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cancer surgery. JAMA. 1998;280(20): 1747-51. 5. Halm EA, Lee C, Chassin MR. Is volume related to outcome in health care? A systematic review and methodologic critique of the literature. Annals of Internal Medicine. 2002; 137(6):511-20. 6. Simunovic M, Urbach D, Major D, Sutradhar R, Baxter N, To T, et al. Assessing the volume-outcome hypothesis and region-level quality improvement interventions: pancreas cancer surgery in two Canadian Provinces. Ann Surg Oncol. 2010; 17( 10):2537-44. 7. Schell MT, Barcia A, Spitzer AL, Harris HW. Pancreaticoduodenectomy: Volume is not