Outcomes of minimally invasive abdominal sacrocolpopexy with resident operative involvement
| Autor: | Adonis Hijaz, Sangeeta T. Mahajan, J Welles Henderson, Simon P. Kim, Carvell T Nguyen, Emily A. Slopnick |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Relative risk reduction
medicine.medical_specialty Sacrum Multivariate analysis Databases Factual Urology Operative Time 03 medical and health sciences 0302 clinical medicine Primary outcome Postoperative Complications Health care Abdomen Medicine Humans 030212 general & internal medicine Abdominal sacrocolpopexy business.industry General surgery Obstetrics and Gynecology Internship and Residency Perioperative Length of Stay Middle Aged Surgical training Quality Improvement Logistic Models Treatment Outcome Colposcopy 030220 oncology & carcinogenesis Operative time Female Laparoscopy Clinical Competence business |
| Zdroj: | International urogynecology journal. 29(10) |
| ISSN: | 1433-3023 |
| Popis: | Resident involvement in complex surgeries is under scrutiny with increasing attention paid to health care efficiency and quality. Outcomes of urogynecological surgery with resident involvement are poorly described. We hypothesized that resident surgical involvement does not influence perioperative outcomes in minimally invasive abdominal sacrocolpopexy (ASC). Using the 2006–2012 National Surgical Quality Improvement Program database, we identified 450 cases of laparoscopic or robotic ASC performed with resident involvement. Resident operative participation was stratified by experience (junior [PGY 1–3] vs senior level [PGY ≥4]). The primary outcome was operative time, and multinomial logistic regression was used to determine the effects of resident involvement and experience. Chi-squared analyses were used to assess the relationship between resident participation with length of stay (LOS) and 30-day complications and readmissions. Residents participated in 74% (n = 334) of these surgeries, and these cases were significantly longer (median 220 vs 195 min, p = 0.03). On multivariate analysis, senior level resident involvement was associated with longer operative times across all time intervals compared with |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink