Why the study?
Do high hospital volume, high surgeon volume, and specialization improve patient outcomes in surgical procedures?
Population
9,904,850 patients from 163 studies undergoing 42 different surgical procedures across 13 surgical specialties
Comparison
High hospital volume, high surgeon volume, and… vs Low hospital volume, low surgeon volume, and…
Design
Systematic_review, None were randomized
Authors
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Refer to high-volume or specialist surgeons; confirms their outcome benefits while questioning hospital volume in prospective data.
Do high hospital volume, high surgeon volume, and specialization improve patient outcomes in surgical procedures?
High surgeon volume and specialization are strongly associated with improved surgical patient outcomes, whereas the benefit of high hospital volume is less consistent.
Chowdhury et al. (2007) studied this question.
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