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341
J Gastric Cancer 2010;10(4):234-240 � DOI:10.5230/jgc.2010.10.4.234 Original Article Feasibility of Gastric Cancer Surgery at Low Volume Hospitals
"... Purpose: Most gastric cancer patients undergo operations at large tertiary hospitals in Korea. However, some patients are treated at low volume hospitals. We investigated patient outcomes after gastric surgery at a secondary hospital and compared with outcomes of large volume centers. Materials and ..."
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Purpose: Most gastric cancer patients undergo operations at large tertiary hospitals in Korea. However, some patients are treated at low volume hospitals. We investigated patient outcomes after gastric surgery at a secondary hospital and compared with outcomes of large volume centers. Materials
Variation in Critical Care Unit Admission Rates and Outcomes for Patients With Acute Coronary Syndromes or Heart Failure Among High- and Low-Volume Cardiac Hospitals
"... Background-—Little is known about cross-hospital differences in critical care units admission rates and related resource utilization and outcomes among patients hospitalized with acute coronary syndromes (ACS) or heart failure (HF). Methods and Results-—Using a population-based sample of 16 078 pati ..."
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hospitalization. The percentage of hospitalized patients admitted to critical care units varied across low, medium, and high-volume hospitals for both ACS and HF as follows: 77.9%, 81.3%, and 76.3 % (P<0.001), and 18.0%, 16.3%, and 13.0 % (P<0.001), respectively. Compared to low-volume units, critical care
Hospital Discharge
"... In 2010, 17 % of the U.S. population lived in rural (nonmetropolitan) areas (1). Disparities in health care access between rural and urban areas have been documented (2–4). Rural hospitals not only provide inpatient care, but also emergency department, outpatient department, long-term care, and heal ..."
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, and health care coordination (4,5). Rural hospitals may have difficulty remaining financially viable (5,6). Medicare payment policies help keep the low-volume hospitals solvent so that vulnerable populations have access to health care without traveling to urban areas (4–7). This data brief provides national
Annals of Surgical Oncology 15(1):80–87 DOI: 10.1245/s10434-007-9673-4 High-Volume versus Low-Volume for Esophageal Resections for Cancer: The Essential Role of Case-Mix Adjustments based on Clinical Data
"... Background: Most studies addressing the volume–outcome relationship in complex surgical procedures use hospital mortality as the sole outcome measure and are rarely based on detailed clinical data. The lack of reliable information about comorbidities and tumor stages makes the conclusions of these s ..."
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performed between January 1990 and December 1999, were retrieved from the original patientsÕ files. Three hundred and fortytwo patients were operated on in 11 low-volume hospitals (<7 resections/year) and 561 in a single high-volume center. Results: Mortality and morbidity rates were significantly lower
oesophageal cancer: a population-based study in Taiwan†
, 2014
"... OBJECTIVES: Previous studies have shown that patients who undergo oesophageal cancer surgery in high-volume hospitals have lower postoperative mortality rates. However, the impact of hospital volume on long-term survival is controversial. METHODS: We identified 2151 patients who were diagnosed with ..."
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regression analyses were used to determine the survival impact of hospital volume. RESULTS: The 3-year overall survival rates after oesophagectomies were 44.9 % in high-volume hospitals, compared with 40.2 % in low-volume hospitals (P = 0.002). For patients who received preoperative chemoradiation (n = 850
The Combined Effects of Hospital and Surgeon Volume on Short-Term Survival after Hepatic Resection in a Population-Based Study
"... Background: The influence of different hospital and surgeon volumes on short-term survival after hepatic resection is not clearly clarified. By taking the known prognostic factors into account, the purpose of this study is to assess the combined effects of hospital and surgeon volume on short-term s ..."
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was used to assess the relationship between survival and different hospital, surgeon volume and caseload combinations. Results: High-volume surgeons in high-volume hospitals had the highest short-term survivals, following by high-volume surgeons in low-volume hospitals, low-volume surgeons in high-volume
Epidemiology Report Hospital Procedure Volume and Survival of Cancer Patients in Osaka, Japan: A Population-based Study with Latest Cases
, 2006
"... Background: Recent studies reported that hospital procedure volume (i.e. volume of patients per hospital receiving a particular treatment)was directly proportional to cancer survival; however the degree of association might be different according to the primary tumor site, extent of disease and year ..."
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were retrieved from Osaka Cancer Registry’s database. The analysed primary sites included oesophagus, stomach, large bowel, liver, gall bladder, pancreas, lung, breast, uterus, ovary, prostate, bladder and lymphoma. Hospitals were ranked as high-, medium-, low- and very low-volume hospitals for every
Clinical Study Variation in Annual Volume at a University Hospital Does Not Predict Mortality for Pancreatic Resections
"... Annual volume of pancreatic resections has been shown to affect mortality rates, prompting recommendations to regionalize these procedures to high-volume hospitals. Implementation has been difficult, given the paucity of high-volume centers and the logistical hardships facing patients. Some studies ..."
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have shown that low-volume hospitals achieve good outcomes as well, suggesting that other factors are involved. We sought to determine whether variations in annual volume affected patient outcomes in 511 patients who underwent pancreatic resections at the University of California, San Francisco between
Seeking Better Outcomes in Coronary Artery Bypass Grafting Lessons From Past Experience
"... Are we delivering the safest and most effective care? Howbest can we learn from our experience? For healthcare professionals who ask these questions, the article by Guru and colleagues in this issue of Circulation is essential reading.1 These Canadian investigators performed an implicit review and r ..."
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and colleagues uncovered many opportunities for important improvements in a hospital system that could have been content with its successes. Their investigation was conducted in a system with no low-volume hospitals and low
PANCREAS NEWS Pancreatic Cancer: The Effect of Specialization and New Medical Treatment
"... Within the past decade, many studies of patients having pancreatic cancer have shown a reduced post-operative morbidity and mortality rate as well as longer survival when treated in specialist regional Centres. A significant reduction in post-operative mortality rates in high- versus low-volume hosp ..."
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Within the past decade, many studies of patients having pancreatic cancer have shown a reduced post-operative morbidity and mortality rate as well as longer survival when treated in specialist regional Centres. A significant reduction in post-operative mortality rates in high- versus low-volume
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341
