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Research Letter
December 20, 2017

Association of Surgical Volume With Perioperative Outcomes for Esophagomyotomy for Esophageal Achalasia

Author Affiliations
  • 1Department of Surgery, University of North Carolina, Chapel Hill
  • 2Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill
  • 3Department of Medicine, University of North Carolina, Chapel Hill
JAMA Surg. Published online December 20, 2017. doi:10.1001/jamasurg.2017.4923

The association of surgical volume with postoperative results has been studied primarily on demanding oncological surgical procedures. These studies have shown significant lower rates of postoperative morbidity and mortality in high-volume centers.13

Esophageal achalasia is a rare disease, and it is unknown if a surgeon’s volume affects the postoperative results. Therefore, we aimed to characterize the trend of utilization of esophagomyotomy stratified by surgical volume in the United States and to analyze the association of surgical volume with perioperative outcomes.

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