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The Role of Volume–Outcome Relationship in Surgery

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Abstract

The chapter considers the complex interaction of numerous factors that determine the nature of any volume—outcome relationship within surgery. The methodological basis for assessing the volume– outcome relationship in surgery and some of the limitations that surround it are discussed. Commonly used outcome measurements are explored, with their possible alternatives and consideration made of the interaction between the surgeon's volume and institutional volume and their effect on patient outcome. Finally, we examine the public health impact and health policy implications of incorporating volume–outcome relationship research into health service provision. The need for future research in this area to be conducted under the guidance of a methodological framework is justified.

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Abbreviations

HES:

Hospital Episode Statistics

U.K.:

United Kingdom

U.S.:

United States

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Mayer, E., Darzi, L.A., Athanasiou, T. (2010). The Role of Volume–Outcome Relationship in Surgery. In: Athanasiou, T., Debas, H., Darzi, A. (eds) Key Topics in Surgical Research and Methodology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-71915-1_16

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  • DOI: https://doi.org/10.1007/978-3-540-71915-1_16

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-71914-4

  • Online ISBN: 978-3-540-71915-1

  • eBook Packages: MedicineMedicine (R0)

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