Imperial College London
Alternate

DrMatthewWilliams

Faculty of Medicine, Department of Surgery & Cancer

Honorary Senior Research Fellow
 
 
 
//

Contact

 

+44 (0)20 3311 0733matthew.williams Website CV

 
 
//

Location

 

Charing Cross HospitalCharing Cross Campus

//

Summary

 

Publications

Citation

BibTex format

@article{Williams:2016:10.1038/bjc.2016.317,
author = {Williams, M and Treasure, P and Greenberg, D and Brodbelt, A and Collins, P},
doi = {10.1038/bjc.2016.317},
journal = {British Journal of Cancer},
pages = {1379--1382},
title = {Surgeon volume and 30 day mortality for brain tumours in England},
url = {http://dx.doi.org/10.1038/bjc.2016.317},
volume = {115},
year = {2016}
}
Download

RIS format (EndNote, RefMan)

TY  - JOUR
AB  - background:  There is evidence that surgeons who perform more operations have better outcomes. However, in patients with brain tumours, all of the evidence comes from the USA.methods:  We examined all English patients with an intracranial neoplasm who had an intracranial resection in 2008–2010. We included surgeons who performed at least six operations over 3 years, and at least one operation in the first and last 6 months of the period.results:  The analysis data set comprised 9194 operations, 163 consultant neurosurgeons and 30 centres. Individual surgeon volumes varied widely (7–272; median=46). 72% of operations were on the brain, and 30 day mortality was 3%. A doubling of surgeon load was associated with a 20% relative reduction in mortality. Thirty day mortality varied between centres (0·95–8·62%) but was not related to centre workload.conclusions:  Individual surgeon volumes correlated with patient 30 day mortality. Centres and surgeons in England are busier than surgeons and centres in the USA. There is no relationship between centre volume and 30 day mortality in England. Services in the UK appear to be adequately arranged at a centre level, but would benefit from further surgeon sub-specialisation.
AU  - Williams,M
AU  - Treasure,P
AU  - Greenberg,D
AU  - Brodbelt,A
AU  - Collins,P
DO  - 10.1038/bjc.2016.317
EP  - 1382
PY  - 2016///
SN  - 1532-1827
SP  - 1379
TI  - Surgeon volume and 30 day mortality for brain tumours in England
T2  - British Journal of Cancer
UR  - http://dx.doi.org/10.1038/bjc.2016.317
UR  - http://hdl.handle.net/10044/1/43187
VL  - 115
ER  -
Download