Patient selection and the volume effect in pancreatic surgery: unequal benefits?

DiscussionIn spite of a shift to high‐volume hospitals, a substantial cohort still receives a resection outside of these centres. Patients receiving non‐high‐volume care demonstrate less favourable comorbidities, insurance and urgency of operation. The implications are twofold: already disadvantaged patients may not benefit from the high‐volume effect; and patients predisposed to do well may contribute to observed superior outcomes at high‐volume centres.

Source: HPB: official journal of the International Hepato Pancreat Biliary Association - June 1, 2014 Category: Gastroenterology Authors: Lindsay A. Bliss, Catherine J. Yang, Zeling Chau, Sing Chau Ng, David W. McFadden, Tara S. Kent, A. James Moser, Mark P. Callery, Jennifer F. Tseng Tags: Original Article Source Type: research