The British journal of surgery
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Review Meta Analysis
Systematic review and meta-analysis of the volume-outcome relationship in pancreatic surgery.
Many studies have shown lower mortality and higher survival rates after pancreatic surgery with high-volume providers, suggesting that centralization of pancreatic surgery can improve outcomes. The methodological quality of these studies is open to question. This study involves a systematic review of the volume-outcome relationship for pancreatic surgery with a meta-analysis of studies considered to be of good quality. ⋯ There was a consistent association between high hospital volume and lower postoperative mortality rates with improved long-term survival.