کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4001403 1259408 2009 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
The critical limitations of volume-outcome analysis
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی تومور شناسی
پیش نمایش صفحه اول مقاله
The critical limitations of volume-outcome analysis
چکیده انگلیسی

There is a justified assumption that the patient outcome is in large part determined by the quality of the care they receive. For certain procedures outside of the field of urology, it has been demonstrated that higher surgical volume, either at the hospital or surgeon level is a proxy for higher quality of care. Multiple studies have followed this line of inquiry and attempted to show that volume may also predict outcome for certain urologic procedures. Review of the published studies shows that the association appears quite weak. However, the real weakness of this line of study is not so much in the findings, but in the universally used and critically flawed study methodology. This article demonstrates how a simple study design flaw has proved to be the Achilles heal of this entire line of research.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Urologic Oncology: Seminars and Original Investigations - Volume 27, Issue 4, July–August 2009, Pages 422–426
نویسندگان
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