Key result
For complex emergency general surgery procedures, low-volume surgeons were associated with higher mortality compared to high-volume surgeons (aOR 1.64; 95% CI 1.12-2.41).
Why the study?
Does surgeon and hospital volume affect mortality, complications, and readmissions in emergency general surgery?
Population
14,753 nontrauma emergency general surgery procedures performed by general surgeons among patients 20 years…
Comparison
Surgery performed by low-volume surgeons or at… vs Surgery performed by high-volume surgeons or at…
Design
Cohort
Follow-up
30 days
Authors
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Supports regionalizing complex emergency procedures to high-volume centers; leaves open whether targeted training or systemic.
Cohort (n=14,753)
Yes
Does surgeon and hospital volume affect mortality, complications, and readmissions in emergency general surgery?
Odds Ratio: 1.64 (95% CI 1.12–2.41)
In complex emergency general surgery, procedures performed by low-volume surgeons are associated with significantly higher mortality compared to those by high-volume surgeons.
Mehta et al. (2017) conducted a cohort in Emergency general surgery (n=14,753). Low-volume surgeons (≤25 EGS procedures/year) vs. High-volume surgeons (>50 EGS procedures/year) was evaluated on Mortality for complex EGS procedures (aOR 1.64, 95% CI 1.12-2.41). For complex emergency general surgery procedures, low-volume surgeons were associated with higher mortality compared to high-volume surgeons (aOR 1.64; 95% CI 1.12-2.41).
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