Defining the impact of resident participation on outcomes after appendectomy

Annals of Surgery
John E ScarboroughTheodore N Pappas

Abstract

To determine whether resident participation impacts complication rates after appendectomy. The effect of resident participation on postoperative outcomes has not been well defined. Data from the National Surgical Quality Improvement Program Participant User File from 2005 through 2009 were used to assess the association between resident participation during appendectomy and postoperative complication rates. Multivariate logistic regression analysis was used to adjust for patient comorbidity, surgical approach, and severity of appendiceal disease. Similar analyses were performed to determine whether outcomes after appendectomy are influenced by the postgraduate training level of the participating surgical resident. A total of 54,467 appendectomy procedures were included in our analysis. Resident participation was an independent risk factor for major complications [adjusted odds ratio 1.27 (95% CI 1.14-1.42), P < 0.0001] after appendectomy. Increasing seniority of the participating resident was associated with longer operative time and higher postoperative complications rates. Resident participation represents an independent risk factor for postoperative complications after appendectomy.

References

Aug 29, 2001·Annals of Surgery·S F KhuriUNKNOWN VA National Surgical Quality Improvement Program
Feb 11, 2004·Archives of Surgery·Justin B DimickGilbert R Upchurch
Apr 14, 2004·Archives of Surgery·Timothy J BabineauMichael Stone
May 25, 2005·Annals of Surgery·Mark WilkiemeyerLeigh A Neumayer
Oct 18, 2005·American Journal of Surgery·Kamal M F ItaniShukri F Khuri
Jul 20, 2007·Asian Journal of Surgery·Kenneth WongAndrew Pearson
Dec 29, 2007·Medical Care·Smruti VartakThomas E Vaughn
Feb 18, 2009·Archives of Surgery·Jeffrey H SilberKevin G Volpp
May 5, 2010·Journal of Pediatric Surgery·Steven L LeeVicki Y Chiu
May 26, 2010·The Surgical Clinics of North America·Hilary Sanfey, Gary Dunnington
Dec 15, 2010·American Journal of Surgery·Arezou YaghoubianSteven L Lee

❮ Previous
Next ❯

Citations

Nov 14, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Daniel M RellesCharles J Yeo
Aug 28, 2014·Journal of the American College of Surgeons·Nicholas R TemanRebecca M Minter
Apr 24, 2014·PM & R : the Journal of Injury, Function, and Rehabilitation·Byron SchneiderChristopher Plastaras
Jan 29, 2013·World Journal of Surgery·Thomas MosedaleAneel Bhangu
Sep 12, 2015·The Laryngoscope·Josh C MeierRalph Metson
Sep 15, 2015·Journal of Vascular Surgery·Sebastian DiDatoJeffrey J Siracuse
Jul 12, 2013·The British Journal of Surgery·UNKNOWN National Surgical Research Collaborative
Aug 25, 2015·Advances in Surgery·George Kasotakis, Gerard Doherty
Feb 1, 2014·Journal of Plastic Surgery and Hand Surgery·John P FischerStephen J Kovach
Mar 31, 2015·Urology·Christian P MeyerJairam R Eswara
Dec 18, 2014·Journal of the American College of Surgeons·Tetsuji Fujita
Jun 18, 2017·World Journal of Surgery·Dominik LoieroKsenija Slankamenac
Dec 3, 2016·Annals of Surgery·Maximilian J JohnstonAra Darzi
Oct 21, 2016·Annals of Surgery·Alexander W PhillipsS Michael Griffin
Mar 8, 2017·Annals of Surgery·George KasotakisGerard Doherty
Feb 15, 2017·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Rosalie A CarrEugene P Ceppa
Dec 26, 2018·The Laryngoscope·Alexandra ArambulaAlexander Langerman
Aug 5, 2020·Journal of Surgical Education·Jordan D BohnenBrian C George
Mar 26, 2021·Journal of Pediatric Surgery·Bryce M BludevichNicole M Chandler
Nov 23, 2018·The Journal of Surgical Research·Cynthia M TomSteven L Lee
Jul 10, 2021·The Surgical Clinics of North America·Jason W Kempenich, Daniel L Dent
Jul 6, 2021·Journal of Surgical Education·Wini V ZambareLuise I Pernar
Dec 23, 2021·JAMA Surgery·Joseph B OliverDevashish J Anjaria

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.