Outcome after resection of a solid tumor: volume, specialization, or both?
The outcome following surgery for resection of a solid tumor depends on a number of factors including patient comorbidity, stage of the disease, and surgical expertise. Each of these aspects must be considered when outcome data are being assessed. This multifactorial concept makes the relative importance of volume and specialization difficult to assess for individual patients. This article investigates the role of volume and specialization in determining outcome following solid tumor resection.
Taylor
I
I
Department of Surgery, Royal Free University College Medical School, University College London, London, England.
D002983:Clinical Competence / Q000592:standards*; D015897:Comorbidity; D006801:Humans; D008485:Medical Audit; D009367:Neoplasm Staging; D009369:Neoplasms / Q000150:complications / Q000401:mortality / Q000601:surgery*; D017063:Outcome Assessment, Health Care / Q000458:organization & administration*; D011787:Quality of Health Care; D012307:Risk Factors; D013043:Specialties, Surgical / Q000592:standards*; D016019:Survival Analysis; D016526:Workload