What is the impact of hospital and surgeon volumes on outcomes in rectal cancer surgery?

ABSTRACT:

Aim

Evidence for a positive volume-outcome relationship for rectal cancer surgery is unclear. This study aims to evaluate the volume-outcome relationship for rectal cancer surgery at hospital and surgeon level in the English National Health Service (NHS).

Method

All patients undergoing a rectal cancer resection in the English NHS between 2015 and 2019 were included. Multilevel multivariable logistic regression was used to model relationships between outcomes and mean annual hospital and surgeon volumes (using a linear plus a quadratic term for volume) with adjustment for patient characteristics.

Results

A total of 13 858 patients treated in 166 hospitals were included. Six hospitals (3.6%) performed fewer than 10 rectal cancer resections per year, and 381 surgeons (45

SUBMITTER: Boyle JM 

PROVIDER: S-EPMC10946964 | biostudies-literature | 2023 Oct

REPOSITORIES: biostudies-literature