Impact of Centralizing Care for Genitourinary Malignancies to High-volume Providers: A Systematic Review

We explored the evidence for moving major operations into larger centers. We focused on surgery for cancers of the bladder, prostate, testicle, penis, and kidney and found that larger-volume hospitals had better survival outcomes and fewer complications when compared to smaller-volume hospitals. The difference may be greatest for complex major surgeries such as radical cystectomy.