Abstract Background In several northwest European countries, a demand-driven healthcare
system has been implemented that stresses the importance of patient healthcare provider …

Objectives: To evaluate the best available evidence on volume-outcome effect of pancreatic
surgery by a systematic review of the existing data and to determine the impact of the …

Background There were numerous efforts in the United States during the previous decade to
concentrate selected surgical procedures in high-volume hospitals. It remains unknown …

Methods: Using 2005 to 2007 Medicare data, we identified patients undergoing 3 high-risk
cancer operations: gastrectomy, pancreatectomy, and esophagectomy. We first ranked …

Background: The extent of surgery for papillary thyroid cancers (PTC) remains controversial.
Consensus guidelines have recommended total thyroidectomy for PTC≥ 1 cm; however, no …

Background: The mortality and complication rates of many surgical procedures are inversely
related to hospital procedure volume. The objective of this study was to determine whether …

ContextEvidence exists that high-volume hospitals (HVHs) have lower mortality rates than
low-volume hospitals (LVHs) for certain conditions. However, few employers, health plans …

Background: Previous studies of racial disparities in total joint replacement, particularly total
knee arthroplasty, in the US have predominantly focused on disparities between blacks and …

Background: Reports of better results at national referral centers than at low-volume
community hospitals have prompted calls for regionalizing pancreaticoduodenectomy (the …

BACKGROUND.: As part of a broader effort aimed at improving hospital safety, a large
coalition of employers, the Leapfrog Group, will soon require hospitals caring for their …