"July effect" and appendicitis

Journal of Surgical Education
Arezou YaghoubianSteven L Lee

Abstract

Patients at teaching hospitals often worry about the involvement of inexperienced surgical residents in their care. The most apparent time that physician inexperience would affect surgical outcomes would be in July, which is the start of residency training. The purpose of our study was to determine whether the morbidity related to the management of appendicitis was higher in the beginning of the academic year. A retrospective review of all appendicitis cases between 1998 and 2007 at 2 public teaching hospitals was conducted. An analysis was performed comparing all appendicitis cases in July/August versus all other months of the academic year. The outcome variables were wound infection rate, postoperative abscess drainage rate, and length of hospitalization (LOH). A total of 4325 patients were included in the study. Patient demographics and appendiceal perforation rate were similar between July/August and the rest of the year. Wound infection rate, postoperative abscess drainage rate, and LOH were also similar between these 2 time periods. Appendicitis outcomes were similar in the beginning of the academic year in comparison with the remaining months. These findings suggest that patients with acute appendicitis can safely underg...Continue Reading

References

Sep 15, 2006·Journal of Neurosurgery·Edward R SmithFred G Barker
Sep 1, 2009·Journal of the American College of Surgeons·Thomas J SchroeppelTimothy C Fabian

❮ Previous
Next ❯

Citations

Jun 30, 2012·BMC Medicine·Renée M van der LeeuwMaas Jan Heineman
Nov 6, 2012·Journal of Neurosurgery. Spine·Jordan GruskayAlexander Vaccaro
Sep 11, 2013·Journal of Surgical Education·Farah KaripineniJorge Ortiz
Apr 27, 2013·Journal of Surgical Education·John H PangJorge Ortiz
Apr 1, 2014·Orthopedics·Patrick KaneAlvin Ong
Jun 6, 2013·The Laryngoscope·Patrick T HennesseyChristine G Gourin
Dec 30, 2014·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Tai Hwan ParkUNKNOWN Investigators of the Registry of the Canadian Stroke network (RCSN) for the Stroke Outcomes Research (SORCan) Working Group
Jul 29, 2015·Journal of Graduate Medical Education·Cynthia H Ho
Nov 22, 2018·Archives of Gynecology and Obstetrics·Haeree Yang, Taejong Song
Jan 16, 2019·The Western Journal of Emergency Medicine·Amit Bahl, Catherine Cooley Hixson
Aug 20, 2019·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Timothy D MurthaRonald R Salem
Oct 19, 2017·Aesthetic Surgery Journal·Jordan T BloughJohn Y S Kim
Dec 31, 2016·Bladder Cancer·Keegan ZukEugene K Lee
Jul 30, 2019·The Annals of Thoracic Surgery·Rohan M ShahTsuyoshi Kaneko

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.