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10.1080/17453674.2018.1545383 http://scihub22266oqcxt.onion/10.1080/17453674.2018.1545383 30712501/?report=reader!6366538!30712501     free     free     free Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 267.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Acta+Orthop 2019 ; 90 (1): 26-32 Nephropedia Template TP {{tp|p=30712501|t=2019. The volume-outcome relationship for hip fractures: a systematic review and meta-analysis of 2,023,469 patients |pdf=|usr=}}{{30712501}} gab.com Text The volume-outcome relationship for hip fractures: a systematic review and meta-analysis of 2,023,469 patients JO: Acta Orthop http://www.kidney.de/pget.php?&tw=1&pmid=30712501 #FOAvip Background and purpose - It has been hypothesized that hospitals and surgeons with high caseloads of hip fracture patients have better outcomes, but empirical studies have reported contradictory results. This systematic review and meta-analysis evaluates the volume-outcome relationship among patients with hip fracture patients. Methods - A search of different databases was performed up to February 2018. Selection of relevant studies, data extraction, and critical appraisal of the methodological quality was performed by 2 independent reviewers. A random-effects meta-analysis using studies with comparative cut-offs was performed to estimate the effect of hospital and surgeon volume on outcome, defined as in-hospital mortality and postoperative complications. Results - 24 studies comprising 2,023,469 patients were included. Overall, the quality was reasonable. 11 studies reported better health outcomes in high-volume centers and 2 studies reported better health outcomes in low-volume centers. In the meta-analysis of 11 studies there was a statistically non-significant association between higher hospital volume and both lower in-hospital mortality (adjusted odds ratio (aOR) 0.87, 95% confidence interval (CI) 0.73-1.04) and fewer postoperative complications (aOR 0.87, CI 0.75-1.02). Four studies on surgeon volume were included in the meta-analysis and showed a minor association between higher surgeon volume and in-hospital mortality (aOR 0.92, CI 0.76-1.12). Interpretation - This systematic review and meta-analysis did not find an evident effect of hospital or surgeon volume on health outcomes. Future research without volume cut-offs is needed to examine whether a true volume-outcome relationship exists. Twit Text FOAVip The volume-outcome relationship for hip fractures: a systematic review and meta-analysis of 2,023,469 patients ????Acta Orthop http://www.kidney.de/pget.php?&tw=1&pmid=30712501 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=30712501 #FOAvip English Wikipedia <ref>{{Cite pmid|30712501}}</ref> The volume-outcome relationship for hip fractures: a systematic review and meta-analysis of 2,023,469 patients #MMPMID30712501 Wiegers EJA; Sewalt CA; Venema E; Schep NWL; Verhaar JAN; Lingsma HF; Den Hartog D Acta Orthop 2019[Feb]; 90 (1): 26-32 PMID30712501show ga Background and purpose - It has been hypothesized that hospitals and surgeons with high caseloads of hip fracture patients have better outcomes, but empirical studies have reported contradictory results. This systematic review and meta-analysis evaluates the volume-outcome relationship among patients with hip fracture patients. Methods - A search of different databases was performed up to February 2018. Selection of relevant studies, data extraction, and critical appraisal of the methodological quality was performed by 2 independent reviewers. A random-effects meta-analysis using studies with comparative cut-offs was performed to estimate the effect of hospital and surgeon volume on outcome, defined as in-hospital mortality and postoperative complications. Results - 24 studies comprising 2,023,469 patients were included. Overall, the quality was reasonable. 11 studies reported better health outcomes in high-volume centers and 2 studies reported better health outcomes in low-volume centers. In the meta-analysis of 11 studies there was a statistically non-significant association between higher hospital volume and both lower in-hospital mortality (adjusted odds ratio (aOR) 0.87, 95% confidence interval (CI) 0.73-1.04) and fewer postoperative complications (aOR 0.87, CI 0.75-1.02). Four studies on surgeon volume were included in the meta-analysis and showed a minor association between higher surgeon volume and in-hospital mortality (aOR 0.92, CI 0.76-1.12). Interpretation - This systematic review and meta-analysis did not find an evident effect of hospital or surgeon volume on health outcomes. Future research without volume cut-offs is needed to examine whether a true volume-outcome relationship exists. |*Arthroplasty, Replacement, Hip/adverse effects/statistics & numerical data[MESH] |*Hospitals, High-Volume/standards/statistics & numerical data[MESH] |*Postoperative Complications/etiology/prevention & control[MESH] |*Surgeons/standards/statistics & numerical data[MESH] |Humans[MESH] |Outcome Assessment, Health Care[MESH]The volume-outcome relationship for hip fractures: a systematic review(epmc).pdf DeepDyve Pubget Overpricing