The influence of hospital and surgeon volume on in-hospital mortality for colectomy, gastrectomy, and lung lobectomy in patients with cancer
SurgeryPublished 1 January 2002
Edward L. Hannan, Mark Radzyner, David M. Rubin, James Dougherty, Murray F. Brennan
Citations394
SJR quartileQ1
SJR score1.09
SNIP1.16
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
For all 3 procedure groups, the risk-adjusted in-hospital mortality is significantly lower when the procedures are performed by high-volume providers.
Abstract
For all 3 procedure groups, the risk-adjusted in-hospital mortality is significantly lower when the procedures are performed by high-volume providers.
Keywords
Medicine
New England Journal of MedicineShould Operations Be Regionalized?
1,768 Citations1979Harold S. Luft, John P. Bunker +1 more
This study examines mortality rates for 12 surgical procedures of varying complexity in 1498 hospitals to determine whether there is a relation between a hospital's surgical volume and its mortality rates.
JAMAImpact of Hospital Volume on Operative Mortality for Major Cancer Surgery
1,654 Citations1998Colin B. Begg
The hypothesis that when complex surgical oncologic procedures are provided by surgical teams in hospitals with specialty expertise, mortality rates are lower is supported.
Annals of SurgeryThe Importance of Surgeon Experience for Clinical and Economic Outcomes From Thyroidectomy
1,101 Citations1998Julie Ann Sosa, Helen M. Bowman +4 more
Individual surgeon experience is significantly associated with complication rates and length of stay for thyroidectomy, and they were more likely to operate on patients with cancer.
Journal of Clinical OncologyHospital and Physician Volume or Specialization and Outcomes in Cancer Treatment: Importance in Quality of Cancer Care
636 Citations2000Bruce E. Hillner, Thomas J. Smith +1 more
The literature suggests that, for all forms of cancer, efforts to concentrate its initial care would be appropriate, and the absolute benefit from care at high-volume centers exceeds the benefit from break-through treatments.
Annals of SurgeryRelation of Perioperative Deaths to Hospital Volume Among Patients Undergoing Pancreatic Resection for Malignancy
579 Citations1995Michael D. Lieberman, Harold Kilburn +2 more
Data from 1972 patients who had undergone pancreaticoduodenectomy or total pancreatectomy for malignancy in New York State between 1984 and 1991 support a defined minimum hospital experience for elective pancreatic resection for maligne to minimize perioperative deaths.
Annals of SurgerySurgeon-Related Factors and Outcome in Rectal Cancer
569 Citations1998Geoffrey A. Porter, Colin L. Soskolne +2 more
Outcome is improved with both colorectal surgical subspecialty training and a higher frequency ofrectal cancer surgery, and the surgical treatment of rectal cancer patients should rely exclusively on surgeons with such training or surgeons with more experience.
Annals of SurgeryImportance of Hospital Volume in the Overall Management of Pancreatic Cancer
505 Citations1998Julie Ann Sosa, Helen M. Bowman +7 more
Patients with pancreatic cancer who are to be treated with curative or palliative procedures appear to benefit from referral to a high-volume provider, and increased hospital volume is associated with markedly decreased in-hospital mortality rates and a decreased or similar length of stay for all three types of procedures and with decreases or similar hospital charges for resections and stents.
Annals of SurgeryThe Effects of Regionalization on Cost and Outcome for One General High-Risk Surgical Procedure
475 Citations1995Toby A. Gordon, Gregg P. Burleyson +2 more
An academic medical center, functioning as a high-volume regional provider, can deliver tertiary care services with improved outcomes at lower costs than community hospitals.
Annals of SurgeryHospital Volume Can Serve as a Surrogate for Surgeon Volume for Achieving Excellent Outcomes in Colorectal Resection
394 Citations1999John W. Harmon, Daniel Tang +9 more
A skewed distribution of case volumes by surgeon was found in this study of patients who underwent resection for large bowel cancer in Maryland, with higher surgeon volume associated with significant improvement in all three outcomes (in-hospital death, length of stay, and cost).
The LancetInfluence of clinician workload and patterns of treatment on survival from breast cancer
380 Citations1995R Sainsbury, Raymond Haward +3 more
It is recommended that patients with breast cancer be dealt with only by clinicians who see more than 30 new cases per year and who have a full range of treatment options available within a multidisciplinary setting.
BMJSurvival outcome of care by specialist surgeons in breast cancer: a study of 3786 patients in the west of Scotland
313 Citations1996C. Gillis, D. Hole
The benefit of specialist care was apparent for all age groups, for small and large tumours, and for tumours that did and did not affect the nodes and was consistent across all socioeconomic categories.
CHEST JournalPatient and Hospital Characteristics Related to In-Hospital Mortality after Lung Cancer Resection
297 Citations1992Patrick S. Romano, David H. Mark
The overall mortality in this community-based sample exceeds that reported by selected centers and provides a better foundation for advising patients, although unmeasured severity of illness may be a confounder.
American Journal of Public HealthHospital volume differences and five-year survival from breast cancer.
254 Citations1998Patrick J. Roohan, Nina A. Bickell +4 more
Statistics in MedicineAn introduction to hierarchical linear modelling
248 Citations1999Lisa Sullivan, Kimberly A. Dukes +1 more
This tutorial provides an introduction to the hierarchical linear models technique in general terms, and then specifies model notation and assumptions in detail, and elaborate on model interpretation and provide guidelines for model checking.
Annals of SurgeryStatewide Regionalization of Pancreaticoduodenectomy and its Effect on In-Hospital Mortality
238 Citations1998Toby A. Gordon, Helen M. Bowman +4 more
A trend toward regionalization of pancreaticoduodenectomy over a 12-year period in Maryland was associated with a significant decrease in the statewide in-hospital mortality rate for this procedure, demonstrating the effectiveness of regionalization for high-risk surgery.
Archives of SurgeryAn Analysis of the Reduced Morbidity and Mortality Rates After Pancreaticoduodenectomy
201 Citations1989Carlos A. Pellegrini
The mortality rate of patients who have undergone a pancreaticoduodenectomy is substantially lower than in the past and the main reasons are greater experience of a few surgeons who perform the procedure regularly and the availability of computed tomographic scans and skilled interventional radiologists, which allows postoperative infection and pancreatic fistulas to be controlled.
PubMedHospital volume influences outcome in patients undergoing pancreatic resection for cancer.
194 Citations1996Robert E. Glasgow, Sean J. Mulvihill
This study supports the concept of regionalizing high risk procedures in general surgery, such as major pancreatic resection for cancer, by finding that high-volume providers had significantly decreased operative mortality, complication-associated mortality, patient resource use, and total charges and were more likely than low-volume centers to discharge patients to home.
Journal of Gastrointestinal SurgeryShould hepatic resections be performed at high-volume referral centers?
187 Citations1998Michael A. Choti, Helen M. Bowman +5 more
It was concluded that hepatic resection can be performed more safely and at comparable cost at high-volume referral centers, and lower mortality was seen in the high- volume center for both minor and major resections, as well as resections for metastatic disease.
Journal of the American College of SurgeonsComplex gastrointestinal surgery: impact of provider experience on clinical and economic outcomes11No competing interests declared.
186 Citations1999Toby A. Gordon, Helen M. Bowman +8 more
It is demonstrated that increased hospital experience is associated with a marked decrease in hospital mortality and the decreased mortality at the high-volume provider was also associated with shorter lengths-of-stay and lower hospital charms.
JNCI Journal of the National Cancer InstitutePopulation-Based Study of Relationships Between Hospital Volume of Prostatectomies, Patient Outcomes, and Length of Hospital Stay
169 Citations1999Siu‐Long Yao, Grace L. Lu‐Yao
It is suggested that an increase in a given hospital's prostatectomy volume may facilitate a decrease in the length of a patient's stay without an adverse impact on patient outcomes.
CancerNational survey of ovarian carcinoma part V. The impact of physician's specialty on patients' survival
140 Citations1993Hoa N. Nguyen, Hervy E. Averette +4 more
Data analysis of the recent National Survey of Ovarian Carcinoma revealed significant differences in patterns of care among various physician specialists, and the goal of this study was to determine if different care patterns led to differences in patient survival.
New England Journal of MedicineThe Relation between Volume and Outcome in Health Care
132 Citations1999Edward L. Hannan
A large number of hospitals that had higher volumes of specific surgical procedures had significantly lower inpatient mortality rates than did their lower-volume counterparts, and these hospitals were associated with higher survival rates.
Annals of SurgeryFactors Influencing Survival After Total Pancreatectomy in Patients with Pancreatic Cancer
107 Citations1983Åke Andrén‐Sandberg, Ingemar Ihse
It is concluded that improvement of long-term survival can mainly be achieved by earlier identification and removal of the tumors and by introduction of more efficient adjuvant therapy.