Effect of hospital volume on quality of care and outcome after rectal cancer surgery.

Research on the relationship between hospital volume and quality of care in the treatment of rectal cancer is limited. Process and outcome indicators were assessed in patients with rectal adenocarcinoma who underwent total mesorectal excision, registered on a voluntary basis in the PROCARE clinical database. Volume was derived from an administrative database and analysed as a continuous variable. Sphincter preservation, 30-day mortality and survival rates were cross-checked against population-based data. A total of 1469 patients registered in PROCARE between 2006 and 2011 were included in this... Mehr ...