The effect of surgeon and hospital volume on shoulder arthroplasty perioperative quality metrics

Comparative analysis of anatomic and reverse total shoulder arthroplasty: in-hospital outcomes and costs

“…27,47 Our data supported previous studies showing that in general, higher hospital volume correlated with statistically significant lower perioperative adverse events for both types of TSA but particularly for RTSA. 27,47 Whereas both ATSA and RTSA require specialized training, the complexities associated with RTSA suggest that further training may be beneficial to help minimize complications. One of the principal findings of this study is that RTSA has become relatively common, accounting for more than 40% of all TSAs in 2011.…”

“…29,44,55 This is to be expected as surgeon inexperience has been identified as an independent risk factor for poorer shoulder outcomes after rotator cuff repair 46 arthroplasty. 24,47 Hospital surgical caseload volumes may also play a role in the frequency of complications. Patients who have TSA performed in a high-volume hospital more frequently experience better outcomes.…”

Complications and Mortality in Cervical Spine Surgery

“…This fi nding of higher odds of in-hospital mortality and complications among African Americans than Caucasians is consistent with those of previous reports for other orthopedic and surgical procedures. [23][24][25] Furthermore, it has been reported that minority patients access care at hospitals with lower procedure rates. Our results support and extend these fi ndings with 2 important additions.…”

Otoplasty: The case for skin incision by higher volume operators

“…A recent systematic review by Evans and van Woerden 13 showed that general paediatric surgery outcomes were clearly dependent on operative volumes, while a large series of 3596 paediatric cholecystectomies published by Chen, Cheung and Sosa in 2012 14 demonstrated significantly improved outcomes from high-volume surgeons compared to low-volume ones. This trend is also observed in adult cohorts, supported by strong evidence in various specialties, including orthopaedics, 15 urology, 16 general surgery 17 and surgical oncology. 18 This study is limited by its retrospective nature and multiple surgeon series.…”