Resident involvement and plastic surgery outcomes: An analysis of 10,356 patients from the american college of surgeons national surgical quality improvement program database

Plastic and Reconstructive Surgery

Volumn 131, Issue 4, 2013, Pages 763-773

  Jordan, Sumanas W ^a,b,c   Mioton, Lauren M ^a,b,c   Smetona, John ^a,b,c   Aggarwal, Apas ^a,b,c   Wang, Edward ^a,b,c   Dumanian, Gregory A ^a,b,c   Kim, John Y S ^a,b,c  

^a Div of Plast and Reconstr Surgery   (United States)

^b NORTHWESTERN UNIVERSITY   (United States)

^c VANDERBILT UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CLINICAL COMPETENCE; EDUCATION; FACTUAL DATABASE; FEMALE; HUMAN; MALE; MEDICAL EDUCATION; MIDDLE AGED; PLASTIC SURGERY; RETROSPECTIVE STUDY; STANDARD; TOTAL QUALITY MANAGEMENT; TREATMENT OUTCOME; UNITED STATES;

CLINICAL COMPETENCE; DATABASES, FACTUAL; FEMALE; HUMANS; INTERNSHIP AND RESIDENCY; MALE; MIDDLE AGED; QUALITY IMPROVEMENT; RECONSTRUCTIVE SURGICAL PROCEDURES; RETROSPECTIVE STUDIES; SURGERY, PLASTIC; TREATMENT OUTCOME; UNITED STATES;

MLCS; MLOWN;

EID: 84878112734     PISSN: 00321052     EISSN: None     Source Type: Journal    
DOI: 10.1097/PRS.0b013e3182818bdd     Document Type: Article

References (53)

1. Dutta S, Dunnington G, Blanchard MC, Spielman B, DaRosa D, Joehl RJ. "And doctor, no residents please!" J Am Coll Surg. 2003;197:1012-1017.
2. Cowles RA, Moyer CA, Sonnad SS, et al. Doctor-patient communication in surgery: Attitudes and expectations of general surgery patients about the involvement and education of surgical residents. J Am Coll Surg. 2001;193:73-80.
3. Rosenthal MB, Landon BE, Normand SL, Frank RG, Epstein AM. Pay for performance in commercial HMOs. N Engl J Med. 2006;355:1895-1902.
4. The Affordable Care Act. Available at: http://www. healthcare.gov/law/ full/. Accessed September 2, 2012.
5. Advani V, Ahad S, Gonczy C, Markwell S, Hassan I. Does resident involvement effect surgical times and complication rates during laparoscopic appendectomy for uncomplicated appendicitis? An analysis of 16,849 cases from the ACSNSQIP. Am J Surg. 2012;203:347-351; discussion 351-352.
6. Kiran RP, Ahmed Ali U, Coffey JC, Vogel JD, Pokala N, Fazio VW. Impact of resident participation in surgical operations on post-operative outcomes: National surgical quality improvement program. Ann Surg. 2012;256:469-475.
7. Raval MV, Wang X, Cohen ME, et al. The influence of resident involvement on surgical outcomes. J Am Coll Surg. 2011; 212:889-898.
8. Scarborough JE, Pappas TN, Cox MW, Bennett KM, Shortell CK. Surgical trainee participation during infrainguinal bypass grafting procedures is associated with increased early post-operative graft failure. J Vasc Surg. 2012;55:715-720.
9. Tseng WH, Jin L, Canter RJ, et al. Surgical resident involvement is safe for common elective general surgery procedures. J Am Coll Surg. 2011;213:19-26; discussion 26-28.
10. Kauvar DS, Braswell A, Brown BD, Harnisch M. Influence of resident and attending surgeon seniority on operative performance in laparoscopic cholecystectomy. J Surg Res. 2006; 132:159-163.
11. Wilkiemeyer M, Pappas TN, Giobbie-Hurder A, Itani KM, Jonasson O, Neumayer LA. Does resident post graduate year influence the outcomes of inguinal hernia repair? Ann Surg. 2005;241:879-882; discussion 882-884.
12. Papandria D, Rhee D, Ortega G, et al. Assessing trainee impact on operative time for common general surgical procedures in ACS-NSQIP. J Surg Educ. 2012;69:149-155.
13. American College of Surgeons. Data collection, analysis, and reporting. Available at: http://site.acsnsqip.org/programspecifics/data-collection- analysis-and-reporting/. Accessed August 31, 2012.
14. American Society for Aesthetic Plastic Surgery. 15th annual cosmetic surgery national data bank statistics. 2012. Available at: http://www.surgery. org/sites/default/files/ASAPS-2011-Stats.pdf. Accessed August 30, 2012.
15. Henderson WG, Daley J. Design and statistical methodology of the National Surgical Quality Improvement Program: Why is it what it is? Am J Surg. 2009;198 (Suppl):S19-S27.
16. Dillon P, Hammermeister K, Morrato E, et al. Developing a NSQIP module to measure outcomes in children's surgical care: Opportunity and challenge. Semin Pediatr Surg. 2008; 7:131-140.
17. Davenport DL, Henderson WG, Khuri SF, Mentzer RM Jr. Pre-operative risk factors and surgical complexity are more predictive of costs than post-operative complications: A case study using the National Surgical Quality Improvement Program (NSQIP) database. Ann Surg. 2005;242:463-468; discussion 468-471.
18. Little RJ, Rubin DB. Causal effects in clinical and epidemiological studies via potential outcomes: Concepts and analytical approaches. Annu Rev Public Health 2000;21: 121-145.
19. D'Agostino RB. Propensity score methods for bias reduction in the comparison of a treatment to a non-randomized control group. Stat Med. 1998;17:2265-2281.
20. Paul P, Pennell ML, Lemeshow S. Standardizing the power of the Hosmer-Lemeshow goodness of fit test in large data sets. Stat Med. 2013;32:67-80.
21. Merkow RP, Bilimoria KY, Hall BL. Interpretation of the C-statistic in the context of ACS-NSQIP models. Ann Surg Oncol. 2011;18(Suppl 3):S295.
22. Cohen ME, Bilimoria KY, Ko CY, Hall BL. Development of an American College of Surgeons National Surgery Quality Improvement Program: Morbidity and mortality risk calculator for colorectal surgery. J Am Coll Surg. 2009;208:1009-1016.
23. Peduzzi P, Concato J, Kemper E, Holford TR, Feinstein AR. A simulation study of the number of events per variable in logistic regression analysis. J Clin Epidemiol. 1996;49:1373-1379.
24. Peduzzi P, Concato J, Feinstein AR, Holford TR. Importance of events per independent variable in proportional hazards regression analysis: II. Accuracy and precision of regression estimates. J Clin Epidemiol. 1995;48:1503-1510.
25. Bakaeen FG, Dhaliwal AS, Chu D, et al. Does the level of experience of residents affect outcomes of coronary artery bypass surgery? Ann Thorac Surg. 2009;87:1127-1133; discussion 1133-1134.
26. Baskett RJ, Buth KJ, Legaré JF, et al. Is it safe to train residents to perform cardiac surgery? Ann Thorac Surg. 2002;74:1043-1048; discussion 1048-1049.
27. Coates KW, Kuehl TJ, Bachofen CG, Shull BL. Analysis of surgical complications and patient outcomes in a residency training program. Am J Obstet Gynecol. 2001;184:1380-1383; discussion 1383-1385.
28. Emre AU, Cakmak GK, Tascilar O, et al. Complications of total thyroidectomy performed by surgical residents versus specialist surgeons. Surg Today 2008;38:879-885.
29. Hutter MM, Glasgow RE, Mulvihill SJ. Does the participation of a surgical trainee adversely impact patient outcomes? A study of major pancreatic resections in California. Surgery 2000;128:286-292.
30. Itani KM, DePalma RG, Schifftner T, et al. Surgical resident supervision in the operating room and outcomes of care in Veterans Affairs hospitals. Am J Surg. 2005;190:725-731.
31. Jan A, Riggs DR, Orlando KL, Khan FJ. Surgical outcomes based on resident involvement: What is the impact on vascular surgery patients? J Surg Educ. 2012;69:638-642.
32. Kazaure HS, Roman SA, Sosa JA. The resident as surgeon: An analysis of ACS-NSQIP. J Surg Res. 2012;178:126-132.
33. Nguyen CT, Babineau DC, Jones JS. Impact of urologic resident training on patient pain and morbidity associated with office-based cystoscopy. Urology 2008;71:782-786.
34. Sethi GK, Hammermeister KE, Oprian C, Henderson W. Impact of resident training on postoperative morbidity in patients undergoing single valve replacement. Department of Veterans Affairs Cooperative Study on Valvular Heart Disease. J Thorac Cardiovasc Surg. 1991;101:1053-1059.
35. Weaver KJ, Neal D, Hoh DJ, Mocco J, Barker FG II, Hoh BL. The "July phenomenon" for neurosurgical mortality and complications in teaching hospitals: An analysis of more than 850,000 neurosurgical patients in the nationwide inpatient sample database, 1998 to 2008. Neurosurgery 2012;71:562-571; discussion 571.
36. Patel SP, Gauger PG, Brown DL, Englesbe MJ, Cederna PS. Resident participation does not affect surgical outcomes, despite introduction of new techniques. J Am Coll Surg. 2010; 211:540-545.
37. Khuri SF, Najjar SF, Daley J, et al. Comparison of surgical outcomes between teaching and nonteaching hospitals in the Department of Veterans Affairs. Ann Surg. 2001;234:370-382; discussion 382-383.
38. Davenport DL, Ferraris VA, Hosokawa P, Henderson WG, Khuri SF, Mentzer RM Jr. Multivariable predictors of postoperative cardiac adverse events after general and vascular surgery: Results from the patient safety in surgery study. J Am Coll Surg. 2007;204:1199-1210.
39. Johnson RG, Arozullah AM, Neumayer L, Henderson WG, Hosokawa P, Khuri SF. Multivariable predictors of postoperative respiratory failure after general and vascular surgery: Results from the patient safety in surgery study. J Am Coll Surg. 2007;204:1188-1198.
40. Neumayer L, Hosokawa P, Itani K, El-Tamer M, Henderson WG, Khuri SF. Multivariable predictors of postoperative surgical site infection after general and vascular surgery: Results from the patient safety in surgery study. J Am Coll Surg. 2007; 204:1178-1187.
41. Rogers SO Jr, Kilaru RK, Hosokawa P, Henderson WG, Zinner MJ, Khuri SF. Multivariable predictors of postoperative venous thromboembolic events after general and vascular surgery: Results from the patient safety in surgery study. J Am Coll Surg. 2007;204:1211-1221.
42. Campbell DA Jr, Henderson WG, Englesbe MJ, et al. Surgical site infection prevention: The importance of operative duration and blood transfusion. Results of the first American College of Surgeons-National Surgical Quality Improvement Program Best Practices Initiative. J Am Coll Surg. 2008;207: 810-820.
43. Jackson TD, Wannares JJ, Lancaster RT, Rattner DW, Hutter MM. Does speed matter? The impact of operative time on outcome in laparoscopic surgery. Surg Endosc. 2011;25:2288-2295.
44. Tan TW, Kalish JA, Hamburg NM, et al. Shorter duration of femoral-popliteal bypass is associated with decreased surgical site infection and shorter hospital length of stay. J Am Coll Surg. 2012;215:512-518.
45. Davis GB, Peric M, Chan LS, Wong AK, Sener SF. Identifying risk factors for surgical site infections in mastectomy patients using the National Surgical Quality Improvement Program database. Am J Surg. 2013;205:194-199.
46. Andenaes K, Amland PF, Lingaas E, Abyholm F, Samdal F, Giercksky KE. A prospective, randomized surveillance study of postoperative wound infections after plastic surgery: A study of incidence and surveillance methods. Plast Reconstr Surg. 1995;96:948-956.
47. Kompatscher P, von Planta A, Spicher I, et al. Comparison of the incidence and predicted risk of early surgical site infections after breast reduction. Aesthetic Plast Surg. 2003; 27:308-314.
48. McCarthy CM, Mehrara BJ, Riedel E, et al. Predicting complications following expander/implant breast reconstruction: An outcomes analysis based on preoperative clinical risk. Plast Reconstr Surg. 2008;121:1886-1892.
49. Selber JC, Kurichi JE, Vega SJ, Sonnad SS, Serletti JM. Risk factors and complications in free TRAM flap breast reconstruction. Ann Plast Surg. 2006;56:492-497.
50. Chen CL, Shore AD, Johns R, Clark JM, Manahan M, Makary MA. The impact of obesity on breast surgery complications. Plast Reconstr Surg. 2011;128:395e-402e.
51. Dronge AS, Perkal MF, Kancir S, Concato J, Aslan M, Rosenthal RA. Long-term glycemic control and postoperative infectious complications. Arch Surg. 2006;141:375-380; discussion 380.
52. Jackson RS, Amdur RL, White JC, Macsata RA. Hyperglycemia is associated with increased risk of morbidity and mortality after colectomy for cancer. J Am Coll Surg. 2012;214:68-80.
53. King JT Jr, Goulet JL, Perkal MF, Rosenthal RA. Glycemic control and infections in patients with diabetes undergoing noncardiac surgery. Ann Surg. 2011;253:158-165.