Unintended Consequences of Centralization? Increased Care Fragmentation and Subsequent Mortality after Complex Cancer Surgery

High-risk cancer surgeries, specifically for gastric and hepatopancreatobiliary (HPB) cancer, are complex major abdominal operations with significant known associated morbidity and mortality.1 Centralization, or the selective performance of high-risk operations by experienced surgeons at high-volume hospitals (HVH), is important to consider because it is based on the well-documented inverse relationship between both surgeon- and hospital-specific volume and operative and surgical mortality, respectively, for cancer operations.

Source: Journal of the American College of Surgeons - May 25, 2021 Category: Surgery Authors: Allison M. Ammann, Shimul A. Shah Tags: Invited Commentary Source Type: research