World Journal of Surgery

, Volume 29, Issue 10, pp 1241–1244

The Volume–Outcome Relationship: Don’t Believe Everything You See

  • Caprice K. Christian
  • Michael L. Gustafson
  • Rebecca A. Betensky
  • Jennifer Daley
  • Michael J. Zinner


This paper investigates methodological limitations of the volume–outcome relationship. A brief overview of quality measurement is followed by a discussion of two important aspects of the relationship.


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Copyright information

© Société Internationale de Chirurgie 2005

Authors and Affiliations

  • Caprice K. Christian
    • 1
  • Michael L. Gustafson
    • 1
  • Rebecca A. Betensky
    • 2
  • Jennifer Daley
    • 3
    • 4
  • Michael J. Zinner
    • 1
  1. 1.Department of Surgery Brigham and Women’s Hospital BostonUSA
  2. 2.Department of Biostatistics Harvard School of Public HealthBostonUSA
  3. 3.Tenet Healthcare SystemDallasUSA
  4. 4.Department of Community and Family MedicineDartmouth Medical School, Hinman Box 7250, Strasenburg HallHanoverUSA

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