Systematic review and meta-analysis comparing perioperative outcomes of emergency appendectomy performed by trainee vs trained surgeon

Appendectomy is a benchmark operation for trainee progression, but this should be weighed against patient safety and perioperative outcomes. Systematic literature review and meta-analysis comparing outcomes of appendectomy performed by trainees versus trained surgeons. Of 2086 articles screened, 29...

Full description

Saved in:
Bibliographic Details
Published in:The American journal of surgery 2023-01, Vol.225 (1), p.168-179
Main Authors: Anyomih, Theophilus TK, Jennings, Thomas, Mehta, Alok, O'Neill, J Robert, Panagiotopoulou, Ioanna, Gourgiotis, Stavros, Tweedle, Elizabeth, Bennett, John, Davies, R Justin, Simillis, Constantinos
Format: Article
Language:English
Subjects:
Abdomen
Abscesses
Antibiotics
Appendectomy
Appendectomy - methods
Appendicitis - surgery
Bias
Clinical outcomes
Clinical trials
Collaboration
Complications
Confidence intervals
Heterogeneity
Hospitals
Humans
Laparoscopy
Length of Stay
Literature reviews
Meta-analysis
Mortality
Patient safety
Patients
Postoperative Complications - epidemiology
Postoperative Complications - surgery
Reoperation
Safety
Statistical analysis
Surgeons
Systematic review
Training
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Appendectomy is a benchmark operation for trainee progression, but this should be weighed against patient safety and perioperative outcomes. Systematic literature review and meta-analysis comparing outcomes of appendectomy performed by trainees versus trained surgeons. Of 2086 articles screened, 29 studies reporting on 135,358 participants were analyzed. There was no difference in mortality (Odds ratio [OR] 1.08, P = 0.830), overall complications (OR 0.93, P = 0.51), or major complications (OR 0.56, P = 0.16). There was no difference in conversion from laparoscopic to open surgery (OR 0.81, P = 0.12) and in intraoperative blood loss (Mean Difference [MD] 5.58 mL, P = 0.25). Trainees had longer operating time (MD 7.61 min, P 
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2022.07.006