Complications in Hand Surgery During Early Independent Practice: A Single Surgeon's 5-Year Experience.
| Autor: | Samade R; UT Southwestern Medical Center, Richardson, Texas, USA., Gordon AM; Medical College of Wisconsin, Milwaukee, USA., Vaghani P; The Ohio State University, Columbus, USA., Goyal KS; The Ohio State University, Columbus, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Hand (New York, N.Y.) [Hand (N Y)] 2023 Oct 03, pp. 15589447231201875. Date of Electronic Publication: 2023 Oct 03. |
| DOI: | 10.1177/15589447231201875 |
| Abstrakt: | Background: The objective of this study was to understand the frequency and types of complications, and the associated postoperative outcomes within the first 5 years of practice after hand and upper extremity surgery fellowship. Methods: This was a retrospective observational study of all patients seen and surgically treated by a single surgeon at a single institution from August 2014 to September 2019. This corresponded to the first 5 years of practice after fellowship. Data collected included patient demographics, perioperative data, complication type, and outcome of the complication (better/same/worse than preoperative status). Complications were classified using the Clavien-Dindo system and a unique, self-derived system. Results: In total, 3301 surgeries were performed during the first 5 years of practice. The overall complication rate was 7.9% (261 complications from 239 patients). The 30-day complication rate was 5.2% (171/3301). Eleven (4.2%) of the 261 complications occurred intraoperatively. The total number of complications significantly declined during the first 5 years of practice as follows: 74, 71, 46, 37, and 33 ( P = .010, R 2 = .92). Hand and wrist were the most frequent anatomic locations involved and bone pathology was the predominant indication. Conclusion: The overall surgical complication rate for hand and upper extremity surgery was 7.9%, with a 30-day complication rate of 5.2% (171/3301). The rate of complications after fellowship declined over the first 5 years of independent practice. Superficial infections were the most common complication. More than 90% of patients ultimately improved after addressing the complication. Level of Evidence: IV. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Databáze: | MEDLINE |
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