The relationship between hospital volume and outcome of gastrointestinal cancer surgery in Korea

摘要: Objectives To assess the relationship between hospital volume and in-hospital mortality of patients undergoing four surgical procedures for gastrointestinal cancers in Korea. Methods Using database Health Insurance Review Assessment Service, we identified 66,201 who underwent types resection during period 2005–2006. Participating hospitals were divided into five groups according to their volume. The primary outcome was mortality, defined as death from any cause before discharge. Multivariate logistic regression analysis performed determine effect on risk-adjusted mortality. Results We observed a significant rate cancer-related surgeries. lower high-volume than low-volume after adjusting patient characteristics. differences very-high-volume very-low-volume ranged 0.94% 2.77% procedures, with largest difference pancreatic (3.75% vs. 0.98%). Conclusion High-volume had better short-term hospitals. We confirmed volume–outcome resections Korea. J. Surg. Oncol. 2011;104:116–123. © 2011 Wiley-Liss, Inc.