Policy Matters  |   October 2015
The Volume-Outcomes Relationship in Surgery: So Much Research, So Few Answers
Article Information
Gastrointestinal and Hepatic Systems / Advocacy and Legislative Issues / Quality Improvement / Policy Matters
Policy Matters   |   October 2015
The Volume-Outcomes Relationship in Surgery: So Much Research, So Few Answers
ASA Monitor 10 2015, Vol.79, 10-12.
ASA Monitor 10 2015, Vol.79, 10-12.
The relationship between surgical volume and patient outcomes has been studied extensively since the 1980s. The “volume” variable is often measured in two ways: hospital volume (the amount of surgeries the hospital performs) and surgeon volume (the amount of surgeries each surgeon performs). So, do high-volume hospitals and providers achieve better outcomes? Luft and colleagues first presented this theory in 1980 and proposed that a positive relationship existed between the two variables even after adjusting for hospital variables such as size, teaching status and geographic location.1  Since then, hundreds of studies have been published on the topic examining various surgical procedures as well as nonsurgical care such as trauma, critical care and cancer care. To summarize the existing literature about the relationship between hospital volume and patient outcomes in surgery, Pieper et al. recently conducted a systematic review of systematic reviews that serves as the focus of this month’s “Policy Matters.”2 
First Page Preview
First page PDF preview
First page PDF preview ×
View Large
0 Comments
Submit a Comment
Submit A Comment

Contributors must reveal any conflict of interest. Comments are moderated.

Name
Affiliation & Institution
I have a potential conflict of interest
Comment Title
Comment


This feature is available to Subscribers Only
ASA Member Login or Create an Account ×