Innumerable factors contribute to postoperative outcome. Various patient, physician,
health system, and infrastructure-level variables have been shown to influence these
outcomes and impact health care cost and delivery.
1
However, the level to which surgeon-driven factors, such as procedure-specific case
volume across different hospitals, and familiarity with a specific operating room
team/hospital system affect outcomes is relatively unknown. While it has been previously
shown that outcomes improve with increased case volumes, the potential patient, surgeon,
and system-level impact of surgeons operating at multiple hospitals has yet to be
studied.
2
Although anecdotally not uncommon, details on how many surgeons operate at multiple
hospitals or its effect on patient outcomes has not been elucidated. In this issue
of Surgery, Hyer et al examine the impact of surgeons operating at multiple hospitals on patient
outcomes.
3
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References
- Elements of the care environment influence coronary artery bypass surgery readmission.Surg Open Sci. 2022; 7: 12-17
- The influence of volume and experience on individual surgical performance: a systematic review.Ann Surg. 2015; 261: 642-647
- Fragmentation of practice: the adverse effect of surgeons moving around.Surgery. 2022; 172: 479-485
Article info
Publication history
Published online: May 14, 2022
Accepted:
April 12,
2022
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
ScienceDirect
Access this article on ScienceDirectLinked Article
- Fragmentation of practice: The adverse effect of surgeons moving aroundSurgeryVol. 172Issue 2
- PreviewWhether surgical team familiarity is associated with improved postoperative outcomes remains unknown. We sought to characterize the impact of fragmented surgical practice on the likelihood that a patient would experience a textbook outcome, which is a validated patient-centric composite outcome representing an “ideal” postoperative outcome.
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