Impact of surgeon and hospital ovarian cancer surgical case volume on in-hospital mortality and related short-term outcomes

Impact of Individual Surgeon Volume on Hysterectomy Costs

“…This number is somewhat lower than the typical range used in the literature, of 8 -30 hysterectomies annually. [2][3][4][5] However, it is reflective of our large university based health care system.…”

“…Typically, the cutoff is 10 -30 hysterectomies annually. [2][3][4][5] Numerous retrospective cohort studies of large national and state databases found that high-volume gynecologic surgeons improve multiple patient outcomes including decreased blood loss, operative time, intraoperative and postoperative complications, ICU admissions, transfusions, hospital readmissions, and length of hospital admissions. 2-4,6 -8 These benefits have led healthcare systems to start funneling cases to high-volume surgeons in an attempt to reproduce these benefits within their own systems.…”

Trends in hospital volume and patterns of referral for women with gynecologic cancers

“…8 Studies examining regionalization of care for gynecologic cancers have been limited. [26][27][28] A report that analyzed referral patterns in Maryland found an increase in treatment at highvolume hospitals and by high-volume surgeons for women with ovarian cancer in 2001-2008 compared to those treated in the 1990s. 27 Similar data were noted in a report from Norway.…”

“…[26][27][28] A report that analyzed referral patterns in Maryland found an increase in treatment at highvolume hospitals and by high-volume surgeons for women with ovarian cancer in 2001-2008 compared to those treated in the 1990s. 27 Similar data were noted in a report from Norway. 28 Our findings were clearly more modest; we found no change in the median number of ovarian cancer procedures and a small increase in hospital procedural volume for endometrial cancer.…”

GES en cáncer de ovario epitelial: un avance sanitario necesario pero no exento de riesgos y dificultades futuras

“…Es universalmente aceptado que los mejores resultados en el manejo de patologías de alta complejidad, dentro de las cuales califica el cáncer de ovario, se logran cuando el manejo se centraliza en lugares que cuentan con toda la tecnología y la experiencia. Equipos experimentados permiten maximizar el éxito terapéutico y minimizar las complicaciones y costos asociados a la atención (18). Es deber de la autoridad garantizar que cada región cuente con centros de alta complejidad, con el debido equipamiento y con personal entrenado.…”