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Title of Journal: J Gastrointest Surg

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Abbravation: Journal of Gastrointestinal Surgery

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Springer-Verlag

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DOI

10.1002/ar.21055

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1873-4626

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Surgeon Volume is Predictive of 5Year Survival in

Authors: HerngChing Lin ChiaChin Lin
Publish Date: 2009/09/03
Volume: 13, Issue: 12, Pages: 2284-2291
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Abstract

No study has examined associations between physician volume or hospital volume and survival in patients with liver malignancies in the hepatitis B virusendemic areas such as Taiwan This study was to examine the effect of hospital and surgeon volume on 5year survival and to determine whether hospital or surgeon volume is the stronger predictor in patients with hepatocellular carcinoma after hepatic resection in TaiwanUsing the 1997–1999 Taiwan National Health Insurance Research Database and the 1997–2004 Cause of Death Data File we identified 2799 patients who underwent hepatic resection and 1836 deaths during the 5year followup period The Cox proportional hazard regressions were performed to adjust for patient demographics comorbidity physician and hospital characteristics when assessing the association of hospital and surgeon volume with 5year survivalWhen we examined the effect of physician and hospital volumes separately both physician and hospital volumes significantly predicted 5year survival after adjusting for characteristics of patient surgeon and hospital However after we adjusted for characteristics of physician and hospital only physician volume remained a significant predictor of the 5year survival

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  1. Is there a Role for Surgery with Adequate Nodal Evaluation Alone in Gastric Adenocarcinoma?
  2. Outcomes Improvement Is Not Continuous Along the Learning Curve for Pancreaticoduodenectomy at the Hospital Level
  3. Small Intestinal Submucosa as a Bioscaffold for Tissue Regeneration in Defects of the Colonic Wall
  4. Prognostic Factors and 10-Year Survival in Patients with Hepatocellular Carcinoma After Curative Hepatectomy
  5. Ezrin Expression Is an Independent Prognostic Factor in Gastro-intestinal Cancers
  6. Reduction of the Incidence of Delayed Gastric Emptying in Side-to-Side Gastrojejunostomy in Subtotal Stomach-Preserving Pancreaticoduodenectomy
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  9. Choledochal Cysts: Differences Between Pediatric and Adult Patients
  10. Metastatic Melanoma Causing Jejunal Intussusception
  11. Giant Splenic Artery Pseudoaneurysm
  12. Impact of Resection for Primary Colorectal Cancer on Outcomes in Patients with Synchronous Colorectal Liver Metastases
  13. How I Do It: Laparoscopic Paraesophageal Hernia Repair
  14. Clinicopathologic Features of Gastric Carcinoma with Signet Ring Cell Histology
  15. High-Resolution Manometry Classifications for Idiopathic Achalasia in Patients with Chagas' Disease Esophagopathy
  16. Acute Cholecystitis—Optimal Timing for Early Cholecystectomy: a French Nationwide Study
  17. Transnasal Fine Gastrointestinal Fiberscope-guided Long Tube Insertion for Patients with Small Bowel Obstruction
  18. Pancreaticogastrostomy Versus Pancreaticojejunostomy After Pancreaticoduodenectomy: a Systematic Review and Meta-Analysis of Randomized Controlled Trials
  19. Extracorporeal Hypothermic Perfusion Device for Intestinal Graft Preservation to Decrease Ischemic Injury During Transportation
  20. Evolution of Surgical Treatment of Amebiasis-Associated Colon Perforation
  21. A Nationwide Analysis of Changes in Severity and Outcomes of Inflammatory Bowel Disease Hospitalizations
  22. Perioperative Complications After Neoadjuvant Chemotherapy With and Without Bevacizumab for Colorectal Liver Metastases
  23. A Patient with Synovial Cell Sarcoma Primary to the Gallbladder and Common Bile Duct
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  28. A Technique for the Laparoscopic Repair of Paraoesophageal Hernia Without Mesh
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  30. P.O.P.A. Study: Prevention of Postoperative Abdominal Adhesions by Icodextrin 4% Solution After Laparotomy for Adhesive Small Bowel Obstruction. A Prospective Randomized Controlled Trial
  31. Pancreatectomy with Para-Aortic Lymph Node Dissection for Pancreatic Head Adenocarcinoma: Pattern of Nodal Metastasis Spread and Analysis of Prognostic Factors
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  45. CT Findings in Obturator Hernia with Meckel’s Diverticulum—A Case Report
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