Evidence map›Paper›PMID 28608012›Full record

ArticleWorld journal of surgery2017

The Advent of Ultra-high Volume Thoracic Surgical Centers in Shanghai.

Alan D L Sihoe, Baohui Han, Timothy Y Yang, Changqing Pan, Gening Jiang, Vincent W T Fang

Abstract read
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Article in World journal of surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Management of screening-detected ground glass nodules: a narrative review.Indian journal of thoracic and cardiovascular surgery · 2024
    Review
  2. Article
  3. Non-small cell lung cancer in China.Cancer communications (London, England) · 2022
    Review
  4. Review
  5. Review
  6. Uniportal VATS for non-small cell lung cancer.General thoracic and cardiovascular surgery · 2020
    Review
  7. Article
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Alan D L SihoeDepartment of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University, Shanghai, China. adls1@hku.hk.
Baohui HanDepartment of Pulmonary Medicine, Shanghai Chest Hospital, Jiao Tong University, Shanghai, China.
Timothy Y YangDepartment of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University, Shanghai, China.
Changqing PanDepartment of Thoracic Surgery, Shanghai Chest Hospital, Jiao Tong University, Shanghai, China.
Gening JiangDepartment of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University, Shanghai, China.
Vincent W T FangDepartment of Thoracic Surgery, Shanghai Chest Hospital, Jiao Tong University, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA core principle in surgery is that high surgical volumes are conducive toward better outcomes. Ultra-high volume centers (UHVCs) have now emerged in thoracic surgery in China that now perform a volume of thoracic operations far greater than even traditional international centers of excellence.

methodsIn 2016, two hospitals in Shanghai performed over 10,000 major pulmonary, esophageal and mediastinal resections each. A qualitative analysis of the lessons learned in achieving such large operation volumes was undertaken.

resultsThe advent of these UHVCs gives important insights for not only thoracic surgeons, but for surgical oncologists and surgeons globally. First, these ultra-high volumes were achieved to a large degree by cancer screening-but the success of the screening programs relies on reaching wider patient groups and allowing for affordable 'self-screening.' Second, the ultra-high clinical volumes at UHVCs offer unique opportunities for surgical training and research, potentially changing paradigms for academic surgery. Third, these ultra-high volumes may place new stresses on existing healthcare resources and prompt novel management strategies in response.

conclusionsThe UHVCs represent a revolutionary development in modern surgery, and it behooves surgeons to both accept the challenges and harness the advantages they may bring.

Indexed as

ChinaEarly Detection of CancerEsophageal NeoplasmsHealth PlanningHealth ResourcesHospitals, High-VolumeHumansLung NeoplasmsMediastinal NeoplasmsThoracic Surgical Procedures

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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.