Effect of hospital and surgeon volume on patient outcomes following treatment of abdominal aortic aneurysms: a systematic review

Marlow, N.E., Barraclough, B., Collier, N.A., Dickinson, I.C., Fawcett, J., Graham, J.C. and Maddern, G.J. (2010) Effect of hospital and surgeon volume on patient outcomes following treatment of abdominal aortic aneurysms: a systematic review. European Journal of Vascular and Endovascular Surgery, 40 5: 572-579. doi:10.1016/j.ejvs.2010.07.001


Author Marlow, N.E.
Barraclough, B.
Collier, N.A.
Dickinson, I.C.
Fawcett, J.
Graham, J.C.
Maddern, G.J.
Title Effect of hospital and surgeon volume on patient outcomes following treatment of abdominal aortic aneurysms: a systematic review
Journal name European Journal of Vascular and Endovascular Surgery   Check publisher's open access policy
ISSN 1078-5884
Publication date 2010-11-01
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1016/j.ejvs.2010.07.001
Volume 40
Issue 5
Start page 572
End page 579
Total pages 8
Place of publication United Kingdom
Publisher Elsevier Ltd
Collection year 2011
Language eng
Formatted abstract
Objectives:
This systematic review assessed the efficacy of centralisation for the treatment of unruptured and ruptured abdominal aortic aneurysms. Patient outcomes achieved by low and high volume hospitals/surgeons, including morbidity, mortality and length of hospital stay, were used as proxy measures of efficacy.

Design:
Systematic review was designed to identify, assess and report on peer-reviewed articles reporting outcomes from unruptured and ruptured abdominal aortic aneurysms. No language restriction was placed on the databases searched.

Materials:
Only peer-reviewed journals articles were included. Methods: To ensure the contemporary nature of this review, only studies published between January 1997 and June 2007 were sought. Studies were included if they reported on at least one volume type and patient outcome.

Results:
Twenty two studies were included in this review. In the majority of group assessments, the number of studies reporting statistical significance was similar to the number of studies reporting no statistical significance.

Conclusion:

The paucity of studies reporting statistically significant results demonstrates that although this evidence exists, its potential to be overstated must also be taken into account when drawing conclusions as to its efficacy for twenty first century healthcare systems. © 2010 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.
Keyword Abdominal aortic aneurysms
Hospital volume
Morbidity
Mortality
Surgeon volume
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Non HERDC
School of Medicine Publications
 
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Created: Fri, 18 Mar 2011, 19:41:26 EST by Mrs Maureen Pollard on behalf of PA - Southside Clinical School