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An emerging body of literature has established a relationship between case volume and outcomes after radical prostatectomy (RP).
The result initially seemed to be contrary to the frequently reported relationship between case volume and outcomes per specialist in major surgeries and cardiovascular interventions.
Hattori et al. analyzed a nationwide study to investigate the relationships between case volume and outcome in cerebral aneurysm clipping surgery performed in 2003.
Conclusions The relation between case volume and mortality after radical cystectomy for bladder cancer became evident only after adjustment for structural and process of care factors, including staffing levels of nurses and junior doctors, in addition to case mix.
Proper assessment of factors modifying the association will not only reveal the true relationship between case volume and outcome, but will also allow identification of groups that could most successfully benefit from intervention.
The mortality rate for patients with acute subarachnoid hemorrhage was 7% in this study, similar to the 8.8%–48.5% in the United States, and 9.6% in the Japan study that investigated the relationships between case volume and outcome [ 13– 13].
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Previous studies have demonstrated relationships between case volumes and outcomes in surgery.
Proponents claim that regionalization improves outcomes, citing literature demonstrating a positive relationship between case volumes and outcomes [ 8- 13].
These studies confirm without exception the positive correlation between high case volume and better treatment results.
The relationship between hospital case volume and clinical outcome can also be modified by disease severity.
Also, Durairaj and colleagues reported an association between hospital case volume and outcome among intensive care patients only in the group with more severe disease [ 23].
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