Research has repeatedly shown that, as expected, the outcomes of surgery depend highly on the skill and experience of the surgeon and the hospital team. So when researchers were designing a large, multi-center study comparing the use of stents and medications in stroke patients, they established a rigorous credentialing process to ensure the results wouldn't be skewed by the skill levels of the doctors placing the stents at the various centers. But when researchers did a follow-up analysis to look at the differences between the hospitals that enrolled more or fewer patients, they found a surprising result. There was no difference in outcomes for patients who received stents between higher or lower volume centers.