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Previous Volume 349:2159-2161 November 27, 2003 Number 22 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF PDA Full Text Purchase this article Editorial by Jacobs, D. O. Letters Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited E-mail When Letters Appear Related Article by Birkmeyer, J. D. PubMed Citation

There is considerable evidence that patients undergoing various types of complex treatments or high-risk surgical procedures have lower mortality rates and otherwise better outcomes if care is provided in hospitals that have a high caseload of patients with the same condition than if care is provided by institutions with low caseloads of such patients. Notwithstanding the fact that some low-volume institutions have good outcomes and some high-volume hospitals have relatively poor outcomes, this relation between high volume and better outcomes is strong and persistent, with approximately 300 studies on the subject having been reported in the English-language literature since the . . . [Full Text of this Article]

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From the National Quality Forum, Washington, D.C.

Related Letters:

Surgeon Volume and Operative Mortality
Gutow A. P., Erlebacher J. A., Hubbard S. G., Birkmeyer J. D., Kizer K. W.
Extract | Full Text | PDF  
N Engl J Med 2004; 350:1256-1258, Mar 18, 2004. Correspondence

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