Background: Transcatheter aortic valve replacement (TAVR) has been introduced into US
clinical practice with efforts to optimize outcomes and minimize the learning curve …

Objective/Hypothesis Utilization of flaps for reconstruction of large head and neck cancer
(HNCA) defects has become more prevalent. The present study aimed to assess the impact …

Objective: We sought to define the impact of community privilege on variations in travel
patterns and access to care at high-volume hospitals for complex surgical procedures …

Over the last two decades, robotic surgery has become a mainstay in hospital systems
around the world. Leading this charge has been Intuitive Surgical Inc.'s da Vinci robotic …

Methods The California Office of Statewide Health Planning database was used to identify
patients who underwent pancreatectomy (PD), esophagectomy (ES), proctectomy (PR), or …

Objective: The aim of this study was to define trends in the geographic distribution of surgical
services in the United States to assess possible geographic barriers and disparities in …

Importance A volume-outcome association exists for larynx cancer surgery, but to date it has
not been investigated for specific surgical procedures. Objectives To characterize the …

Background In an effort to improve perioperative and oncologic outcomes, there have been
multiple quality improvement initiatives, including regionalization of high-risk procedures …

Background Pancreatic ductal adenocarcinoma (PDAC) requires complex multidisciplinary
care. European evidence suggests potential benefit from regionalization, however, data …

CHS regionalization models developed for the US increase surgeon and center volume,
decrease healthcare spending, and improve patient outcomes without substantially …