Influence of Hospital Procedure Volume on Outcomes Following Surgery for Colon Cancer

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Abstract
The complexity of health care processes makes identification and measurement of the critical components of high-quality care especially challenging.1 Because hospital procedure volume is relatively easy to measure and is assumed to be a proxy for experience, it has long been examined as a predictor of clinical outcomes, and a volume-outcome relationship has been observed for a wide variety of surgeries.2-13 Concentration of surgeries in high-volume centers has been considered a strategy to improve the quality of care,2,14-16 and in select instances, policies to achieve this goal have been implemented.17

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