The volume-outcome relationship for hip fractures: a systematic review and meta-analysis of 2,023,469 patients.

ABSTRACT: Background and purpose - It has been hypothesized that hospitals and surgeons with high caseloads of hip fracture patients have better outcomes, but empirical studies have reported contradictory results. This systematic review and meta-analysis evaluates the volume-outcome relationship among patients with hip fracture patients. Methods - A search of different databases was performed up to February 2018. Selection of relevant studies, data extraction, and critical appraisal of the methodological quality was performed by 2 independent reviewers. A random-effects meta-analysis using studies with comparative cut-offs was performed to estimate the effect of hospital and surgeon volume on outcome, defined as in-hospital mortality and postoperative complications. Results - 24 studies comprising 2

SUBMITTER: Wiegers EJA 

PROVIDER: S-EPMC6366538 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature