| Outcomes of hysterectomies performed by supervised residents vs those performed by attendings alone. | |
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MedLine Citation:
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PMID: 19084099 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The objective of the study was to compare the outcomes of hysterectomies performed by residents under supervision of a teaching physician with those performed by attendings alone. STUDY DESIGN: This was a retrospective cohort analysis of hysterectomies performed at the Greater Baltimore Medical Center from 2004 to 2006. RESULTS: Of 159 nonteaching and 265 teaching cases, there was no significant difference in any of the surgical outcomes, except mean operating room time in minutes (94.8 [+/- 47.0] vs 107.4 [+/- 42.4]; P = .005), seromas (2.5% vs 0%; P = .02), and others (5% vs 0.8%; P = .007) in nonteaching vs teaching cases, respectively. The demographics and comorbidities were similar. The mean operating room time difference of 13 minutes was not clinically significant. CONCLUSION: Although teaching hysterectomies take a bit longer to perform, there were no greater adverse outcomes. |
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Authors:
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Danita H Akingba; Tatiana V Deniseiko-Sanses; Clifford F Melick; R Mark Ellerkmann; Koji Matsuo |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: American journal of obstetrics and gynecology Volume: 199 ISSN: 1097-6868 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 2008 Dec |
Date Detail:
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Created Date: 2008-12-16 Completed Date: 2009-01-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 673.e1-6 Citation Subset: AIM; IM |
Affiliation:
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Division of Urogynecology, Department of Gynecology, Greater Baltimore Medical Center, Towson, MD, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Clinical Competence* Cohort Studies Education, Medical, Graduate Female Follow-Up Studies Gynecologic Surgical Procedures / education Health Care Surveys Hospitals, Teaching Humans Hysterectomy / adverse effects, methods* Internship and Residency / methods* Length of Stay / trends Medical Staff, Hospital* Middle Aged Organization and Administration Outcome Assessment (Health Care) Postoperative Complications / epidemiology Probability Retrospective Studies Risk Assessment Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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