Colorectal cancer had a low incidence several decades ago. However, it has become a
predominant cancer and now accounts for approximately 10% of cancer-related mortality in …

Backround Open or laparoscopic colorectal surgery comprises of many different types of
procedures for various diseases. Depending upon the operation and modifiable and non …

Background A large body of research has focused on investigating the effects of healthcare
provider volume and specialization on patient outcomes including outcomes of colorectal …

Background Intraoperative tumour perforation, positive tumour margins, wound
complications and local recurrence are frequent difficulties with conventional …

Purpose The volume-outcomes relationship has led many to advocate centralization of
cancer procedures at high volume hospitals (HVH). We hypothesized that in response …

Background Numerous hospitals worldwide are considering setting minimum volume
standards for colorectal surgery. This study aims to examine the association between …

Background Significant associations between caseload and surgical outcomes highlight the
conflict between local cancer care and the need for centralization. This study examined the …

BACKGROUND: Extralevator abdominoperineal excision for low rectal cancer includes
resection of the pelvic floor as a part of the operative technique to reduce the risk of tumor …

Background Because of the relative rarity of head and neck malignancies and their complex
treatment, some groups have advocated for regionalized care. Studies comparing high‐and …

AIMS: There is a growing consensus to concentrate high-risk surgical procedures to high
volume surgeons in high volume hospitals. However, there is fierce debate about …