Literature DB >> 19084099

Outcomes of hysterectomies performed by supervised residents vs those performed by attendings alone.

Danita H Akingba1, Tatiana V Deniseiko-Sanses, Clifford F Melick, R Mark Ellerkmann, Koji Matsuo.   

Abstract

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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Year:  2008        PMID: 19084099     DOI: 10.1016/j.ajog.2008.07.052

Source DB:  PubMed          Journal:  Am J Obstet Gynecol        ISSN: 0002-9378            Impact factor:   8.661


  1 in total

1.  Intraoperative Handoffs and Postoperative Complications Among Patients Undergoing Gynecologic Oncology Operations.

Authors:  Kemi M Doll; Jessica A Lavery; Anna C Snavely; Paola A Gehrig
Journal:  J Healthc Qual       Date:  2017 Jul/Aug       Impact factor: 1.095

  1 in total

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