Hospital Volume and Operative Mortality in Cancer Surgery

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Abstract
BECAUSE NUMEROUS studies have documented that high-volume hospitals achieve lower operative mortality with selected high-risk procedures,1-5 policymakers are developing strategies for concentrating selected procedures in higher-volume hospitals. The Leapfrog Group, a large coalition of private and public purchasers, is encouraging patients undergoing 5 high-risk procedures to seek care at high-volume hospitals.6 Web sites sponsored by consumer groups and private organizations are providing patients with information about volume at hospitals near them. The Center for Medicare and Medicaid Services is also exploring ways to communicate volume information to patients.