@article{JGO13051,
author = {Ya Ruth Huo and Kevin Phan and David L. Morris and Winston Liauw},
title = {Systematic review and a meta-analysis of hospital and surgeon volume/outcome relationships in colorectal cancer surgery},
journal = {Journal of Gastrointestinal Oncology},
volume = {8},
number = {3},
year = {2017},
keywords = {},
abstract = {Background: Numerous hospitals worldwide are considering setting minimum volume standards for colorectal surgery. This study aims to examine the association between hospital and surgeon volume on outcomes for colorectal surgery.
Methods: Two investigators independently reviewed six databases from inception to May 2016 for articles that reported outcomes according to hospital and/or surgeon volume. Eligible studies included those in which assessed the association hospital or surgeon volume with outcomes for the surgical treatment of colon and/or rectal cancer. Random effects models were used to pool the hazard ratios (HRs) for the association between hospital/surgeon volume with outcomes.
Results: There were 47 articles pooled (1,122,303 patients, 9,877 hospitals and 9,649 surgeons). The metaanalysis demonstrated that there is a volume-outcome relationship that favours high volume facilities and high volume surgeons. Higher hospital and surgeon volume resulted in reduced 30-day mortality (HR: 0.83; 95% CI: 0.78–0.87, P},
issn = {2219-679X}, url = {https://jgo.amegroups.org/article/view/13051}
}