Within such centres, new standards such as neoadjuvant chemotherapy, surgical teams with high-volume expertise and intensive input to the operative and perioperative management of radical cystectomy (Arumainayagam et al, 2008) are available only now and may impact survival in the future.
If information volume and expertise were positively correlated, the 2008 financial crisis would not have been possible.
Aside from maintaining the cutting-edge medical care at the clinic's main campus, this health system also needs to concentrate services in fewer community hospitals, where they will have the kind of volume and expertise necessary to deliver quality care, he added.
Hospital arthroplasty volume, surgical expertise, and a surgeon's annual case load may reduce the revision risk, although the current evidence is inconclusive (Losina et al. 2004, Judge et al. 2006, Shervin et al. 2007, Manley et al. 2008).
Many studies have shown that in areas of health care like heart surgery and breast cancer treatment volume correlates with expertise; in other words, patients tend to fare best when treated by the doctors and hospitals who treat their ailments most often.
Many studies have found an inverse relationship between operative mortality and hospital volume and surgical expertise.
Provider sites will be concentrated in a limited number of institutions to ensure sufficient volume to maintain expertise.
The a priori hypothesis was that patient volume and hospital expertise would increase from nonteaching to university teaching hospitals.
Interestingly, one study examining expert phoneticians (Golestani et al. 2011) highlighted an association between the left totHG volume and phonetic expertise, which was associated with increased occurrence of left HG duplications.
Finally, our findings with regard to the performance characteristics of surveillance PET CT scans are specific to our setting, an academic tertiary referral centre with high imaging volume and physician expertise.
Intercostobrachial neuralgia is a recognized etiology of chronic pain following breast cancer surgery. 2 It has been recommended that for optimal quality of cancer care, "not only treatment of tumours with a low incidence but also other complex or high risk cancer procedures should be provided in a specialized setting, with the right infrastructure, sufficient volume and adequate expertise".
