From: Relationship between surgeon volume and outcomes: a systematic review of systematic reviews
Procedure/condition | Relationship | Study | End of search period | Reviewers’ conclusions |
---|---|---|---|---|
Colorectal cancer | ++ | Archampong et al. 2012 [24] | 9/2011 | Results are significantly better for HVS concerning mortality, overall survival, permanent stoma, and abdominoperineal excision; not significant for disease-specific survival and anastomotic leak |
Archampong et al. 2010 [25] | 3/2010 | Results are significantly better for HVS concerning overall survival, permanent stoma, abdominoperineal excision, and local recurrence; not significant for mortality and anastomotic leak | ||
Van Gijn et al. 2010 [48] | 2/2010 | Data clearly support a relation between surgeon volume and mortality as well as survival | ||
Salz et al. 2008 [43] | 4/2007 | No overall conclusions can be made due to heterogeneous study results and flaws in the methodological quality of the systematic review | ||
Iversen et al. 2007 (short-term) [35] | 6/2004 | Data indicate a relation between volume and short-term mortality for colon cancer but no statistically significant results for colorectal and rectal cancer | ||
Iversen et al. 2007 (long-term) [36] | 6/2004 | Data indicate a relation between volume and long-term survival for colon cancer but no statistically significant results for colorectal and rectal cancer | ||
Bariatric surgery | ++ | Zevin et al. 2012 [54] | 4/2011 | Data clearly support the relationship between HVS and several patient-related outcomes including mortality |
Padwal et al. 2011 [41] | 1/2011 | Data clearly support the relationship between HVS and several patient-related outcomes including mortality | ||
Klarenbach et al. 2010 [37] | 2/2009 | Data clearly support the relationship between HVS and several patient-related outcomes including mortality | ||
AAA | + | Young et al. 2007 [53] | NR | Pooled effect sizes for mortality were significant but findings should be interpreted with caution due to the quality of the data |
Wilt et al. 2006 [50] | 10/2005 | Data clearly support the relationship between HVS and in-hospital mortality | ||
Esophageal cancer | + | Brusselaers et al. 2014 [26] | 9/2013 | Data indicate a relationship between volume and long-term survival |
Wouters et al. 2012 [52] | 7/2010 | No significant results for patient-related outcomes albeit data indicate a slight relationship between volume and mortality as well as survival | ||
Radical prostatectomy | + | Trinh et al. 2013 [47] | 12/2011 | Data indicate a relation between volume and lots of different patient-related outcomes albeit there are no clear results for mortality |
Wilt et al. 2008 [51] | 11/2007 | Data indicate a relation between volume and different complications albeit the result for mortality is not significant | ||
Total knee arthroplasty | + | Lau et al. 2012 [38] | 12/2011 | Data indicate a relation between volume and many different patient-related outcomes but results are significant only for about the half of the outcomes |
Stengel et al. 2004 [45] | NR | Data do not support a significant relationship between surgeon volume and patient-related outcomes albeit most outcomes are better for HVS | ||
Breast cancer | ++ | Gooiker et al. 2010 [30] | 2/2010 | Data of this methodologically excellent review clearly support the relationship between HVS and survival |
CABG | ? | Sepehripour et al. 2013 [44] | 7/2012 | Data do not indicate a clear relation between volume and mortality or other patient-related outcomes and results should be interpreted with caution due to methodological shortcomings |
Cystectomy | + | Goossens-Laan et al. 2011 [32] | 9/2010 | Data show a significant relation between volume and mortality whereas the result for survival is not significant and the body of evidence is limited |
Head and neck cancer | + | Eskander et al. 2014 [28] | 3/2013 | Data indicate a relationship for volume and long-term mortality/survival for surgery of the oral cavity but no significant results for in-hospital mortality for larynx or oropharyngeal surgery |
Lung cancer | + | Van Meyenfeldt et al. 2012 [49] | 1/2011 | Data show a relationship between surgeon volume and postoperative mortality |
Norwood procedure | ? | Pieper et al. 2014 [42] | 3/2013 | Data might indicate a slight relationship between volume and patient-related outcomes but the results are heterogeneous and predominantly non-significant |
Pancreatic surgery | + | Gooiker et al. 2011 [31] | 2/2010 | Data indicate a relation between volume and postoperative mortality albeit studies are heterogeneous |
PCI | ? | Strom et al. 2014 [46] | 9/2012 | Data indicate a relation between volume and major adverse cardiac events but there is no relationship between volume and mortality and pooled results are very heterogeneous |
Trauma | ? | Caputo et al. 2014 [27] | 6/2013 | The review included only four primary studies which are more than 10Â years old and it does not report on statistical significance |