Seminars in thoracic and cardiovascular surgery, 2012, Vol.24 (2), p.93-98
2012
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Details
- Autor(en) / Beteiligte
- Titel
- Lung Cancer Resection Volume: Is Procedure Volume Really an Indicator of Quality?
- Ist Teil von
- Seminars in thoracic and cardiovascular surgery, 2012, Vol.24 (2), p.93-98
- Ort / Verlag
- United States: Elsevier Inc
- Erscheinungsjahr
- 2012
- Quelle
- MEDLINE
- Beschreibungen/Notizen
- The majority of lung cancer resection studies indicate that hospital and surgeon procedure volume are inversely associated with mortality. It makes intuitive sense that performing large numbers of these procedures leads to better outcomes. However, controversy exists regarding the strength and validity of this volume-outcome association. Because thresholds of procedure volume are used to recommend the regionalization of care, investigation of the volume-outcome relationship is imperative. This review will examine the methodology used in the volume-outcome relationship literature and highlight important areas of concern. Careful examination of the literature demonstrates that lung cancer resection volume is not strongly associated with mortality and should not be used as a proxy measure for quality.
- Sprache
- Englisch
- Identifikatoren
- ISSN: 1043-0679eISSN: 1532-9488DOI: 10.1053/j.semtcvs.2012.06.007Titel-ID: cdi_proquest_miscellaneous_1035527615
- Format
- –
- Schlagworte
- Cardiothoracic Surgery, Clinical Competence - standards, Evidence-Based Medicine - standards, hospital volume, Hospitals, High-Volume - standards, Humans, lung cancer resection, Lung Neoplasms - mortality, Lung Neoplasms - surgery, Outcome and Process Assessment (Health Care) - standards, outcome relationship, Pneumonectomy - adverse effects, Pneumonectomy - mortality, Pneumonectomy - standards, Quality Indicators, Health Care - standards, regionalization of care, Reproducibility of Results, Research Design, Risk Assessment, Risk Factors, surgeon volume, Treatment Outcome, volume