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dc.contributor.authorDavid, Guy
dc.contributor.authorGunnarsson, Candace L.
dc.contributor.authorMoore, Matt
dc.contributor.authorHowington, John
dc.contributor.authorMiller, Daniel L.
dc.contributor.authorMaddaus, Michael A.
dc.contributor.authorMcKenna, Robert
dc.contributor.authorMeyers, Bryan F.
dc.contributor.authorSwanson, Scott James
dc.date.accessioned2013-05-02T13:00:05Z
dc.date.issued2012
dc.identifier.citationDavid, Guy, Candace L. Gunnarsson, Matt Moore, John Howington, Daniel L. Miller, Michael A. Maddaus, Robert McKenna, Bryan F. Meyers, and Scott James Swanson. 2012. Surgeons' volume-outcome relationship for lobectomies and wedge resections for cancer using video-assisted thoracoscopic techniques. Minimally Invasive Surgery 2012:760292.en_US
dc.identifier.issn2090-1445en_US
dc.identifier.issn2090-1453en_US
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:10609728
dc.description.abstractThis study examined the effect of surgeons' volume on outcomes in lung surgery: lobectomies and wedge resections. Additionally, the effect of video-assisted thoracoscopic surgery (VATS) on cost, utilization, and adverse events was analyzed. The Premier Hospital Database was the data source for this analysis. Eligible patients were those of any age undergoing lobectomy or wedge resection using VATS for cancer treatment. Volume was represented by the aggregate experience level of the surgeon in a six-month window before each surgery. A positive volume-outcome relationship was found with some notable features. The relationship is stronger for cost and utilization outcomes than for adverse events; for thoracic surgeons as opposed to other surgeons; for VATS lobectomies rather than VATS wedge resections. While there was a reduction in cost and resource utilization with greater experience in VATS, these outcomes were not associated with greater experience in open procedures.en_US
dc.language.isoen_USen_US
dc.publisherHindawi Publishing Corporationen_US
dc.relation.isversionofdoi:10.1155/2012/760292en_US
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3504426/pdf/en_US
dash.licenseLAA
dc.titleSurgeons' Volume-Outcome Relationship for Lobectomies and Wedge Resections for Cancer Using Video-Assisted Thoracoscopic Techniquesen_US
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden_US
dc.relation.journalMinimally Invasive Surgeryen_US
dash.depositing.authorMcKenna, Robert
dc.date.available2013-05-02T13:00:05Z
dc.identifier.doi10.1155/2012/760292*
dash.contributor.affiliatedMcKenna, Robert
dash.contributor.affiliatedSwanson, Scott


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