Does quantity mean quality? -An analysis of 116,000 patients regarding the connection between number of cases and quality of the results;Ist viel gleich gut? - Eine Analyse von 116.000 Patienten zum Zusammenhang zwischen Fallzahl und Ergebnisqualität

Chirurg

Volumn 71, Issue 6, 2000, Pages 717-722

  Wenning, M ^a,b   Hupe, K ^a   Scheuer, I ^a   Senninger, N ^a   Smektala, R ^a   Windhorst, Th ^a  

^a Ärztekammer Westfalen Lippe   (Germany)

^b Justiziar Arztekammer W Lippe   (Germany)

Author keywords

Cholecystectomy; Hip fracture; Outcome; Quality assurance; Volume

Indexed keywords

ARTICLE; CHOLECYSTECTOMY; COMPARATIVE STUDY; CONFIDENCE INTERVAL; HEALTH CARE QUALITY; HIP FRACTURE; HUMAN; MORTALITY; POSTOPERATIVE COMPLICATION; RISK; STANDARD; STATISTICAL ANALYSIS; STATISTICAL MODEL; TREATMENT OUTCOME;

CHOLECYSTECTOMY; CONFIDENCE INTERVALS; DATA INTERPRETATION, STATISTICAL; HIP FRACTURES; HUMANS; LOGISTIC MODELS; ODDS RATIO; POSTOPERATIVE COMPLICATIONS; QUALITY ASSURANCE, HEALTH CARE; TREATMENT OUTCOME;

EID: 0034203142     PISSN: 00094722     EISSN: None     Source Type: Journal    
DOI: 10.1007/s001040051126     Document Type: Article

References (24)

1. Asher H (1956) Cost-quantity relationships in the airframe industry. The Rand Corporation, Santa Monica, California
2. Begg CB, Cramer LD, Hoskin WJ, Brennan MF (1998) Impact of hospital volume on operative mortality for major cancer surgery. JAMA 280: 1747
3. Böttcher K, Siewert JR, Roder JD, Busch R, et al (1994) Risiko der chirurgischen Therapie des Magencarcinoms in Deutschland. Chirurg 65: 298
4. Felsenstein M (1996) Externe Qualitätssicherung. In: Scheibe O, Ekkernkamp A (Hrsg) Qualitätsmanagement in der Medizin. Handbuch für Klinik und Praxis. Ecomed, Landsberg am Lech, S I-2
5. Glasgow RE, Mulvihill SJ (1996) Hospital volume influences outcome in patients undergoing pancreatic resection for cancer. West J Med 165: 294
6. Hannan EL (1999) The relation between volume and outcome in health care. N Engl J Med 340: 1677
7. Hohenberger W (1997) The effect of specialization or organization of rectal cancer surgery. In: Søreide O, Norstein J (eds) Rectal cancer surgery. Optimisation - standardisation - documentation. Springer, Berlin Heidelberg New York, p 353
8. Houghton A (1994) Variation in outcome of surgical procedures. Br J Surg 81: 653
9. Hughes RG, Hunt SS, Luft HS (1987) Effects of surgeon volume and hospital volume on quality of care in hospitals. Med Care 25: 489
10. Hughes RG, Garnick DW, Luft HS (1988) Hospital volume and patient outcomes: the case of hip fracture patients. Med Care 26: 1057
11. Järhult J (1996) The importance of volume for outcome in cancer surgery - an overview. Eur J Surg Oncol 22: 205
12. Kee F, Wilson RH, Harper C, Patterson CC, et al (1999) Influence of hospital and clinician workload on survival from colorectal cancer: cohort study. BMJ 318: 1381
13. Klein LW, Schaer GL, Calvin JE, Palvas B, et al (1997) Does low individual coronary interventional volume correlate with worse institutional procedural outcome? JACC J Am Coll Cardiol 30: 870
14. Kovolinka CW, Copes WS, Sacco WJ (1995) Institution and per-surgeon volume versus survival outcome in Pennsylvania's trauma centers. Am J Surg 170: 333
15. Luft HS, Garnick DW, Mark DH, McPhee SJ (1990) Hospital volume, physician volume, and patient outcomes. Health Administration Press, Ann Arbor/Michigan, p 11
16. Luft HS, Bunker JP, Enthoven AC (1979) Should operations be regionalized? The empirical relation between surgical volume and mortality. N Engl J Med 301: 1364
17. Poloniecki J, Valencia O, Littlejohns P (1998) Cumulative risk adjusted mortality chart for detecting changes in death rate: observational study of heart surgery. BMJ 316: 1697
18. Richardson JD, Schmieg R, Boaz P, Spain DA, et al (1998) Impact of trauma attending surgeon case volume on outcome: is more better? J Trauma 44: 266
19. Riley G, Lubitz J (1985) Outcomes of surgery among the medicare aged: surgical volume and mortality. Health Care Financing Rev 7: 37
20. Shortell SM, LoGerfo JP (1981) Hospital medical staff organization and quality of care: results for myocardial infarction and appendectomy. Med Care 19: 1041
21. Sloan FA, Perrin JM, Valvona F (1986) In-hospital mortality of surgical patients: is there an empiric basis for standard setting? Surgery 99: 446
22. Smektala R, Wenning M, Ekkernkamp A (1999) Schenkelhalsfraktur: Analyse der Ergebnisse der externen Qualitätssicherung. Chirurg 70: 1330
23. Thiemann DR, Coresh J, Oetgen WJ, Powe NR (1999) The association between hospital volume and survival after acute myocardial infarction in elderly patients. N Engl J Med 340: 1640
24. Williams RL (1979) Measuring the effectiveness of perinatal medical care. Med Care 17: 95