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Tetzlaff ED – Primary care providers can improve the quality of care for patients with cancer by referring them to surgeons and hospitals with high volumes and surgical expertise. Patients should be educated about the hospital and surgeon characteristics associated with low operative mortality so that they have the best opportunity for a good outcome. Unfortunately, not all patients can receive care at a large comprehensive cancer center. In this case, it is the responsibility of surgeons and health care researchers to identify the beneficial characteristics of high–volume hospitals, high–volume surgeons, and subspecialty trained surgeons so that outcomes can be improved in low–volume centers with less experienced surgeons.


   

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