Volume-outcome relationship of liver surgery: a nationwide analysis.

ABSTRACT:

Background

Evidence for an association between hospital volume and outcomes for liver surgery is abundant. The current Dutch guideline requires a minimum volume of 20 annual procedures per centre. The aim of this study was to investigate the association between hospital volume and postoperative outcomes using data from the nationwide Dutch Hepato Biliary Audit.

Methods

This was a nationwide study in the Netherlands. All liver resections reported in the Dutch Hepato Biliary Audit between 2014 and 2017 were included. Annual centre volume was calculated and classified in categories of 20 procedures per year. Main outcomes were major morbidity (Clavien-Dindo grade IIIA or higher) and 30-day or in-hospital mortality.

Results

A total of 5590 liver resections were done acros

SUBMITTER: Olthof PB 

PROVIDER: S-EPMC7384098 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature