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rooms every year all hope for good outcomes from surgery. Our understanding of one factor that may influence surgical outcomes – where someone has surgery – continues to evolve. Over the past three decades, many studies across a variety of surgical procedures, diseases and healthcare settings have shown that patients treated in hospitals performing a larger number of procedures are less likely to die after surgery. This relationship has been found for most types of care, including rare procedures (e.g., pediatric heart surgery) and more common ones (e.g., gall bladder removal). However, it is important to learn more about the volume-outcome association since decisions are being made to concentrate care in centres of excellence – or not to – on a regular basis. To help inform these decisions, the Canadian Institute for Health Information (CIHI) profiled the issue in “Health Care in Canada 2005,” a report produced in collaboration with Statistics Canada. This article presents highlights of the volume-outcome relationship in a Canadian context.

CIHI Survey: Volumes and Outcomes for Surgical Services in Canada