Volume-Outcome Relationships in Thoracic Surgery

Benjamin D. Kozower; George J. Stukenborg

doi:10.1016/j.thorsurg.2017.03.004

Volume-Outcome Relationships in Thoracic Surgery

Benjamin D. Kozower, George J. Stukenborg

Research output: Contribution to journal › Review article › peer-review

15 Scopus citations

Abstract

Most thoracic surgery studies indicate that hospital and surgeon procedure volume are inversely associated with mortality. However, controversy exists regarding the strength and validity of this volume-outcome association. Because thresholds of procedure volume are used to recommend the regionalization of care, investigation of the volume-outcome relationship is imperative. This article examines the methodology used in the volume-outcome relationship literature and highlights important areas of concern. Careful examination of the literature demonstrates that lung and esophageal cancer resection volume is not strongly associated with mortality and should not be used as a proxy measure for quality.

Original language	English
Pages (from-to)	251-256
Number of pages	6
Journal	Thoracic surgery clinics
Volume	27
Issue number	3
DOIs	https://doi.org/10.1016/j.thorsurg.2017.03.004
State	Published - Aug 2017

Keywords

Cancer resection
Esophageal cancer
Lung cancer
Thoracic surgery
Volume outcome

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10.1016/j.thorsurg.2017.03.004

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title = "Volume-Outcome Relationships in Thoracic Surgery",

abstract = "Most thoracic surgery studies indicate that hospital and surgeon procedure volume are inversely associated with mortality. However, controversy exists regarding the strength and validity of this volume-outcome association. Because thresholds of procedure volume are used to recommend the regionalization of care, investigation of the volume-outcome relationship is imperative. This article examines the methodology used in the volume-outcome relationship literature and highlights important areas of concern. Careful examination of the literature demonstrates that lung and esophageal cancer resection volume is not strongly associated with mortality and should not be used as a proxy measure for quality.",

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AU - Stukenborg, George J.

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N2 - Most thoracic surgery studies indicate that hospital and surgeon procedure volume are inversely associated with mortality. However, controversy exists regarding the strength and validity of this volume-outcome association. Because thresholds of procedure volume are used to recommend the regionalization of care, investigation of the volume-outcome relationship is imperative. This article examines the methodology used in the volume-outcome relationship literature and highlights important areas of concern. Careful examination of the literature demonstrates that lung and esophageal cancer resection volume is not strongly associated with mortality and should not be used as a proxy measure for quality.

AB - Most thoracic surgery studies indicate that hospital and surgeon procedure volume are inversely associated with mortality. However, controversy exists regarding the strength and validity of this volume-outcome association. Because thresholds of procedure volume are used to recommend the regionalization of care, investigation of the volume-outcome relationship is imperative. This article examines the methodology used in the volume-outcome relationship literature and highlights important areas of concern. Careful examination of the literature demonstrates that lung and esophageal cancer resection volume is not strongly associated with mortality and should not be used as a proxy measure for quality.

KW - Cancer resection

KW - Esophageal cancer

KW - Lung cancer

KW - Thoracic surgery

KW - Volume outcome

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JO - Thoracic surgery clinics

JF - Thoracic surgery clinics

IS - 3

ER -

Volume-Outcome Relationships in Thoracic Surgery

Abstract

Keywords

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