The Volume-Outcome Effect for Abdominal Aortic Surgery

Open Access
Publisher Website
Google Scholar
Abstract
HOSPITALS THAT perform high volumes (HVHs) of complex vascular surgery have superior outcomes to those that perform low volumes (LVHs).1-6 Two recent population-based studies estimated that regionalization of high-risk surgery, including some complex vascular procedures, could potentially save thousands of lives each year in the United States.6,7 The relationship between hospital surgical volume and outcome is likely a complex interaction involving differences in preoperative patient selection, technological resources, surgeon and anesthesiologist experience, postoperative management, and other processes of care.8-10 By identifying the factors that explain the volume-outcome relationship, we can focus quality improvement efforts on these factors and reduce mortality at LVHs without disrupting access to care.