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- become more complex, and
- it has become clear that a physician's case volume is negatively associated with their complication rate; that is, complications tend to decrease as the volume of cases per physician goes up.
See also 
- McHenry CR (2002). "Patient volumes and complications in thyroid surgery". The British journal of surgery 89 (7): 821–3. doi:10.1046/j.1365-2168.2002.02145.x. PMID 12081730. Full Text
- Birkmeyer JD, Finlayson EV, Birkmeyer CM (2001). "Volume standards for high-risk surgical procedures: potential benefits of the Leapfrog initiative". Surgery 130 (3): 415–22. doi:10.1067/msy.2001.117139. PMID 11562662.
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