Volume-outcome relationship for adrenalectomy: analysis of an administrative dataset for the Getting It Right First Time Programme.
Br J Surg
; 108(9): 1112-1119, 2021 09 27.
Article
en En
| MEDLINE
| ID: mdl-33990837
Surgery for disease of the adrenal gland can be complex. In many cases the skill and experience of the surgeon and the wider surgical team is thought to be important in determining the success of the procedure. The relative rarity of adrenal surgery means that there is little evidence to support this view. This study looked at outcomes for all 4189 patients who underwent adrenal surgery in England over a 6-year period. There was evidence that outcomes were better for patents when the surgeon and hospital trust had performed a larger number of adrenal surgery procedures in the year prior to the procedure. This was, however, dependent on which patient outcomes were studied and the type of procedure. These findings will inform the ongoing debate as to whether adrenal surgery in England should only be performed in regional centres by experienced teams.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Evaluación de Resultado en la Atención de Salud
/
Adrenalectomía
/
Hospitales de Alto Volumen
/
Cirujanos
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
Europa
Idioma:
En
Revista:
Br J Surg
Año:
2021
Tipo del documento:
Article
País de afiliación:
Reino Unido