ArticleSurgery today2009
Volume-outcome relationship in rectal cancer surgery: a new perspective.
Article in Surgery today, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Workload and surgeon's specialty for outcome after colorectal cancer surgery.The Cochrane database of systematic reviews · 2012Pooled it
- Relationship between pediatric blood and marrow transplant center volume and day +100 mortality: Pediatric Blood and Marrow Transplant Consortium experience.Bone marrow transplantation · 2013Trial
- Impact of hospital volume on laparoscopic surgery for locally advanced rectal cancer: a subanalysis of the JSLCS multicenter observational study.Surgery today · 2026Article
- Article
- Provider Viewpoints in the Management and Referral of Rectal Cancer.The Journal of surgical research · 2021Article
- Association Between Hospital and Surgeon Volume and Rectal Cancer Surgery Outcomes in Patients With Rectal Cancer Treated Since 2000: Systematic Literature Review and Meta-analysis.Diseases of the colon and rectum · 2018Review
- Relationship between hospital volume and short-term outcomes: a nationwide population-based study including 75,280 rectal cancer surgical procedures.Oncotarget · 2018Article
- Systematic review and a meta-analysis of hospital and surgeon volume/outcome relationships in colorectal cancer surgery.Journal of gastrointestinal oncology · 2017Article
- Article
- Clinical competence in the surgery of rectal cancer: the Italian Consensus Conference.International journal of colorectal disease · 2014Article
- Re-examining the significance of surgical volume to breast cancer survival and recurrence versus process quality of care in Taiwan.Health services research · 2013Article
- The parachute design as a new extraperitoneal method of closing a recalcitrant high-output enterocutaneous fistula: report of a case.Surgery today · 2012Article
- Variation in cancer surgical outcomes associated with physician and nurse staffing: a retrospective observational study using the Japanese Diagnosis Procedure Combination Database.BMC health services research · 2012Article
- Trends in the treatment outcomes for advanced colorectal cancer: an analysis at a single community hospital in Japan.Surgery today · 2011Article
- Association between ethnicity and prostate cancer outcomes across hospital and surgeon volume groups.Health policy (Amsterdam, Netherlands) · 2011Article
- Effect of the Japanese herbal kampo medicine dai-kenchu-to on postoperative adhesive small bowel obstruction requiring long-tube decompression: a propensity score analysis.Evidence-based complementary and alternative medicine : eCAM · 2011Article
- Rectal cancer surgery: volume-outcome analysis.International journal of colorectal disease · 2010Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeNumerous studies on the volume-outcome relationships in rectal cancer surgery have assessed surgical mortality. However, little is known about the association between hospital/surgeon volumes and postoperative complications, including anastomotic leakage and infection, following rectal cancer surgery.
methodsUsing a web-based patient registration system, data were collected on inpatients who underwent rectal cancer surgery between November 1, 2006 and February 28, 2007 in Japan. Using multivariate analyses, intraoperative blood loss, postoperative complications and length of stay were independently compared against the provider volumes and covariates.
resultsNo significant association was identified between the blood loss and hospital volume, while surgeons with the highest volume (> or =500 procedures) were likely to demonstrate a reduced blood loss (odds ratio, 0.67; 95% confidence interval, 0.46-0.99; P = 0.043). No significant relationship was found between the incidence of postoperative complications and the provider volume. A higher hospital volume significantly decreased the length of stay (hazard ratio, 1.41; 95% confidence interval, 1.23-1.62; P < 0.01), but the surgeon volume was not associated with the length of hospital stay.
conclusionThe present study did not find any significant relationship between the volume and postoperative complications. These results do not support the effectiveness of regionalizing rectal cancer surgery to high-volume centers, at least in the Japanese clinical setting.
Indexed as
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.