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Surgeon Volume and Surgeon Age in Relation to Proficiency Gain Curves for Prognosis Following Surgery for Esophageal Cancer

Background Surgery proficiency gain curves must be shortened to reduce patient harm during esophagectomy learning. Objective This study aimed to test whether surgeon volume and surgeon age influenced the length of period of surgical proficiency gain. Methods This population-based cohort study includ...

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Bibliographic Details
Published in:Annals of surgical oncology 2019-02, Vol.26 (2), p.497-505
Main Authors: Gottlieb-Vedi, Eivind, Mackenzie, Hugh, van Workum, Frans, Rosman, Camiel, Lagergren, Pernilla, Markar, Sheraz, Lagergren, Jesper
Format: Article
Language:English
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Summary:Background Surgery proficiency gain curves must be shortened to reduce patient harm during esophagectomy learning. Objective This study aimed to test whether surgeon volume and surgeon age influenced the length of period of surgical proficiency gain. Methods This population-based cohort study included 1384 patients with esophageal cancer who underwent esophagectomy by any of the 36 highest-volume surgeons in Sweden between 1987 and 2010, with follow-up until 2016. Annual surgeon volume was dichotomized by the median values into ‘higher-volume surgeons’ (≥ 4 cases per year) and ‘lower-volume surgeons’ (
ISSN:1068-9265
1534-4681
1534-4681
DOI:10.1245/s10434-018-6869-8