ArticleBMC medical research methodology2021
Assessing the hospital volume-outcome relationship in surgery: a scoping review.
Article in BMC medical research methodology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.
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Who cites it
36 citing papers in PubMed.
- Article
- Simulation of the Effects of Minimum Case Volume Thresholds on the Geographic Accessibility of Inpatient Neurosurgical Facilities in Germany.Healthcare (Basel, Switzerland) · 2026Article
- Geographic Trends and Disparities in Meningioma Mortality: A National Observational Study from 1999 to 2020 Utilizing the CDC Wonder Database.Journal of neurological surgery. Part B, Skull base · 2026Article
- Analysis of root causes of adverse events with Mazor X and Mazor X stealth edition-guided spine surgeries: an FDA MAUDE database study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Impact of Surgeon Procedural Volume on Outcomes Following Cervical Disc Arthroplasty: A Retrospective Cohort Study.Cureus · 2026Article
- In-Hospital Outcomes After Tricuspid Valve Surgery in the United States: Impact of Surgical Center Volumes.JACC. Advances · 2026Article
- Cooperative spatial modelling of hospital compliance with minimum caseload requirements.International journal of health geographics · 2026Article
- Outcomes of malignant orbital tumors: a 22-year Norwegian single-center series.Frontiers in surgery · 2026Article
- Hospital volume-outcome relationship in emergency trunk interventional radiology for trauma patients: a nationwide observational study in Japan.European radiology · 2025Observational
- Predictors of short-term outcomes after postoperative periprosthetic femoral fracture : a UK linked data analysis.Bone & joint open · 2025Article
- More is more? The role of surgeon in the volume-outcome relationship: an Italian population-based cohort study.BMJ open · 2025Article
- Article
- Chance of pouch surgery after colectomy for ulcerative colitis based on pelvic pouch volumes at the colectomy hospital, a Swedish national cohort study.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025Article
- Parental preferences for pediatric surgical facility centralization: insights from a discrete choice experiment.Pediatric surgery international · 2025Article
- Clinicopathological Factors Affecting Positive Margins after Breast-Conserving Surgery: A Comparative Study of Low- and High-Volume Hospitals.Breast care (Basel, Switzerland) · 2025Article
- Association of a State-Wide Alternative Payment Model for Rural Hospitals With Bypass for Elective Surgeries.Health services research · 2025Article
- Factors affecting general practitioners' referrals of patients to hip and knee arthroplasty: a focus group study from Northern Norway.BMC health services research · 2025Article
- Construction of a survival prediction model for patients with hepatocellular carcinoma (HCC) based on real clinical data: a single-center retrospective study.Journal of gastrointestinal oncology · 2025Article
- Cardiac Surgeons at the Start of Their Practice Have Similar Volume/Outcome Association Compared With Established Surgeons.Journal of the American Heart Association · 2025Article
- A patient-centered textbook outcome measure effectively discriminates contemporary elective open abdominal aortic aneurysm repair quality.Journal of vascular surgery · 2024Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionMany recent studies have investigated the hospital volume-outcome relationship in surgery. In some cases, the results have prompted the centralization of surgical activity. However, the methodologies and interpretations differ markedly from one study to another. The objective of the present scoping review was to describe the various features used to assess the volume-outcome relationship: the analyzed datasets, study population, outcome, covariates, confounders, volume modalities, and statistical methods. METHODS AND ANALYSIS: The review was conducted according to a study protocol published in BMJ Open in 2020. Two authors (both of whom had helped to design the study protocol) screened publications independently according to the title, the abstract and then the full text. To ensure exhaustivity, all the papers included by each reviewer went through to the next step.
interpretationThe 403 included studies covered 90 types of surgery, 61 types of outcome, and 72 covariates or potential confounders. 191 (47.5%) studies focussed on oncological surgery and 37.8% focussed visceral or digestive tract surgery. Overall, 86.6% of the studies found a statistically significant volume-outcome relationship, although the findings differed from one type of surgery to another. Furthermore, the types of outcome and the covariates were highly diverse. The majority of studies were performed in Western countries, and oncological and visceral surgical procedures were over-represented; this might limit the generalizability and comparability of the studies' results.
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