Should surgery be regionalized?
The authors suggest that new surgical procedures be carried out initially in selected institutions and that complex procedures for which it has been or can be demonstrated that mortality is inversely related to the volume of experience also be regionalized. Regionalization in the latter instance can have a small overall impact on surgical practice but a large impact on the adverse consequences of high risk operations that are performed only occasionally.
D005260:Female; D013502:General Surgery; D006801:Humans; D008297:Male; D012041:Regional Medical Programs; D013503:Surgery Department, Hospital; D013514:Surgical Procedures, Operative / Q000401:mortality*; D014481:United States