords: | treatment outcome; cancer surgery; surgical technique; mortality; review; united states; neoplasms; health care quality; quality indicators, health care; surgical training; medical practice; esophagus resection; surgical procedures, operative; liver surgery; lung surgery; digestive system surgical procedures; surgical procedures, elective; stomach surgery; colon surgery; pancreas surgery; digestive system |
| Journal Title: | World Journal of Surgery |
| Volume: | 29 |
| Issue: | 10 |
| ISSN: | 0364-2313 |
| Publisher: | Springer |
| Date Published: | 2005-10-01 |
| Start Page: | 1210 |
| End Page: | 1216 |
| Language: | English |
| DOI: | 10.1007/s00268-005-7991-x |
| PUBMED: | 16136281 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 24" - "Export Date: 24 October 2012" - "CODEN: WJSUD" - "Source: Scopus" |
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