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Cited by 359

The DOI matches its Crossref record; 63 of the 63 references it cites were found in a registry or an index.

Relationship between surgeon volume and outcomes: a systematic review of systematic reviews

Open access
Morche, Johannes, Mathes, Tim, Pieper, Dawid·2016·Systematic Reviews

Abstract

BACKGROUND: The surgeon volume-outcome relationship has been discussed for many years and its existence or nonexistence is of importance for various reasons. A lot of empirical work has been published on it. We aimed to summarize systematic reviews in order to present current evidence. METHODS: Medline, Embase, Cochrane database of systematic reviews (CDSR), and health technology assessment websites were searched up to October 2015 for systematic reviews on the surgeon volume-outcome relationship. Reviews were critically appraised, and results were extracted and synthesized by type of surgical procedure/condition. RESULTS: Thirty-two reviews reporting on 15 surgical procedures/conditions were included. Methodological quality of included systematic reviews assessed with the assessment of multiple systematic reviews (AMSTAR) was generally moderate to high albeit included literature partly neglected considering methodological issues specific to volume-outcome relationship. Most reviews tend to support the presence of a surgeon volume-outcome relationship. This is most clear-cut in colorectal cancer, bariatric surgery, and breast cancer where reviews of high quality show large effects. CONCLUSIONS: When taking into account its limitations, this overview can serve as an informational basis for decision makers. Our results seem to support a positive volume-outcome relationship for most procedures/conditions. However, forthcoming reviews should pay more attention to methodology specific to volume-outcome relationship. Due to the lack of information, any numerical recommendations for minimum volume thresholds are not possible. Further research is needed for this issue.

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Metadata

Authors
Morche, J., Mathes, T., & Pieper, D.
Venue
Systematic Reviews
Published
2016-11-29
Volume
5
Issue
1
Pages
204-204
ISSN
2046-4053 (ISSN-L)
OpenAlex
W2557514837
Cited by
359
References
63
FWCI
5.63
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Relationship between surgeon volume and outcomes: a systematic review of systematic reviews. https://app.cochat.ai/papers/10.1186/s13643-016-0376-4
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Morche, J., Mathes, T., & Pieper, D. (2016). Relationship between surgeon volume and outcomes: a systematic review of systematic reviews. Systematic Reviews. https://doi.org/10.1186/s13643-016-0376-4

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