ReviewInternational journal of colorectal disease2010
Rectal cancer surgery: volume-outcome analysis.
Review in International journal of colorectal disease, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
What it found
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The trial behind it
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Who cites it
16 citing papers in PubMed.
- How Is Colorectal Cancer Care Impacted by Global Crisis in Contrasting Healthcare Systems?-A Descriptive Study From Scotland and Switzerland During the COVID-19 Pandemic.World journal of surgery · 2026Observational
- The Impact of Surgeon's Expirience and Volume on Pelvic Reconstructive Surgery Outcome.International urogynecology journal · 2026Review
- Optimization of rectal cancer surgery outcomes in the United States: the influence of hospital volume on rates of sphincter preservation before and after practice standardization.Proceedings (Baylor University. Medical Center) · 2025Article
- Diagnosing Provider, Referral Patterns, Facility Type, and Patient Satisfaction Among Iowa Rectal Cancer Patients.Journal of gastrointestinal cancer · 2024Article
- Referrals and Decision-Making Considerations Involved in Selecting a Surgeon for Rectal Cancer Treatment in the Midwestern United States.Diseases of the colon and rectum · 2022Article
- On the correlation between outcome indicators and the structure and process indicators used to proxy them in public health care reporting.The European journal of health economics : HEPAC : health economics in prevention and care · 2021Article
- Impact of Surgeon Volume on Outcomes and Expenditure Among Medicare Beneficiaries Undergoing Liver Resection: the Effect of Minimally Invasive Surgery.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020Article
- Guideline-Recommended Chemoradiation for Patients With Rectal Cancer at Large Hospitals: A Trend in the Right Direction.Diseases of the colon and rectum · 2019Article
- Determinants of Rectal Cancer Patients' Decisions on Where to Receive Surgery: a Qualitative Analysis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019Article
- Relationship between hospital volume and short-term outcomes: a nationwide population-based study including 75,280 rectal cancer surgical procedures.Oncotarget · 2018Article
- Hospital Characteristics Associated with Stage II/III Rectal Cancer Guideline Concordant Care: Analysis of Surveillance, Epidemiology and End Results-Medicare Data.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2016Article
- Hospital variation in sphincter preservation for elderly rectal cancer patients.The Journal of surgical research · 2014Article
- Clinical competence in the surgery of rectal cancer: the Italian Consensus Conference.International journal of colorectal disease · 2014Article
- Routine defunctioning stoma after chemoradiation and total mesorectal excision: a single-surgeon experience.World journal of gastroenterology · 2013Article
- Management of distal rectal cancer: results from a national survey.Updates in surgery · 2013Article
- Outcomes of the patients in the respiratory care center are not associated with the seniority of the caring resident.The Kaohsiung journal of medical sciences · 2013Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThere is strong evidence supporting the importance of the volume-outcome relationship with respect to lung and pancreatic cancers. This relationship for rectal cancer surgery however remains unclear. We review the currently available literature to assess the evidence base for volume outcome in relation to rectal cancer surgery.
methodsWe analysed the Medline "PubMed" online database using the keyword search parameters of "rectal cancer", "hospital volume or caseload", "surgeon volume or caseload", "outcomes", "mortality", "approach", "local recurrence" and "morbidity" for the time period 1997-2009. Five hundred twenty-six generic articles were identified. Articles that were not specific for, or separately identified, rectal cancer surgery in their individual analysis were excluded. Eighteen articles remained for review. We assessed short-term morbidity and long-term outcomes such as sphincter preservation, mortality and local recurrence rates.
resultsConsiderable variance was noted in the definition of high volume and low volume. Postoperative length of stay was lower and sphincter-preserving surgery was more commonly performed in high-volume hospitals and by high-volume surgeons. Surgeon specialisation was an important factor influencing sphincter preservation, survival and local recurrence rates. Volume was found to have no negative relationship with mortality and a positive one with local recurrence. Interestingly, there was no association found between hospital or surgeon caseload and postoperative morbidity.
conclusionThere is a paucity of evidence in the literature regarding the volume-outcome relationship with regard to rectal cancer surgery. High-volume institutions yielded shorter lengths of stay. However, the key finding was that high-volume surgeons that specialised in colorectal surgery yielded objectively improved outcomes for patients with rectal cancer.
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Registered trials
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