Key PointsQuestionWhat is the association of hospitals’ enforcement of existing discretionary minimum volume standards for high-risk surgical procedures and patient access and outcomes? FindingsThis longitudinal population-based study of Medicare claims found that the Leapfrog group’s volume standards did not differentiate outcomes for 3 of 4 high-risk cancer operations. Although an increasing majority of patients had surgery in hospitals meeting the Leapfrog volume standards over time, the overall proportion of hospitals meeting them remains low. MeaningThese findings highlight potentially important tradeoffs between setting effective volume thresholds and practical expectations for hospital adherence and patient access to centers that meet those standards.
JAMA Surgery – American Medical Association
Published: Nov 14, 2019