title: Every woman deserves a high-volume gynecologic surgeon.
abstract: Most women undergoing hysterectomy in the United States have their surgery performed by a low-volume gynecologic surgeon. Evidence supports that, when compared to patients operated on by high-volume surgeons, these women have worse outcomes including fewer minimally invasive procedures and increased rates of complications. The factors that promote low-volume surgeons and suggestions for how to change this are reviewed in this Viewpoint.
authors: Permanente Medical Group, Roseville, CA. Electronic address: Andrew.j.walter@kp.org.
authors: Andrew
authors: A
authors: Walter
mesh_terms: D005260:Female; D006176:Gynecology / Q000193:education / Q000706:statistics & numerical data*; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006801:Humans; D007044:Hysterectomy / Q000706:statistics & numerical data*; D019060:Minimally Invasive Surgical Procedures / Q000706:statistics & numerical data; D011183:Postoperative Complications / Q000453:epidemiology; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011787:Quality of Health Care; D066231:Surgeons / Q000706:statistics & numerical data*
keywords: hysterectomy; surgical outcomes; surgical volume