Debate: Whether abdominal aortic aneurysm surgery should be centralized at higher-volume centers
Debate: Whether abdominal aortic aneurysm surgery should be centralized at higher-volume centers
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DOI：
10.1016/j.jvs.2011.07.064
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发表时间：
2011-10-01
影响因子：
4.3
通讯作者：
Forbes, Thomas L.
中科院分区：
文献类型：
--
作者：
Thompson, Matthew;Holt, Peter;Forbes, Thomas L.
近年来，血管外科手术中的体积-结果关系变得越来越重要。在个体外科医生层面，在量-结果和学习曲线分析后，经验的增加与患者结局的改善有关。在医院一级，进一步的分析一般表明，繁忙的医院与改善的结果之间存在类似的关系。然而，这种关系是否足够强大，足以支持有关集中护理的重要医疗保健提供决策？在英格兰，这些信息有助于形成伦敦的血管外科重组过程。以下讨论介绍了实际使用此类信息的利弊。（J Vase Surg 2011;54：1208-14.）
Volume-outcome relationships in vascular surgery have become increasingly relevant in recent years. At the individual surgeon level, increased experience has been linked with improved patient outcomes after volume-outcome and learning curve analyses. At the hospital level, further analyses have generally shown a similar relationship linking the busier hospitals with improved outcomes. However, is this relationship sufficient and robust enough to support important health care delivery decisions regarding centralization of care? In England, such information has helped to shape the vascular surgery reorganization process in London. The following discussion presents the advantages and disadvantages of the practical use of such information. (J Vase Surg 2011;54:1208-14.)