International comparison of minimum volume standards for hospitals

Morche, Johannes; Renner, Daniela; Pietsch, Barbara; Kaiser, Laura; Brönneke, Jan B.; Gruber, Sabine; Matthias, Katja

doi:10.1016/j.healthpol.2018.08.016

Cited by 31 publications

(32 citation statements)

References 14 publications

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“…Based on this idea, many countries have adopted minimum surgery volumes per cancer site; however, their thresholds vary. For instance, the minimum surgery volume for lung cancer is 50 cases in Canada and 20 in the Netherlands . This suggests that volume standards should be formulated based on country‐specific characteristics, such as the burden of cancer and healthcare systems.…”

Section: Discussionmentioning

confidence: 99%

“…Although the strength of the association between hospital volume and mortality varies according to the type of surgery, some countries have applied the evidence of volume‐outcome relationships to quality and safety control programs. For instance, state authorities or professional societies in European and North American countries assess whether hospitals meet minimum volume standards for pancreatic, esophageal, lung, hepatic or biliary tract resections, and levy penalties or offer interventions to non–compliant hospitals . In the United States, the National Cancer Policy Board recommends surgery volume as a quality indicator, and a non–profit organization conducts hospital surveys and presents the achievement status of minimal surgical volume to individual hospitals…”

Section: Introductionmentioning

confidence: 99%

“…For instance, state authorities or professional societies in European and North American countries assess whether hospitals meet minimum volume standards for pancreatic, esophageal, lung, hepatic or biliary tract resections, and levy penalties or offer interventions to noncompliant hospitals. 26 In the United States, the National Cancer Policy Board recommends surgery volume as a quality indicator, 3,27 and a non-profit organization conducts hospital surveys and presents the achievement status of minimal surgical volume to individual hospitals. 28 In Japan, a minimum hospital volume standard is used as an eligibility criterion for designated cancer care hospitals, and as an indicator to monitor their performance.…”

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confidence: 99%

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Hospital volume and postoperative 5‐year survival for five different cancer sites: A population‐based study in Japan

et al. 2020

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The relationship between hospital volume and patient outcome is globally known; thus, hospital volume is widely used as a quality indicator. In Japan, however, recent studies on this topic are scarce. The present study examined whether hospital surgery volume is associated with postoperative 5‐year survival among cancer patients. Using the Osaka Cancer Registry, we identified a sample of 86 145 patients who were diagnosed with cancer at any of five different sites (stomach, colorectum, lung, breast and uterus) and underwent surgeries between 2007 and 2011 in Osaka. We ranked hospitals by annual surgical volume, sorted patients in descending order by hospital volume, and assigned them into quartiles (high, medium, low and very low volume). We analyzed the association between hospital volume and 5‐year survival among 80 959 patients aged between 15 and 84 years using Cox proportional hazard models. Adjustments were made for characteristics of patients, type of surgery and adjuvant treatment received. The mortality hazard of patients treated at very low‐volume hospitals was 1.36‐1.82‐fold higher than that of patients treated at high‐volume hospitals. Absolute differences in adjusted survival rates between high‐volume and very low‐volume hospitals varied with the cancer site: 14.9 in stomach, 11.5 in colorectal, 10.8 in lung, 2.4 in breast and 3.3 in uterine cancers. Hospitals with lower surgery volumes showed higher mortality risks after cancer surgery than those with higher volumes. Monitoring site‐specific surgery volumes and referring patients from low‐volume to high‐volume hospitals may be beneficial for improving the long‐term survival of cancer patients.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Hospital volume and postoperative 5‐year survival for five different cancer sites: A population‐based study in Japan

et al. 2020

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“…Op die manier kan immers worden voldaan aan de minimumvolumenormen. Zowel in Nederland 39 als in andere landen 40 worden deze normen steeds verder opgeschroefd vanuit de gedachte dat het behandelen van een bepaald minimumaantal patiënten belangrijk is om een goede kwaliteit te kunnen garanderen. Vanuit marktordeningsperspectief is het echter de vraag of het wenselijk is om deze concentratie te laten plaatsvinden via ziekenhuisfusies of door concentratie van uitsluitend de betreffende vormen van hoogcomplexe zorg in een beperkt aantal ziekenhuizen (en dus het afstoten van deze vormen van zorg door andere ziekenhuizen).…”

Section: Belangrijke Aandachtspuntenunclassified

Fusietoetsing in de zorg: een terug- en vooruitblik

Varkevisser¹,

Schut²

2019

Tijdschrift Voor Toezicht

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“…In most cases, annual volumes per surgeon or hospital are applied. A possible consequence of not complying with MVS is that surgeries are not reimbursed anymore [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Minimum volume standards in day surgery: a systematic review

Stanak

Strohmaier

2020

BMC Health Serv Res

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Background The aim was to find out if and for what indications are minimum volume standards (MVS) applied in the day surgery setting and whether the application of MVS improves patient relevant outcomes. Methods We conducted a comprehensive systematic literature search in seven databases on July 12th, 2019. Concerning effectiveness and safety, the data retrieved from the selected studies were systematically extracted into data-extraction tables. Two independent researchers (MS, CS) systematically assessed the quality of evidence using the quality assessment tool for individual studies of the International Society for Pharmacoeconomics and Outcomes Research (ISPOR) called Task Force Checklist for Quality Assessment of Retrospective Database Studies. No instances of disagreement occurred. No further data processing was applied. Results The systematic literature search, together with hand search, yielded 595 hits. No prospective or controlled studies were found. Data from eight retrospective studies were used in the analysis of clinical effectiveness and safety on seven indications: anterior cruciate ligament reconstruction, cataract surgery, meniscectomy, thyroidectomy, primary hip arthroscopy, open carpal tunnel release, and rotator cuff repair. All interventions (except for carpal tunnel release and thyroidectomy) confirmed a volume-outcome relationship (VOR) with relation to surgeon/hospital volume, however, none established MVS for the respective interventions. Safety related data were reported without its relationship to surgeon/hospital volume. Conclusions This present paper provides some evidence in favor of the VOR, however, it based on low quality retrospective data-analyses. The present results cannot offer any clear-cut MVS thresholds for the day surgery setting and so the simple transition from inpatient results (that support MVS) to the day surgery setting is questionable. Further quality assuring policy approaches should be considered.

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International comparison of minimum volume standards for hospitals

Cited by 31 publications

References 14 publications

Hospital volume and postoperative 5‐year survival for five different cancer sites: A population‐based study in Japan

Hospital volume and postoperative 5‐year survival for five different cancer sites: A population‐based study in Japan

Fusietoetsing in de zorg: een terug- en vooruitblik

Minimum volume standards in day surgery: a systematic review

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