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However, a minimum volume standard cannot be identified.
These entailed partial oncological liver resections and could be accounted for this minimum volume standard.
Throughout Germany 70 hospitals (53%) complied with the minimum volume standard of 10 interventions per hospital per year.
There were 5178 cases where 69hospitals84%84%) complied with the minimum volume standard of 12 interventions.
Five complex surgical procedures are consequently subjected to a minimum volume standard (Table 1): liver, kidney and stem cell transplantations, and complex oesophageal and pancreatic interventions.
In addition, in 2004 and 2005 there was an annual minimum volume standard of five per surgeon for complex oesophageal and pancreatic interventions which were abandoned in 2006.
Similar(47)
CONCLUSIONS There is significant variability in risk-standardized PCI mortality among U.S. operators meeting minimum volume standards that is not explained by case mix or procedure characteristics.
Especially hospitals not complying with minimum volume standards should be analysed why such procedures are performed.
In these cases the minimum volume standards affect far less centralised procedures.
All minimum volume standards are valid for entire hospitals rather than for individual hospital departments.
For all three minimum volumes the number of hospitals complying with the minimum volume standards remained constant or increased slightly.
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