Key result
High volume hospitals and surgeons were associated with lower rates of postoperative complications, readmissions, and costs compared to low volume providers for radical prostatectomy.
Why the study?
Does high hospital and surgeon volume improve outcomes in patients undergoing radical prostatectomy?
Systematic Review
Does high hospital and surgeon volume improve outcomes in patients undergoing radical prostatectomy?
Patients undergoing radical prostatectomy performed by high volume providers may have better outcomes compared to low volume providers.
Answers are grounded in this paper and cite their sources.
May support centralization to high-volume providers for radical prostatectomy; confirms volume-outcome associations but leaves causality open.
BACKGROUND: To assess the impact of hospital and surgeon volume on mortality, morbidity, length of hospital stay and costs of radical prostatectomy (RP). METHODS: This systematic review identified relevant studies published between 1997 and June 2007. Inclusion of papers was established through application of a predetermined protocol, independent assessment by two reviewers, and a final consensus decision. RESULTS: Compared with low volume hospitals, the included studies showed high volume hospitals demonstrated lower rates of mortality, postoperative complications and readmissions, and lower overall hospital costs. High volume surgeons similarly showed lower rates of postoperative complications and shorter length of stay compared with low volume surgeons, but no difference in mortality. CONCLUSIONS: From the literature obtained, patients undergoing RP performed by high volume providers may have better outcomes compared to low volume providers; however, any move to centralize RP must be further evaluated.
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Wilson et al. (2010) conducted a systematic review in Radical prostatectomy. High hospital and surgeon volume vs. Low volume hospitals and surgeons was evaluated on Mortality, morbidity, length of hospital stay and costs. High volume hospitals and surgeons were associated with lower rates of postoperative complications, readmissions, and costs compared to low volume providers for radical prostatectomy.
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