What does this research mean for the field?

The reduced risk of operative death in high-volume hospitals is not specific to the volume of the procedure being performed, as high volumes of other major surgeries are also strongly associated with lower mortality. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

March 12, 2004BMJOpen Access

Does it matter what a hospital is “high volume” for? Specificity of hospital volume-outcome associations for surgical procedures: analysis of administrative data

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Why the study?

Is the improved 30-day mortality of surgical procedures in high-volume hospitals specific to the volume of the same procedure?

Population

Patients having an oesophagectomy, colorectal resection for cancer, pancreaticoduodenectomy, major lung…

Comparison

Surgery at a hospital with a high volume of the… vs Surgery at a hospital with a low volume of the…

Design

Cohort

Follow-up

30 days

Authors

DUDavid R. UrbachUniversity of Toronto NBNancy N. BaxterThe University of Sydney

Discussion

Member takes

Implication

Mortality benefits of high hospital volume are not procedure-specific; leaves open broader institutional influences on surgical outcomes.

Structured PICO

Is the improved 30-day mortality of surgical procedures in high-volume hospitals specific to the volume of the same procedure?

Population

Patients having an oesophagectomy, colorectal resection for cancer, pancreaticoduodenectomy, major lung resection for cancer, or repair of an unruptured abdominal aortic aneurysm between 1994 and 1999 in Ontario, Canada.

Intervention

Surgery at a hospital with a high volume of the same procedure or high volume of other major procedures

Comparator

Surgery at a hospital with a low volume of the procedures

Outcome

Death within 30 days of surgeryhard clinical

The inverse association between high hospital procedure volume and risk of operative death is not specific to the volume of the specific procedure being studied, suggesting broader institutional factors at play.

Cite This Study

Urbach et al. (2004) studied this question.

synapsesocial.com/papers/6a1d35fa33e2df9c962f2064 https://doi.org/10.1136/bmj.38030.642963.ae

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Does it matter what a hospital is “high volume” for? Specificity of hospital volume-outcome associations for surgical procedures: analysis of administrative data

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Does it matter what a hospital is “high volume” for? Specificity of hospital volume-outcome associations for surgical procedures: analysis of administrative data

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider