Volume-Outcome Relationships in Vascular Surgery: The Current Status

被引：73

作者：

Karthikesalingam, Alan ^{[1
]}

Hinchliffe, Robert J. ^{[1
]}

Loftus, Ian M. ^{[1
]}

Thompson, Matt M. ^{[1
]}

Holt, Peter J. ^{[1
]}

机构：

[1] St Georges Healthcare NHS Trust, St Georges Vasc Inst, Dept Outcomes Res, London SW17 0QT, England

来源：

JOURNAL OF ENDOVASCULAR THERAPY | 2010年 / 17卷 / 03期

关键词：

vascular surgery; endovascular aneurysm repair; abdominal aortic aneurysm; ruptured abdominal aortic aneurysm; carotid endarterectomy; lower extremity stenosis; bypass surgery; thoracic aortic aneurysm; thoracoabdominal aortic aneurysm; thoracic endovascular aortic repair; hospital volume; surgeon workload; outcome analysis; ABDOMINAL AORTIC-ANEURYSM; POPULATION-BASED OUTCOMES; IN-HOSPITAL MORTALITY; OPEN-SURGICAL REPAIR; NEW-YORK-STATE; CAROTID-ENDARTERECTOMY; ENDOVASCULAR REPAIR; OPERATIVE MORTALITY; UNITED-STATES; METAANALYSIS;

D O I：

10.1583/10-3035.1

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Vascular surgery has been widely practiced in hospitals within a general surgical service, although the consequent workload of individual vascular units has been small. There is an increasing body of evidence in favor of a positive relationship between hospital and surgeon volumes and the outcome of arterial surgery. These relationships suggest that vascular surgical procedures might be best placed within a centralized model of care to increase volume and thereby attain best outcomes. This systematic review appraises the current evidence for volume-outcome relationships in vascular surgery from a number of healthcare systems to examine the basis for centralization of vascular surgical services. The index procedures addressed in this review are open or endovascular repair of abdominal aortic aneurysm (AAA), ruptured AAA, descending thoracic aortic aneurysm, and thoracoabdominal aortic aneurysm, along with carotid endarterectomy and lower extremity arterial bypass. J Endovasc Ther. 2010;17:356-365

引用

页码：356 / 365

页数：10

共 73 条

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