title: Surgeon volume and outcomes in benign hysterectomy.
abstract: Annual surgeon case volume has been linked to patient outcome in a variety of surgical fields, although limited data focus on gynecologic surgery performed by general gynecologists. Herein we review the literature addressing the associations between intraoperative injury, postoperative morbidity, and resource use among surgeons performing a low vs high volume of hysterectomies. Although study design and populations differ, individual and composite morbidity outcomes consistently favored high-volume surgeons. Given the growing emphasis on competency-based evaluation in surgery, gynecology departments may soon consider volume requirements a component of privileging.
authors.affiliation: Division of Gynecologic Oncology, University of North Carolina, Chapel Hill, North Carolina.
authors.forename: Kemi M
authors.initials: KM
authors.lastname: Doll
authors.forename: Magdy P
authors.initials: MP
authors.lastname: Milad
authors.forename: Dana R
authors.initials: DR
authors.lastname: Gossett
mesh_terms: D000328:Adult; D002983:Clinical Competence; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D011183:Postoperative Complications / Q000209:etiology*; D016896:Treatment Outcome
keywords: Hysterectomy; Operative outcomes; Surgeon volume