Outcome--more than just operative mortality.
Historical reviews of outcome following major operations for cancer have focused on the readily measurable, operative mortality. The interrelationship of surgeon and institutional volume to improved perioperative outcome has been confirmed. More current studies now relate long term cancer survival to other issues of specialization, volume, payor and institution. The challenge is to determine what volume thresholds are sufficient for acceptable outcomes.
Brennan
Murray F
MF
Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York 10065, USA. brennanm@mskcc.org
Radzyner
Mark
M
Rubin
David M
DM
D019985:Benchmarking / Q000379:methods*; D006302:Health Services Research; D006801:Humans; D009369:Neoplasms / Q000401:mortality / Q000601:surgery*; D009519:New York City / Q000453:epidemiology; D017063:Outcome Assessment, Health Care; D018426:SEER Program; D013043:Specialties, Surgical / Q000706:statistics & numerical data; D013514:Surgical Procedures, Operative / Q000401:mortality / Q000706:statistics & numerical data; D015996:Survival Rate / Q000639:trends; D014481:United States / Q000453:epidemiology; D016526:Workload