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Volume and Outcome of Organ Transplantation

Published online by Cambridge University Press:  14 October 2009

H. David Banta
Affiliation:
Netherlands Organization for Applied Scientific Research (TNO)
Gerard L. Engel
Affiliation:
Maastricht University Hospital
Tore Scherstén
Affiliation:
Sahlgrenska Hospital, Goteborg

Abstract

In general, technically demanding medical procedures are associated with better outcomes when they are carried out in institutions and by physicians with higher volumes of practice. This paper examines the evidence for a volume–outcome relationship in the case of organ transplantation. Although few studies have been done on this subject, existing evidence is consistent with improved outcomes at higher volumes. Therefore, evidence supports policies that regionalize transplantation services.

Type
General Essays
Copyright
Copyright © Cambridge University Press 1992

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