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Does Practice Make Perfect?

Authors
Journal
Annals of Surgical Oncology
1068-9265
Publisher
Springer - Society of Surgical Oncology
Publication Date
Volume
15
Issue
5
Identifiers
DOI: 10.1245/s10434-007-9804-y
Keywords
  • Healthcare Policy And Outcomes

Abstract

Extensive literature supports the correlation between surgical volume and improved clinical outcome in the management of various cancers. It is this evidence that has catalysed the creation of centres of excellence. However, on closer inspection, many of these studies are poor quality, low weight and use vastly heterogenous end points in assessment of both volume and outcome. We critically appraise the English language literature published over the last ten years pertaining to the volume outcome relationship in the context of cancer care. Future balanced unbiased studies may enable equipoise in planning international cancer management strategies.

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