The DOI matches its Crossref record; 115 of the 115 references it cites were found in a registry or an index.
A systematic review of the impact of volume of surgery and specialization on patient outcome
Abstract
Background and methods: Volume of surgery and specialization may affect patient outcome. Articles examining the effects of one or more of three variables (hospital volume of surgery, surgeon volume and specialization) on outcome (measured by length of hospital stay, mortality and complication rate) were analysed. Reviews, opinion articles and observational studies were excluded. The methodological quality of each study was assessed, a correlation between the variables analysed and the outcome accepted if it was significant. Results: The search identified 55 391 articles published between 1957 and 2002; 1075 were relevant to the study, of which 163 (9 904 850 patients) fulfilled the entry criteria. These 163 examined 42 different surgical procedures, spanning 13 surgical specialities. None were randomized and 40 investigated more than one variable. Hospital volume was reported in 127 studies; high-volume hospitals had significantly better outcomes in 74·2 per cent of studies, but this effect was limited in prospective studies (40 per cent). Surgeon volume was reported in 58 studies; high-volume surgeons had significantly better outcomes in 74 per cent of studies. Specialization was reported in 22 studies; specialist surgeons had significantly better outcomes than general surgeons in 91 per cent of studies. The benefit of high surgeon volume and specialization varied in magnitude between specialities. Conclusion: High surgeon volume and specialization are associated with improved patient outcome, while high hospital volume is of limited benefit.
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Cites
Should Operations Be Regionalized?: The Empirical Relation between Surgical Volume and Mortality
Luft, H. S., Bunker, J. P., & Enthoven, A. C. (1979) · New England Journal of Medicine · doi:10.1056/nejm197912203012503 · Cited by 1,759
Impact of Hospital Volume on Operative Mortality for Major Cancer Surgery
Begg, C. B. (1998) · JAMA · doi:10.1001/jama.280.20.1747 · Cited by 1,657
The Importance of Surgeon Experience for Clinical and Economic Outcomes From Thyroidectomy
Sosa, J. A., Bowman, H. M., Tielsch, J. M., Powe, N. R., Gordon, T. A., & Udelsman, R. (1998) · Annals of Surgery · doi:10.1097/00000658-199809000-00005 · Cited by 1,118
Gouma, D. J., van Geenen, R. C. I., van Gulik, T. M., de Haan, R. J., de Wit, L. T., Busch, O. R. C., & Obertop, H. (2000) · Annals of Surgery · doi:10.1097/00000658-200012000-00007 · Cited by 836
The Influence of Hospital Volume on Survival after Resection for Lung Cancer
Bach, P. B., Cramer, L. D., Schrag, D., Downey, R. J., Gelfand, S. E., & Begg, C. B. (2001) · New England Journal of Medicine · doi:10.1056/nejm200107193450306 · Cited by 693
Katz, J. N., Losina, E., Barrett, J., Phillips, C. B., Mahomed, N. N., Lew, R. A., Guadagnoli, E., Harris, W. H., Poss, R., & Baron, J. A. (2001) · The Journal of Bone and Joint Surgery-American Volume · doi:10.2106/00004623-200111000-00002 · Cited by 689
Relationship Between Trauma Center Volume and Outcomes
Nathens, A. B. (2001) · JAMA · doi:10.1001/jama.285.9.1164 · Cited by 589
Lieberman, M. D., Kilburn, H., Lindsey, M., & Brennan, M. F. (1995) · Annals of Surgery · doi:10.1097/00000658-199511000-00006 · Cited by 577
Surgeon-Related Factors and Outcome in Rectal Cancer
Porter, G. A., Soskolne, C. L., Yakimets, W. W., & Newman, S. C. (1998) · Annals of Surgery · doi:10.1097/00000658-199802000-00001 · Cited by 568
The volume-outcome relationship: practice-makes-perfect or selective-referral patterns?
Luft, H. S., Hunt, S. S., & Maerki, S. (1987) · PubMed · Cited by 567
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Textbook outcome as a composite measure in oesophagogastric cancer surgery
Busweiler, L. A. D., Schouwenburg, M. G., van Berge Henegouwen, M. I., Kolfschoten, N. E., de Jong, P. C., Rozema, T., Wijnhoven, B. P. L., van Hillegersberg, R., Wouters, M. W. J. M., van Sandick, J. W., et al. (2017) · British Journal of Surgery · doi:10.1002/bjs.10486 · Cited by 299
Toward a Consensus on Centralization in Surgery
Vonlanthen, R., Lodge, P., Barkun, J. S., Farges, O., Rogiers, X., Soreide, K., Kehlet, H., Reynolds, J. V., Käser, S. A., Naredi, P., et al. (2018) · Annals of Surgery · doi:10.1097/sla.0000000000002965 · Cited by 274
Metadata
- Authors
- Chowdhury, M. M., Dagash, H., & Pierro, A.
- Venue
- British Journal of Surgery
- Publisher
- Oxford University Press (OUP)
- Published
- 2007-01-29
- Volume
- 94
- Issue
- 2
- Pages
- 145-161
- ISSN
- 0007-1323 (ISSN-L)
- 1365-2168
- OpenAlex
- W2147944213
- Cited by
- 608
- References
- 115
- FWCI
- 5.45
- Type
- journal article
- Language
- en
- Open access
- closed
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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