Impact of Hospital Volume on Operative Mortality for Major Cancer Surgery
Open Access
- 25 November 1998
- journal article
- research article
- Published by American Medical Association (AMA) in JAMA
- Vol. 280 (20) , 1747-1751
- https://doi.org/10.1001/jama.280.20.1747
Abstract
A NUMBER of cancer studies have been conducted using hospital volume of patients treated as a measure of surgical expertise, following a tradition of the use of patient volume in studies of variations in outcomes between hospitals and between surgeons.1 In the United States, all population-based studies of this issue have used state discharge databases and in-hospital mortality as the end point, notably the studies of pancreatectomy in New York,2 California,3 and Maryland4; studies of lung cancer in California5; and hepatic resections in Maryland.6 All these studies demonstrated much lower mortality in high-volume hospitals.Keywords
This publication has 13 references indexed in Scilit:
- Should hepatic resections be performed at high-volume referral centers?Journal of Gastrointestinal Surgery, 1998
- Generalizability of the surveillance, epidemiology, and end results registry population: Factors relevant to epidemiologic and health care researchJournal of Clinical Epidemiology, 1997
- Searching for an improved clinical comorbidity index for use with ICD-9-CM administrative dataJournal of Clinical Epidemiology, 1996
- The Effects of Regionalization on Cost and Outcome for One General High-Risk Surgical ProcedureAnnals of Surgery, 1995
- Pancreas cancer resection outcome in American university centers in 1989–1990Cancer, 1993
- Patient and Hospital Characteristics Related to In-Hospital Mortality after Lung Cancer ResectionChest, 1992
- Impact of variability among surgeons on postoperative morbidity and mortality and ultimate survival.BMJ, 1991
- An Analysis of the Reduced Morbidity and Mortality Rates After PancreaticoduodenectomyArchives of Surgery, 1989
- Effects of Surgeon Volume and Hospital Volume on Quality of Care in HospitalsMedical Care, 1987
- Factors Influencing Survival After Total Pancreatectomy in Patients with Pancreatic CancerAnnals of Surgery, 1983