Gastric & Breast Cancer
DOI: 10.2122/gbc.2003.0026
News
and Views
|
Surgeon
Volume and Skill: An Important Factor of Low Mortality
in High-Risk Surgery |
Abstract |
In
most developed countries patients can choose the hospital
and the surgeon for an elective surgical procedure.
The association between hospital volume and operative
mortality for high-risk surgery has been so well established
that patients increasingly select specialized institutions
to undergoing high-risk surgery. |
However,
the importance of the experience and technical skill
of the operating surgeon is uncertain. Should a patient
who is going to undergo a high-risk surgery select
also carefully the operating surgeon to improve its
outcomes? |
A latest US study on 474,108 US
patients highlights this question. What is the lesson
of this study and the possible future implications
in particularly toward improving outcomes of patients
with esophageal, stomach, pancreas, rectal, bladder
and some other specific types of cancer for which
appropriate treatment by experienced surgeons may
substantially improve both short-term and most important
long-term clinical outcomes? …>>
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last
update: 12 December 2003 |
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