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Surgeon volume and 30 day mortality for brain tumours in England

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Title: Surgeon volume and 30 day mortality for brain tumours in England
Authors: Williams, M
Treasure, P
Greenberg, D
Brodbelt, A
Collins, P
Item Type: Journal Article
Abstract: background: There is evidence that surgeons who perform more operations have better outcomes. However, in patients with brain tumours, all of the evidence comes from the USA. methods: We examined all English patients with an intracranial neoplasm who had an intracranial resection in 2008–2010. We included surgeons who performed at least six operations over 3 years, and at least one operation in the first and last 6 months of the period. results: The analysis data set comprised 9194 operations, 163 consultant neurosurgeons and 30 centres. Individual surgeon volumes varied widely (7–272; median=46). 72% of operations were on the brain, and 30 day mortality was 3%. A doubling of surgeon load was associated with a 20% relative reduction in mortality. Thirty day mortality varied between centres (0·95–8·62%) but was not related to centre workload. conclusions: Individual surgeon volumes correlated with patient 30 day mortality. Centres and surgeons in England are busier than surgeons and centres in the USA. There is no relationship between centre volume and 30 day mortality in England. Services in the UK appear to be adequately arranged at a centre level, but would benefit from further surgeon sub-specialisation.
Issue Date: 20-Oct-2016
Date of Acceptance: 16-Aug-2016
URI: http://hdl.handle.net/10044/1/43187
DOI: http://dx.doi.org/10.1038/bjc.2016.317
ISSN: 1532-1827
Publisher: Cancer Research UK
Start Page: 1379
End Page: 1382
Journal / Book Title: British Journal of Cancer
Volume: 115
Copyright Statement: © 2016 The Authors. Published by Cancer Research UK. This work is licensed under the Creative Commons Attribution-Non-Commercial-Share Alike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-sa/4.0/
Keywords: Oncology & Carcinogenesis
1112 Oncology And Carcinogenesis
Publication Status: Published
Appears in Collections:Department of Surgery and Cancer