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April 11, 2002New England Journal of Medicine5,011 citations

Hospital Volume and Surgical Mortality in the United States

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JBJohn D. BirkmeyerASAndrea E. SiewersEFEmily Finlayson

Structured PICO

Does selecting a high-volume hospital reduce operative death in Medicare patients undergoing selected cardiovascular or cancer procedures?

P
Population
Medicare patients undergoing selected cardiovascular or cancer procedures in the United States
I
Intervention
Surgery at a high-volume hospital
C
Comparator
Surgery at other/nearby hospitals (implied lower volume)
O
Outcome
Operative deathhard clinical

Selecting a high-volume hospital significantly reduces the risk of operative death for Medicare patients undergoing cardiovascular or cancer procedures.

Abstract

In the absence of other information about the quality of surgery at the hospitals near them, Medicare patients undergoing selected cardiovascular or cancer procedures can significantly reduce their risk of operative death by selecting a high-volume hospital.

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Cite This Study

Birkmeyer et al. (2002) studied this question.

synapsesocial.com/papers/69d5720e75589c71d767e44ehttps://doi.org/10.1056/nejmsa012337
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