StayCurrentMD · High-volume hospitals experience fewer postoperative complications after neonatal surgery: Analyses of the National Clinical Database Pediatric Surgical Registry in Japan
Article1 min read·Published Oct 2025

High-volume hospitals experience fewer postoperative complications after neonatal surgery: Analyses of the National Clinical Database Pediatric Surgical Registry in Japan

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Article · Oct 2025 · 1 min read

In brief

In brief

This registry-based study examines the relationship between hospital surgical volume and postoperative complication rates in neonatal surgery across Japan. Findings demonstrate that high-volume centers achieve significantly better outcomes, supporting the case for centralization of complex neonatal surgical care to improve patient safety and reduce complications.

  • Higher hospital surgical volume correlates with reduced postoperative complications in neonatal surgery patients.
  • Volume-outcome relationships exist for neonatal procedures, supporting regionalization or referral to high-volume centers.
  • Japan's National Clinical Database provides evidence that centralization may improve neonatal surgical safety.

Written by the GCMD Library team from the article.

Previous studies on volume–outcome relationships suggest pediatric surgical procedures could potentially improve their clinical outcomes. However, the evidence remains scarce. This study aimed to investigate the distribution and the hospital-level volume-outcome relationships for neonatal surgery in Japan.

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