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Leapfrog – Minimum Volume Surgery Recommendations (Evidence-based Hospital Referral)

The Leapfrog Group has Evidence-Based Hospital Referral Safety Standards that include recommended minimum volumes for certain surgical procedures. They include minimum annual hospital volumes as follows: 50 procedures for knee replacement (minimum 25 for a surgeon), minimum 50 hospital procedures for hip replacement (minimum 25 for surgeon), 40 mitral valve repair and replacement (minimum 20 for a surgeon), minimum 10 open aortic procedures (10 for surgeon), minimum 20 for pancreatic resections for cancer (10 for surgeon), esophageal resection 20 (7 for surgeon); 40 minimum for lung resections (15 per surgeon); minimum 50 bariatric surgery for weight loss (20 for surgeon); minimum 20 carotid endarterectomy (10 for surgeon) and other volume standards for rectal cancer, open aortic procedures and the Norwood procedure (infant heart). Read about the specifics, then go to the Hospital Quality Ratings category, and check the Leapfrog data for information on your local hospitals. Updated April 2022.


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