Centralization of pancreatoduodenectomy a decade later: Impact of the volume–outcome relationship

Background The hospital volume–outcome relationship for complex procedures has led to the suggestion that care should be centralized. This study was performed to investigate whether centralization is occurring for pancreatoduodenectomy (PD) and to examine its effect on short-term postoperative outcomes. Methods We queried the New York State Statewide Planning and Research Cooperative System database (n = 6,185, 2002–2011) and the California and...