BJU international
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Editorial Comment
High hospital volume reduces mortality after cystectomy.
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Multicenter Study
Association of hospital volume with conditional 90-day mortality after cystectomy: an analysis of the National Cancer Data Base.
To examine the association of hospital volume and 90-day mortality after cystectomy, conditional on survival for 30 days. ⋯ A low hospital volume was associated with greater 30- and 90-day mortality. These data support the need for further research to better understand the relatively high mortality rates seen between 30 and 90 days, which are high and less variable across hospital volume strata. The stronger association between volume and 30-day mortality suggests that quality-reporting efforts should focus on shorter-term outcomes.