Surgical Trainee Involvement Tied to Peri-Op Complications

This article originally appeared here.
Share this content:
Surgical Trainee Involvement Tied to Peri-Op Complications
Surgical Trainee Involvement Tied to Peri-Op Complications

TUESDAY, Aug. 2, 2016 (HealthDay News) -- The correlation between trainee participation in benign hysterectomy and perioperative complications is influenced by surgical approach, according to a study published in the August issue of the American Journal of Obstetrics & Gynecology.

Emma L. Barber, M.D., from the University of North Carolina in Chapel Hill, and colleagues identified 22,499 patients undergoing hysterectomy for benign disease from the American College of Surgeons National Surgical Quality Improvement Program database. Perioperative complications, occurring from the start of surgery to 30 days postoperatively, were compared for surgeries with and without trainee involvement.

The researchers found that 42.1 percent of patients had trainee participation. Surgical approaches were vaginal, abdominal, and laparoscopic (22.7, 47.1, and 30.2 percent, respectively). The rate of major and minor complications was 3.2 and 7.2 percent, respectively. Trainee involvement correlated with major complications in vaginal hysterectomy, but not in laparoscopic or abdominal hysterectomy, in bivariable analysis. In vaginal, laparoscopic, and abdominal hysterectomy, trainee involvement was associated with minor complications. After adjustment for multiple variables, the correlation between trainee involvement in vaginal hysterectomy and major complications persisted (adjusted odds ratio, 1.45; 95 percent confidence interval, 1.03 to 2.40); the correlation was no longer significant after addition of operative time to the model (adjusted odds ratio, 1.26; 95 percent confidence interval, 0.89 to 1.80).

"Surgical approach influences the relationship between trainee involvement and perioperative complication," the authors write. "Operative time is a key mediator of the relationship between trainee involvement and complication, and may be a modifiable risk factor."

Abstract
Full Text (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Drug Lookup

Browse drugs by: BrandGenericDisease



Sign up for myCME e-newsletters




More in Home

Gender Difference in Survival Seen After Radical Cystectomy

Gender Difference in Survival Seen After Radical Cystectomy

Females have worse disease-free, cancer-specific, overall survival versus males with bladder cancer

Adult Obesity Prevalence Varies With Level of Urbanization

Adult Obesity Prevalence Varies With Level of Urbanization

Increased obesity for men, women living in medium, small versus large metropolitan statistical areas

Attitudes Among Obese Are Not Aligned With Healthy Living

Attitudes Among Obese Are Not Aligned With Healthy ...

Consumers with obesity report favoring taste and value rather than health and nutrition

is free, fast, and customized just for you!




Already a member?

Sign In Now »