Surgeon volume and 30 day mortality for brain tumours in England.

ABSTRACT:

Background

There is evidence that surgeons who perform more operations have better outcomes. However, in patients with brain tumours, all of the evidence comes from the USA.

Methods

We examined all English patients with an intracranial neoplasm who had an intracranial resection in 2008-2010. We included surgeons who performed at least six operations over 3 years, and at least one operation in the first and last 6 months of the period.

Results

The analysis data set comprised 9194 operations, 163 consultant neurosurgeons and 30 centres. Individual surgeon volumes varied widely (7-272; median=46). 72% of operations were on the brain, and 30 day mortality was 3%. A doubling of surgeon load was associated with a 20% relative reduction in mortality. Thirty day mortality var

SUBMITTER: Williams M 

PROVIDER: S-EPMC5129829 | biostudies-literature | 2016 Nov

REPOSITORIES: biostudies-literature