| Outcomes associated with resident involvement in partial colectomy. | |
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MedLine Citation:
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PMID: 23303150 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND: : Surgical cases that include trainees are associated with worse outcomes in comparison with those that include attending surgeons alone. OBJECTIVE: : This study aimed to identify whether resident involvement in partial colectomy was associated with worse outcomes when evaluated by surgical approach and resident experience. DESIGN: : This is a retrospective study using the National Surgical Quality Improvement Program database. SETTINGS: : This study evaluates cases included in the National Surgical Quality Improvement Program database. PATIENTS: : All patients were included who underwent partial colectomy including both open and laparoscopic approaches. INTERVENTIONS: : Residents were involved. MAIN OUTCOME MEASURES: : The primary outcome measures were the association of resident involvement and major complication events, minor complication events, unplanned return to operating room, and operative time. RESULTS: : Cases with residents were associated with major complications (OR 1.18, CI 1.09-1.27, p < 0.001) on multivariate analysis. However, after including operative time in the model only open cases involving fifth year residents were still associated with major complications (OR 1.13, p = 0.037). Resident involvement was associated with increased likelihood of minor complications (OR 1.3, p < 0.001) and an increased risk of unplanned return to the operating room (OR 1.20, p < 0.001). Operative time was longer for cases with residents on average by 33.7 minutes and 27 minutes for open and laparoscopic cases. LIMITATIONS: : This study was limited by its retrospective design and lack of data on teachings status, case complexity, and intraoperative evaluation of technique. CONCLUSIONS: : Resident involvement in partial colectomies is associated with an increased major complications, minor complications, likelihood of return to the operating room, and operative time. |
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Authors:
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James C Iannuzzi; Aaron S Rickles; Andrew-Paul Deeb; Abhiram Sharma; Fergal J Fleming; John R T Monson |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Diseases of the colon and rectum Volume: 56 ISSN: 1530-0358 ISO Abbreviation: Dis. Colon Rectum Publication Date: 2013 Feb |
Date Detail:
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Created Date: 2013-01-10 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0372764 Medline TA: Dis Colon Rectum Country: United States |
Other Details:
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Languages: eng Pagination: 212-8 Citation Subset: IM |
Affiliation:
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Surgical Health Outcomes & Research Enterprise, University of Rochester Medical Center, Rochester, New York. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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