Why the study?
The impact of hospital volume after rectal cancer surgery is seldom investigated.
Does rectal cancer surgery in high-volume hospitals reduce in-hospital mortality and failure to rescue compared to low-volume hospitals in patients with rectal cancer?
Population
64 349 patients diagnosed with rectal cancer who underwent rectal resection in Germany
Comparison
Five quintiles of annual hospital rectal cancer surgery caseload
Design
Nationwide administrative hospital database study
Authors
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Higher-volume centers showed lower mortality and failure to rescue after rectal resection; supports volume-outcome hypotheses but leaves causal effects and policy change open.
Does rectal cancer surgery in high-volume hospitals reduce in-hospital mortality and failure to rescue compared to low-volume hospitals in patients with rectal cancer?
Higher annual hospital volume for rectal cancer surgery is associated with significantly lower in-hospital mortality and reduced failure to rescue rates for severe complications.
Diers et al. (2020) studied this question.
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