ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2017
Evaluating Trends in the Volume-Outcomes Relationship Following Liver Surgery: Does Regionalization Benefit All Patients the Same?
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.
- Volume-outcome relationship in anatomical and non-anatomical liver resections: a rapid systematic review.BMC gastroenterology · 2026Pooled it
- 6,126 hepatectomies in 2022: current trend of outcome in Italy.Langenbeck's archives of surgery · 2024Observational
- Variation in Hospital Mortality After Complex Cancer Surgery: Patient, Volume, Hospital or Social Determinants?Annals of surgical oncology · 2024Article
- Hospital Designations and Their Impact on Guideline-Concordant Care and Survival in Pancreatic Cancer. Do They Matter?Annals of surgical oncology · 2023Article
- In France, distance from hospital and health care structure impact on outcome after arthroplasty of the hip for proximal fractures of the femur.Journal of orthopaedic surgery and research · 2023Article
- Minimum Volume Standards: An Incentive To Perform More Radical Cystectomies?European urology open science · 2023Article
- Trends in Textbook Outcomes over Time: Are Optimal Outcomes Following Complex Gastrointestinal Surgery for Cancer Increasing?Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022Article
- Assessing the hospital volume-outcome relationship in surgery: a scoping review.BMC medical research methodology · 2021Article
- Utilization of High-Volume Hospitals for High-Risk Cancer Surgery in California Following Medicaid Expansion.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Article
- Travel Patterns among Patients Undergoing Hepatic Resection in California: Does Driving Further for Care Improve Outcomes?Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Article
- The Impact of Establishing a Dedicated Liver Surgery Program at a University-affiliated Hospital on Workforce, Workload, Surgical Outcomes, and Trainee Surgical Autonomy and Academic Output.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2021Article
- Applying the Delphi process for development of a hepatopancreaticobiliary robotic surgery training curriculum.Surgical endoscopy · 2020Article
- In-hospital mortality and failure to rescue following hepatobiliary surgery in Germany - a nationwide analysis.BMC surgery · 2020Article
- Association Between Travel Distance, Hospital Volume, and Outcomes Following Resection of Cholangiocarcinoma.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019Article
- Procedure-Specific Volume and Nurse-to-Patient Ratio: Implications for Failure to Rescue Patients Following Liver Surgery.World journal of surgery · 2019Article
- Relationship between surgeon volume and outcomes in spine surgery: a dose-response meta-analysis.Annals of translational medicine · 2018Article
- LIVER RESECTION IN BRAZIL: A NATIONAL SURVEY.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2018Article
- Association of Hospital Market Concentration With Costs of Complex Hepatopancreaticobiliary Surgery.JAMA surgery · 2017Article
- Hospital Volume and the Costs Associated with Surgery for Pancreatic Cancer.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2017Article
- Influence of Hospital Volume Effects and Minimum Caseload Requirements on Quality of Care in Pancreatic Surgery in Germany.Visceral medicine · 2017Review
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionData evaluating trends in hospital volume are lacking. The current study sought to examine trends in outcomes relative to hospital volume following liver surgery.
methodsA total of 14,296 patients >18 years undergoing an elective liver resection (LR) for cancer were identified using the National Inpatient Sample from 2001 to 2011. Multivariable logistic regression analysis was performed to compare postoperative morbidity and mortality relative to hospital volume over time.
resultsOver time, the proportion of patients undergoing a LR at a high-volume hospital (HVH) increased from 24.4 to 45.0 %, while the proportion of patients undergoing a LR at a low-volume hospital (LVH) decreased from 40.4 to 22.7 %. On multivariable analysis, patients undergoing a LR at high-volume hospitals demonstrated a 29 % lower odds of mortality (OR = 0.71, 95 % CI = 0.59-0.86, p < 0.001) compared with patients undergoing a LR at a LVH. The rate of regionalization, however, was not equal among all patients as older patients, patients belonging to a racial minority, and those presenting with substantial comorbidity were less likely to undergo a LR at a HVH.
conclusionAn increase in the regionalization of liver surgery was observed over time. Trends in regionalization were, however, associated with discrepancies in access to HVH among specific patient populations.
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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.