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High volume emergency surgery units do not improve outcomes, report finds

BMJ 2016; 353 doi: https://doi.org/10.1136/bmj.i2054 (Published 11 April 2016) Cite this as: BMJ 2016;353:i2054
  1. Anne Gulland
  1. London

The move to centralised services for emergency general surgery would not improve outcomes or reduce mortality rates, a report has found.1

The Nuffield Trust looked at the problems facing emergency general surgery and found that the “widely held perception that centralisation will drive up quality” did not hold true. It found that there was no clear relationship between the number of procedures performed and surgical outcomes.

The report, commissioned by the Royal College of Surgeons of England, found that there was little variation in mortality between sites that performed a large number of procedures and those …

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