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Effect of surgeon and hospital volume on complications after operative tarsal fracture repair

Journal of Orthopaedic Trauma Oct 28, 2019

Stewart CC, et al. - In this retrospective cohort study of the State Inpatient Databases involving 299 hospitals in Florida (2005–2012) and New York (2006–2008), researchers ascertained if the increased surgeon and hospital volume were correlated with lower rates of complications after tarsal fractures. The sample consisted of 4,132 tarsal fractures that underwent fixation by 1,223 surgeons. When controlling for patient and injury features, a significant inverse link was found between surgeon volume and complication rates. A volume-outcome connection was not noted at the hospital level in contrast to prior research. Such results suggest that most experienced providers should be cared for such complicated injuries.
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