Diaz A, et al. - In view of an extensive body of research in complex cancer surgery indicating a volume-outcome correlation in which patients are safer and have improved survival when their surgery is conducted at hospitals and by surgeons with higher volume experience. This volume-outcome correlation has especially been observed after resection for pancreatic cancer. As a result, minimum-volume standards and, as such, a centralization of complex cancer surgery operations have been advocated by organizations. However, there have been concerns regarding reducing access to complex cancer surgery which led researchers to model what an optimal location-allocation market for hospitals performing pancreatic resections would look like, with the goal of increasing market share to the best while reducing cannibalization and eliminating low-volume centers.