Patient volume and quality in vascular surgery a systematic review

Vascular surgeries are procedures related to diseases of the blood vessels, i.e. the arteries and veins of the circulatory system of the body. Typically, this includes surgery of the aorta, carotid arteries, and vessels of the lower extremities. The quality of these procedures is thought to be depen...

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Bibliographic Details
Main Authors: Austvoll-Dahlgren, Astrid, Underland, Vigdis (Author), Straumann, Gyri Hval (Author), Forsetlund, Louise (Author)
Corporate Author: Folkehelseinstituttet (Norway)
Format: eBook
Language:English
Published: Oslo Norwegian Institute of Public Health 2017, 2017
Subjects:
Online Access:
Collection: National Center for Biotechnology Information - Collection details see MPG.ReNa
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100 1 |a Austvoll-Dahlgren, Astrid 
245 0 0 |a Patient volume and quality in vascular surgery  |h Elektronische Ressource  |b a systematic review  |c Astrid Austvoll‐Dahlgren, Vigdis Underland, Gyri Hval Straumann, Louise Forsetlund 
246 3 1 |a Pasientvolum og kvalitet i karkirurgi 
260 |a Oslo  |b Norwegian Institute of Public Health  |c 2017, 2017 
300 |a 1 PDF file (286 pages)  |b illustrations 
505 0 |a Includes bibliographical references 
653 |a Vascular Diseases / surgery 
653 |a Hospitals, High-Volume / statistics & numerical data 
653 |a Vascular Surgical Procedures / statistics & numerical data 
653 |a Quality of Health Care / statistics & numerical data 
653 |a Efficiency, Organizational 
653 |a Treatment Outcome 
653 |a Vascular Diseases / therapy 
700 1 |a Underland, Vigdis  |e [author] 
700 1 |a Straumann, Gyri Hval  |e [author] 
700 1 |a Forsetlund, Louise  |e [author] 
710 2 |a Folkehelseinstituttet (Norway) 
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082 0 |a 610 
520 |a Vascular surgeries are procedures related to diseases of the blood vessels, i.e. the arteries and veins of the circulatory system of the body. Typically, this includes surgery of the aorta, carotid arteries, and vessels of the lower extremities. The quality of these procedures is thought to be dependent on patient volume, based on the assumption that complicated procedures are best performed by those who do it often, and that "practice makes perfect". We conducted a systematic review of studies exploring the relationship between patient volume and quality in vascular surgery. We included 89 observational studies. We found that:1. higher volume had a possible impact on quality when evaluated on both surgeon and hospital level.2. higher volume had a possible impact on quality for both open and endovascular surgery.3. higher patient volume possibly reduces mortality for patients with abdominal aortic aneurysms, thoracic abdominal aortic aneurysms, carotid artery stenosis, peripheral vascular disease and renal artery disease.4. higher patient volume also possibly reduces complications in patients with abdominal aortic aneurysms, carotid artery disease and peripheral vascular disease, and length of stay (hospital days) in patients with abdominal aortic aneurysms and carotid artery disease.5. there is a need for more studies evaluating the volume-quality relationship for patients with acute admissions, and for studies assessing outcomes such as length of stay and cost