Surgeon Case Volume and Intestinal Anastomotic Leaks

[...]patients with an anastomotic leak (AL) are significantly more at risk for serious postoperative complications such as bleeding, cardiovascular complications, septic shock, readmission, reoperation, and even mortality.1 Although ALs are not the most common postoperative GI complication, they can...

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Bibliographic Details
Published in:The American surgeon 2020-01, Vol.86 (1), p.7-9
Main Authors: Hakakian, Daniel, Kong, Karen, Bogdanovski, Dorian A., Paglinco, Samantha R., Rolandelli, Rolando H., Stopper, Patricia B., Nemeth, Zoltan H.
Format: Article
Language:English
Subjects:
Academic Medical Centers
Accreditation
Adult
Aged
Anastomosis, Surgical - adverse effects
Anastomotic Leak - epidemiology
Anastomotic Leak - surgery
Bleeding
Cohort Studies
Colorectal surgery
Complications
Databases, Factual
Elective Surgical Procedures - statistics & numerical data
Emergency Treatment - statistics & numerical data
Female
Hospitals, High-Volume
Humans
Intestinal Diseases - surgery
Intestine
Intestines - surgery
Logistic Models
Male
Medical education
Middle Aged
Mortality
Multivariate Analysis
New York City
Prevalence
Prognosis
Regression analysis
Regression models
Retrospective Studies
Risk analysis
Risk factors
Septic shock
Studies
Surgeons
Surgery
Young Adult
Citations: Items that this one cites
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Summary:[...]patients with an anastomotic leak (AL) are significantly more at risk for serious postoperative complications such as bleeding, cardiovascular complications, septic shock, readmission, reoperation, and even mortality.1 Although ALs are not the most common postoperative GI complication, they can still pose serious, even lifethreatening consequences. Previous studies and meta-analyses have examined surgeon volume in tiers as a risk factor for complications after different types of colorectal surgeries but were limited in that they focused on a fewer number of surgeons, only one specialty of surgery, or only one diagnosis.2 Because studies investigating risk factors and specifically surgeon volume have been limited in their scope and size, more research on this topic is warranted. A multivariate logistic regression model was created with all factors significant from univariate analysis to determine independent risk factors.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313482008600105