ArticleInternational journal of colorectal disease2013
The association of hospital volume with rectal cancer surgery outcomes.
Article in International journal of colorectal disease, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 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
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- There is no difference in outcome between laparoscopic and open surgery for rectal cancer: a systematic review and meta-analysis on short- and long-term oncologic outcomes.Techniques in coloproctology · 2017Pooled it
- Nerve-oriented mesorectal excision (NOME): autonomic nerves as landmarks for laparoscopic rectal resection.International journal of colorectal disease · 2013Trial
- Ensuring High-Quality Rectal Cancer Surgery in an Era of Increasing Treatment Complexity.Annals of surgical oncology · 2026Article
- Volume-Outcome Relationships in Total Mesorectal Excision Quality and Grading: A National Cancer Database Study.Annals of surgical oncology · 2026Article
- Perspectives on Referring for Rectal Cancer Surgery: a Survey Study of Gastroenterologist and General Surgeons in Iowa.Journal of gastrointestinal cancer · 2024Article
- Update on The National Accreditation Program for Rectal Cancer (NAPRC): the radiologist's role.Abdominal radiology (New York) · 2023Review
- 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
- Article
- Center-Level Procedure Volume Does Not Predict Failure-to-Rescue After Severe Complications of Oncologic Colon and Rectal Surgery.World journal of surgery · 2021Article
- Volume-outcome relationship in rectal cancer surgery.Discover oncology · 2021Article
- Provider Viewpoints in the Management and Referral of Rectal Cancer.The Journal of surgical research · 2021Article
- The volume-outcome relationship in robotic protectectomy: does center volume matter? Results of a national cohort study.Surgical endoscopy · 2020Article
- Improving Rectal Cancer Outcomes with the National Accreditation Program for Rectal Cancer.Clinics in colon and rectal surgery · 2020Review
- Quality Assurance, Metrics, and Improving Standards in Rectal Cancer Surgery in the United States.Frontiers in oncology · 2020Review
- Guideline-Recommended Chemoradiation for Patients With Rectal Cancer at Large Hospitals: A Trend in the Right Direction.Diseases of the colon and rectum · 2019Article
- Health Care Policy and Outcomes after Colon and Rectal Surgery: What Is the Bigger Picture?-Cost Containment, Incentivizing Value, Transparency, and Centers of Excellence.Clinics in colon and rectal surgery · 2019Review
- 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
- Benchmarking rectal cancer care: institutional compliance with a longitudinal checklist.The Journal of surgical research · 2018Article
- Relationship between hospital volume and short-term outcomes: a nationwide population-based study including 75,280 rectal cancer surgical procedures.Oncotarget · 2018Article
- Predicting opportunities to increase utilization of laparoscopy for rectal cancer.Surgical endoscopy · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAn association between hospital volume and postoperative mortality has been identified for several oncologic surgical procedures. Our objective was to analyze differences in surgical outcomes for patients with rectal cancer according to hospital volume in the state of California.
methodsA cross-sectional study from 2000 to 2005 was performed using the state of California Office of Statewide Health Planning and Development database. Hospitals were categorized into low (≤30)-, medium (31-60)-, and high (>60)-volume groups based on the total number of rectal cancer operations performed during the study period.
resultsOverall, 7,187 rectal cancer operations were performed. Of the 321 hospitals in the study cohort, 72 % (n = 232), 20 % (n = 65), and 8 % (n = 24) were low-, medium-, and high-volume hospitals, respectively. Postoperative mortality was significantly lower- in high-volume hospitals (0.9 %) when compared to medium- (1.1 %) and low-volume hospitals (2.1 %; p < 0.001). High-volume hospitals also performed more sphincter-preserving procedures (64 %) when compared to medium- (55 %) and low-volume hospitals (51 %; p < 0.001).
conclusionsThese data indicate that hospital volume correlates with improved outcomes in rectal cancer surgery. Rectal cancer patients may benefit from lower mortality and increased sphincter preservation in higher-volume centers.
Indexed as
Identifiers
22842664What OpenQuestion holds
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.