Proficiency of surgeons in inguinal hernia repair: effect of experience and age

We examined the influence of surgeon age and other factors on proficiency in laparoscopic or open hernia repair. In a multicenter, randomized trial comparing open and laparoscopic herniorrhaphies, conducted in Veterans Administration hospitals (CSP 456), we reported significant differences in recurr...

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Bibliographic Details
Published in:Annals of surgery 2005-09, Vol.242 (3), p.344-352
Main Authors: Neumayer, Leigh A, Gawande, Atul A, Wang, Jia, Giobbie-Hurder, Anita, Itani, Kamal M F, Fitzgibbons, Jr, Robert J, Reda, Domenic, Jonasson, Olga
Format: Article
Language:English
Subjects:
Adult
Age Factors
Aged
Clinical Competence
Cross-Sectional Studies
Hernia, Inguinal - epidemiology
Hernia, Inguinal - pathology
Hernia, Inguinal - surgery
Humans
Laparoscopy - standards
Laparoscopy - statistics & numerical data
Middle Aged
Original
Recurrence
Surgical Procedures, Operative - standards
Surgical Procedures, Operative - statistics & numerical data
United States
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Summary:We examined the influence of surgeon age and other factors on proficiency in laparoscopic or open hernia repair. In a multicenter, randomized trial comparing open and laparoscopic herniorrhaphies, conducted in Veterans Administration hospitals (CSP 456), we reported significant differences in recurrence rates (RR) for the laparoscopic procedure as a result of surgeons' experience. We have also reported significant differences in RR for the open procedure related to resident postgraduate year (PGY) level. We analyzed data from unilateral laparoscopic and open herniorrhaphies from CSP 456 (n = 1629). Surgeon's experience (experienced > or =250 procedures; inexperienced
ISSN:0003-4932
1528-1140
DOI:10.1097/01.sla.0000179644.02187.ea