In reply: International evidence of high-volume institutions having better outcomes for complex cancer surgery is strong.1,2 Our analyses confirm the direction and magnitude of this relationship in New South Wales. Should we ignore the international evidence?
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- 1. Wouters MW, Gooiker GA, van Sandick JW, Tollenaar RA. The volume–outcome relation in the surgical treatment of esophageal cancer: a systematic review and meta-analysis. Cancer 2012; 118: 1754-1763.
- 2. Pieper D, Mathes T, Neugebauer E, Eikermann M. State of evidence on the relationship between high-volume hospitals and outcomes in surgery: a systematic review of systematic reviews. J Am Coll Surg 2013; 216: 1015-1025.
- 3. Australia and New Zealand Gastric and Oesophageal Surgery Association. ANZGOSA guidelines for hospitals and/or health services to assist in credentialing of surgeons performing oesophageal resection in Australia and New Zealand 2013. Adelaide: ANZGOSA, 2013. http://www.anzgosa.org/pdf/guidelines-to-performing-oesophagea-resection.pdf (accessed Jul 2014).
- 4. Padbury RTA. Survival from pancreatic cancer: it's not just about the surgical mortality [editorial]. Med J Aust 2012; 196: 491-492. <MJA full text>
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