Andrea Silenzi, MD, MPH

Per tutti i medici specializzandi (soprattutto di area chirurgica), uno spunto interessante per dare valore alle proprie attività!

Impact of Resident Participation in Surgical Operations on Postoperative Outcomes: National Surgical Quality Improvement Program

Ann Surg. 2012 Sep;256(3):469-75. doi: 10.1097/SLA.0b013e318265812a.

Source: Department of Colorectal Surgery, Cleveland Clinic, Cleveland, OH 44195, USA. kiranp@ccf.org

OBJECTIVE:

To evaluate whether resident participation in operations influences postoperative outcomes.

BACKGROUND:

: Identification of potential differences in outcome associated with resident participation in operations may facilitate planning from educational and health resource perspectives.

METHODS:

From the National Surgical Quality Improvement Program database (2005-2007), postoperative outcomes were compared for patients with and without resident participation (RES vs no-RES). Groups were matched in a 2:1 ratio, based on age, sex, specialty, surgical procedure, morbidity probability, and important comorbidities and risk factors.

RESULTS:

RES (40,474; 66.7%) and no-RES (20,237; 33.3%) groups were comparable for matched characteristics. Mortality was similar (0.18% vs 0.20%, P = 0.55). Thirty-day complications classified as…

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