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Complex gastrointestinal (GI) cancer surgery had less risk of postoperative adverse outcomes when supported by anesthesiologists performing a high annual volume of certain procedures, a large Canadian population-based study found.
Care by high-volume anesthesiologists was independently associated with 15% lower odds of combined 90-day major morbidity (including mortality) and readmission, after adjustment for patient case mix, institutional volume, and surgeon volume, reported Julie Hallet, MD, of the University of Toronto, and colleagues.
The primary outcome a composite of major 90-day morbidity (Clavien-Dindo 3-5) with readmission occurred in 36.3% of patients in the high-volume group (cutoff point of six or more procedures per year or ranking in the 75th percentile) and 45.7% of patients in the low-volume group, they stated in
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