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Clinical outcomes of endoscopic and surgical procedures are generally better for those conducted in high-volume centers. Advanced age is associated with worse outcomes in patients with gastrointestinal bleeding.
To evaluate the effect of procedure volume on outcomes in elderly patients with bleeding peptic ulcers, investigators in Japan retrospectively reviewed data on 14,569 patients aged ≥80 years undergoing endoscopic hemostasis in 1073 Japanese hospitals between 2010 and 2012. Hospital volume was classified as low (<5 cases/year), medium (5–9 cases/year), or high (>9 cases/year).
In multiple logistic regression analysis, overall and 30-day survival did not vary by hospital procedure volume. In multiple linear regression analysis, compared…