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Patients treated by higher-volume surgeons have superior perioperative outcomes (NEJM JW Womens Health Sep 2016) and Am J Obstet Gynecol 2016; 215:21) — but what about the low end of the range? Investigators used New York statewide data to assess perioperative outcomes for hysterectomies performed from 2000 through 2014 (including all surgical approaches). Surgeons were classified as very low volume if they performed one procedure per year; hospitals with <40 annual hysterectomies were classified as low volume.
Among 7797 surgeons performing 434,125 hysterectomies, 3197 (41%) were very low-volume surgeons (who performed 1% of these procedures). Complication rates for very low-volume versus other surgeons were 32.0% versus 9.9% (adjusted risk…