title: Centralization of surgery: is it applicable to less populous nations?
abstract: The practice of surgery has witnessed substantial evolution over the recent years, especially with significant advancements in the field of medical diagnostics and surgical therapies. Establishment of specialized and super-specialized surgical centers has resulted in concentrated distribution of patient caseload. There is an immense thrust towards the centralization of surgery particularly for complex high-risk procedures in the Western World. However, such concepts may not apply to less populous nations, and the adoption of healthcare delivery system of specialized centers by low-volume hospitals may produce overall better outcomes.
authors.affiliation: Gastrintestinal Surgical Oncology, Tata Memorial Hospital, Parel, Mumbai, India. pjshukla@doctors.org.uk
authors.forename: Parul J
authors.initials: PJ
authors.lastname: Shukla
authors.forename: Sujit Vijay
authors.initials: SV
authors.lastname: Sakpal
authors.forename: Vijay
authors.initials: V
authors.lastname: Naraynsingh