Journal article
Does resident involvement effect surgical times and complication rates during laparoscopic appendectomy for uncomplicated appendicitis? An analysis of 16,849 cases from the ACS-NSQIP
The American journal of surgery, Vol.203(3), pp.347-352
03/2012
DOI: 10.1016/j.amjsurg.2011.08.015
PMID: 22364902
Abstract
Controversy exists regarding whether resident involvement during surgery impacts patient outcomes. We compared surgical times and perioperative complications of patients undergoing laparoscopic appendectomy with and without residents.
Patients undergoing laparoscopic appendectomy for uncomplicated acute appendicitis during 2005 to 2008 were identified from the American College of Surgeons National Surgical Quality Improvement Program database.
During the study period, 16,849 patients underwent laparoscopic appendectomy for uncomplicated appendicitis (residents participated in 68% of procedures). There were no statistical and/or clinically meaningful differences between median age, sex, body mass index, American Society of Anesthesiology score, and morbidity probability between the 2 groups, suggesting that case mix was not a significant confounder. Patients undergoing laparoscopic appendectomy with residents compared with patients undergoing laparoscopic appendectomy without residents had a higher incidence of serious and overall morbidity and longer surgical times. However, surgical times and complications were similar between residents in postgraduate years 1 to 5.
Regardless of the postgraduate year level, resident involvement resulted in a clinically appreciable increase in surgical times and a statistically significant increase in certain complications.
Details
- Title: Subtitle
- Does resident involvement effect surgical times and complication rates during laparoscopic appendectomy for uncomplicated appendicitis? An analysis of 16,849 cases from the ACS-NSQIP
- Creators
- Vriti Advani - Department of Surgery, Southern Illinois University School of Medicine, Springfield, IL 62704, USASajida AhadChad GonczySteven MarkwellImran Hassan
- Resource Type
- Journal article
- Publication Details
- The American journal of surgery, Vol.203(3), pp.347-352
- Publisher
- United States
- DOI
- 10.1016/j.amjsurg.2011.08.015
- PMID
- 22364902
- ISSN
- 0002-9610
- eISSN
- 1879-1883
- Language
- English
- Date published
- 03/2012
- Academic Unit
- Surgery
- Record Identifier
- 9984051516602771
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