ReviewJournal of thoracic disease2021
Association between individual surgeon volume and outcome in mitral valve surgery: a systematic review.
Review in Journal of thoracic disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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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.
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Who cites it
12 citing papers in PubMed.
- Safety and feasibility of a single-surgeon cardiac surgery program during workforce shortage: a propensity-matched cohort study.Journal of cardiothoracic surgery · 2026Article
- Simulation Training in Video-Assisted and Robotic-Assisted Cardiac Surgery: A Narrative Review.Journal of cardiovascular development and disease · 2026Review
- Mind the Gap: A Nationwide Analysis of Case Distribution, Resident Exposure and Institutional Variation in German Pediatric Surgery Training.Children (Basel, Switzerland) · 2026Article
- Long-Term Survival After Mitral Valve Replacement by Preoperative Risk: Implications for Patient Selection.The Annals of thoracic surgery · 2026Article
- A real-world comparison of transcatheter edge-to-edge repair versus surgical mitral valve intervention in patients with mitral regurgitation: a TriNetX study.Frontiers in medicine · 2026Article
- Minimally invasive mitral valve surgery for mitral valve prolapse: a comparison between fibro-elastic deficiency and Barlow's disease.Interdisciplinary cardiovascular and thoracic surgery · 2025Article
- Importance of surgeon's experience in practicing valve-sparing aortic root replacement.JTCVS open · 2024Article
- Disparities in Mitral Valve Disease Associated with Heart Failure.Reviews in cardiovascular medicine · 2024Review
- The Potential of Intertwining Gene Diagnostics and Surgery for Mitral Valve Prolapse.Journal of clinical medicine · 2023Review
- An international survey-based assessment of minimally invasive mitral valve surgery.Interdisciplinary cardiovascular and thoracic surgery · 2023Article
- Minimally invasive approach associated with lower resource utilization after aortic and mitral valve surgery.JTCVS open · 2023Article
- Mastering the learning curve of endoscopic mitral valve surgery.Frontiers in cardiovascular medicine · 2023Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSurgeon volume has been identified as a possible factor that influences outcomes in mitral valve (MV) surgery. The aim of this study was to systematically review all published studies on the association between individual surgeon volume and outcome in MV surgery.
methodsPubMed was searched last on 19 November 2020. The reporting of this systematic review was done in accordance with PRISMA guidelines. Manuscripts were eligible when these studied individual surgeon volumes and its association with repair rate, mortality or reoperation. The methodological quality of the studies was assessed with the Newcastle-Ottawa Scale (NOS). Absolute numbers and percentages of the outcome measures, odds ratios (ORs), P values and threshold values regarding surgeon volume were collected.
resultsA total of 7 retrospective cohort studies were included in the qualitative analysis with total of 158488 patients. Definitions of surgeon volumes were found to be heterogenic and therefore pooling of data was not possible. Surgeon volume was significantly associated with repair rate (OR =1.25-5.5) and mortality (OR =0.46-0.84 and OR =1.50-2.27 depending on the reference group). Regarding reoperation, results were not consistent and did not always show a significant lower reoperation rate when surgeon volume increased. A mean threshold of minimally 30 MV surgeries per year was found. DISCUSSION: Higher surgeon volume is significantly associated with improved outcomes of repair rate and mortality. MV should preferentially be performed by high-volume surgeons and centralization of MV surgery might be necessary.
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