Why the study?
Does higher hospital surgery volume improve postsurgery length of stay and inpatient mortality in patients undergoing hip fracture surgery?
Population
Patients receiving hip fracture surgery in all hospitals in Quebec between 1990 and 1993
Comparison
Higher hospital surgery volume vs Lower hospital surgery volume / changes in…
Design
Cohort
Follow-up
Inpatient
Authors
Loading...
No within-hospital volume benefit for hip fracture outcomes; challenges practice-makes-perfect interpretation of volume-outcome associations.
Does higher hospital surgery volume improve postsurgery length of stay and inpatient mortality in patients undergoing hip fracture surgery?
The volume-outcome relationship for hip fracture surgery appears to reflect fixed differences in quality between hospitals rather than a 'practice makes perfect' effect within hospitals over time.
Hamilton et al. (1998) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: