ReviewDiseases of the colon and rectum2018
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.
Review in Diseases of the colon and rectum, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
36 citing papers in PubMed, 3 syntheses or guidelines pooled it, 68 citations in OpenAlex.
- Hospital and surgeon volume versus outcomes after colorectal cancer surgery: umbrella review and meta-analysis.BJS open · 2026Pooled it
- Anastomotic leak risk in complete responders to neoadjuvant therapy for rectal cancer: a systematic review.International journal of colorectal disease · 2021Pooled it
- Optimizing quantitative fluorescence angiography for visceral perfusion assessment.Surgical endoscopy · 2020Pooled it
- Impact of hospital volume on laparoscopic surgery for locally advanced rectal cancer: a subanalysis of the JSLCS multicenter observational study.Surgery today · 2026Article
- The effects of certification of head and neck cancer centers on the survival of patients with a head and neck cancer.BMC cancer · 2026Article
- Association of early discharge and clinical outcomes following proctectomy for patients with rectal cancer: A NRD analysis.PloS one · 2026Article
- Socio-economic predictors and between-hospital variation in permanent stoma rates after segmental resection of colorectal cancer. A population-based register study.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025Article
- Guidance on the Surgical Management of Rectal Cancer: An Umbrella Review.Life (Basel, Switzerland) · 2025Review
- Impacts of COVID-19 pandemic on short-term outcomes of low anterior resection performed in hospitals with different surgical volumes.Annals of gastroenterological surgery · 2025Article
- Regional Colon and Rectal Surgeon Density Is Associated with Variation in Rectal Cancer Surgical Treatment: A Dartmouth Atlas Study.Journal of clinical medicine · 2025Article
- Effects of surgeon specialization on the outcome of emergency colorectal surgery.Annals of medicine and surgery (2012) · 2024Article
- Fragmentation of care in breast cancer: greater than the sum of its parts.Breast cancer research and treatment · 2024Article
- Perspectives on Referring for Rectal Cancer Surgery: a Survey Study of Gastroenterologist and General Surgeons in Iowa.Journal of gastrointestinal cancer · 2024Article
- Treatment in Certified Breast Cancer Centers Improves Chances of Survival of Patients with Breast Cancer: Evidence Based on Health Care Data from the WiZen Study.Geburtshilfe und Frauenheilkunde · 2024Article
- Treatment in certified cancer centers is related to better survival in patients with colon and rectal cancer: evidence from a large German cohort study.World journal of surgical oncology · 2024Article
- What is the impact of hospital and surgeon volumes on outcomes in rectal cancer surgery?Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2023Article
- Initial Cancer Treatment in Certified Versus Non-Certified Hospitals.Deutsches Arzteblatt international · 2023Observational
- Intracorporeal versus extracorporeal anastomosis in laparoscopic right hemicolectomy: a retrospective cohort study of anastomotic complications.Annals of coloproctology · 2023Article
- Who should operate patients presenting with emergent colon cancer? A comparison of short- and long-term outcome depending on surgical sub-specialization.World journal of emergency surgery : WJES · 2023Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundPrevious reviews and meta-analyses, which predominantly focused on patients treated before 2000, have reported conflicting evidence about the association between hospital/surgeon volume and rectal cancer outcomes. Given advances in rectal cancer resection, such as total mesorectal excision, it is essential to determine whether volume plays a role in rectal cancer outcomes among patients treated since 2000.
objectiveThe purpose of this study was to determine whether there is an association between hospital/surgeon volume and rectal cancer surgery outcomes among patients treated since 2000. DATA SOURCES: We searched PubMed and EMBASE for articles published between January 2000 and December 29, 2017. STUDY SELECTION: Articles that analyzed the association between hospital/surgeon volume and rectal cancer outcomes were selected.
interventionRectal cancer resection was the study intervention.
main outcome measuresThe outcome measures of this study were surgical morbidity, postoperative mortality, surgical margin positivity, permanent colostomy rates, recurrence, and overall survival.
resultsAlthough 2845 articles were retrieved and assessed by the search strategy, 21 met the inclusion and exclusion criteria. There was a significant protective association between higher hospital volume and surgical morbidity (OR = 0.80 (95% CI, 0.70-0.93); I = 35%), permanent colostomy (OR = 0.51 (95% CI, 0.29-0.92); I = 34%), and postoperative mortality (OR = 0.62 (95% CI, 0.43-0.88); I = 34%), and overall survival (OR = 0.99 (95% CI, 0.98-1.00); I = 3%). Stratified analysis showed that the magnitude of association between hospital volume and rectal cancer surgery outcomes was stronger in the United States compared with other countries. Surgeon volume was not significantly associated with overall survival. The articles included in this analysis were high quality according to the Newcastle-Ottawa scale. Funnel plots suggested that the potential for publication bias was low. LIMITATIONS: Some articles included rectosigmoid cancers.
conclusionsAmong patients diagnosed since 2000, higher hospital volume has had a significant protective effect on rectal cancer surgery outcomes.
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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.