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Modeling the volume-effectiveness relationship in the case of hip fracture treatment in Finland.

BMC Health Serv Res · 2010 · PMC2931498 · PMID 20707899

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a weak trendno p-value reported
As a conclusion of the international studies, in most cases there has only been a weak trend toward greater effectiveness with higher volumes of treated hip fracture patients, and it is likely that the feasible improvements in effectiveness related to the surgeon or hospital volume are negligible compared with the unavoidable major adverse outcomes related to the hip fracture condition itself [ 43 - 60 ].

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.