Surgeon experience influences patient characteristics and outcomes in spine deformity surgery
| Autor: | Jonathan S. Gal, John M. Caridi, Alexander J. Schupper, Michael L Martini, Sean N Neifert, Frank J. Yuk |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
030222 orthopedics
medicine.medical_specialty business.industry Patient characteristics Logistic regression medicine.disease Comorbidity Surgery 03 medical and health sciences 0302 clinical medicine Orthopedic surgery Cohort medicine Deformity Orthopedics and Sports Medicine medicine.symptom Complication business Medicaid 030217 neurology & neurosurgery |
| Zdroj: | Spine Deformity. 9:341-348 |
| ISSN: | 2212-1358 2212-134X |
| DOI: | 10.1007/s43390-020-00227-w |
| Popis: | To characterize differences in patient demographics and outcomes by surgeon experience in a cohort of patients undergoing adult spinal deformity surgery. Patients undergoing degenerative spinal deformity were included. Patients whose surgeons graduated from fellowship ≤ 5 years prior to surgery versus > 5 years were compared. Multivariable linear and logistic regression, controlling for age, sex, comorbidity burden, number of segments fused, blood loss and operative time were used to evaluate differences in outcomes. Characteristics of operative invasiveness were plotted against surgeons' level of experience, and trends in these measures were assessed with univariate linear regression. Three-hundred sixty-three patients were included. 147 patients’ surgeons had ≤ 5 years of experience. Patient demographics were evenly matched. Patients with junior surgeons had more pre-existing medical complications, and senior surgeons were less likely to take care of patients with Medicare/Medicaid (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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