| Autor: |
Arnaud Patoir, Cécile Payet, Jean-Louis Peix, Cyrille Colin, Léa Pascal, Jean-Louis Kraimps, Fabrice Menegaux, François Pattou, Frédéric Sebag, Sandrine Touzet, Stéphanie Bourdy, Jean-Christophe Lifante, Antoine Duclos, CATHY Study Group |
| Jazyk: |
angličtina |
| Rok vydání: |
2017 |
| Předmět: |
|
| Zdroj: |
PLoS ONE, Vol 12, Iss 7, p e0181424 (2017) |
| Druh dokumentu: |
article |
| ISSN: |
1932-6203 |
| DOI: |
10.1371/journal.pone.0181424 |
| Popis: |
To identify the determinants of operative time for thyroidectomy and quantify the relative influence of preoperative and intra-operative factors.Anticipation of operative time is key to avoid both waste of hospital resources and dissatisfaction of the surgical staff. Having an accurate and anticipated planning would allow a rationalized operating room use and may improve patient flow and staffing level.We conducted a prospective, cross-sectional study between April 2008 and December 2009. The operative time of 3454 patients who underwent thyroidectomy performed by 28 surgeons in five academic hospitals was monitored. We used multilevel linear regression to model determinants of operative time while accounting for the interplay of characteristics specific to surgeons, patients, and surgical procedures. The relative impact of each variable on operative time was estimated.Overall, 86% (99% CI 83 to 89) of operative time variation was related to preoperative variables. Surgeon characteristics accounted for 32% (99% CI 29 to 35) of variation, center location for 29% (99% CI 25 to 33), and surgical procedure or patient variables for 24% (99% CI 20 to 27). Operative time was significantly lower among experienced surgeons having practiced from 5-19 years (-21.8 min, P |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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